How to deal with chronic constipation

Autor: Shailesh C. Kadakia, Peter W. K. Wong
Rok vydání: 1999
Předmět:
Zdroj: Postgraduate Medicine. 106:199-210
ISSN: 1941-9260
0032-5481
DOI: 10.3810/pgm.1999.11.777
Popis: Chronic constipation is a common medical complaint encountered often in a primary care setting. Most patients can be treated successfully with simple measures, including education, bowel habit training, increased fluid and fiber intake, and use of laxatives. Chronic constipation is usually considered idiopathic, but secondary causes should be excluded. In about 1% of patients with severe, intractable constipation, further diagnostic testing (e.g., endoscopy, colonic transit study) is needed. Patients with colonic inertia can be treated with judicious use of laxatives, but surgery may be necessary in a few cases. Patients with outlet inertia should be referred for biofeedback treatment.
Databáze: OpenAIRE