Intractable Constipation in the Elderly
| Autor: | Lucinda A. Harris, Amy E. Foxx-Orenstein, Noemi Baffy, Susan M Sterler |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Constipation medicine.medical_treatment Population Biofeedback 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Medicine 030212 general & internal medicine Intensive care medicine education Linaclotide Polypharmacy Chronic constipation education.field_of_study business.industry Gastroenterology Lubiprostone Gastrointestinal disorder chemistry Physical therapy 030211 gastroenterology & hepatology medicine.symptom business medicine.drug |
| Zdroj: | Current treatment options in gastroenterology. 15(3) |
| ISSN: | 1092-8472 |
| Popis: | Chronic constipation is a common gastrointestinal disorder disproportionately affecting the elderly. Immobility, polypharmacy, and physiologic changes contribute to its increased prevalence in this population. Unidentified and undertreated constipation leads to a significant negative impact on quality of life and an increase in healthcare spending. Careful physical examination and exploration of the clinical history can unmask primary and secondary forms of constipation, guiding diagnostic and therapeutic considerations. Non-pharmacologic treatment options include bowel training and biofeedback as well as the addition of fiber. Laxatives are safe and can be used long term; thus, they remain the mainstay of therapy. Newer agents with specific physiologic targets have proven to be effective in adults with chronic constipation, but data is lacking for safety profile in the elderly. Consideration for surgery in medically refractory cases should be entertained, while use of neuromodulation is not ready for prime time. This is a review of the currently available treatment options for chronic constipation in adults and specifically tailored towards the elderly. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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