How to deal with chronic constipation
Autor: | Shailesh C. Kadakia, Peter W. K. Wong |
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Rok vydání: | 1999 |
Předmět: |
Dietary Fiber
medicine.medical_specialty Constipation Drinking Colonic Diseases Functional Disease Fiber intake Patient Education as Topic medicine Humans In patient Defecation Gastrointestinal Transit Intensive care medicine Physical Therapy Modalities Anus Diseases Chronic constipation Cathartics business.industry food and beverages Treatment method Biofeedback Psychology Colonoscopy General Medicine Rectal Diseases Chronic Disease Physical therapy medicine.symptom Gastrointestinal Motility business Colonic motility |
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 |
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