Constipation + Colonoscopy

Question 1

What is constipation?

Question 2

What causes constipation?

Answer 2

Low fiber diet
Dehydration
Immobility
Change in eating pattern
Side effects
IBS

Question 3

S / sx of constipation

Answer 3

Abd cramps and pain
Abd distension
Stomach bloating
Nausea and vomiting
Restless and irritable
Pass hard dry stool

Question 4

Diagnose constipation

Answer 4

Abdominal X-Ray
DIAGNOSTIC MEASURES
o History collection (When you opened your bowel last time?)
o Colonoscopy
o Check for abdominal distension

Question 5

Manage constipation

Answer 5

Fibre rich diet - Green leafy vegetables,
o Whole gain serials, oats
o Fruits – Prune juice, Apple, gooseberry, grapes, plums, avocado, apricot,
blackberry, cherry banana
o Intake more dry and semi dry fruits, because it contain high sorbitol
content so take 5 to 7 portions of fruits daily
o prune juice, dry plum suggest best for constipation patient
o Increase physical mobility - Increase peristaltic movement
o Daily Bowel training programs – same time toileting

Question 6

Medical manage for constipation

Question 7

Side effects of laxative

Answer 7

• Bloating
• Farting
• Stomach cramps
• Dehydration
• Dark-colored urine

Question 8

Who are at risk for constipation

Answer 8

Women
Pregnant women
Elderly
Young adults
Sedentary lifetsyle

Question 9

Side effects of Laxatives

Answer 9

Bloating
Stomach cramps
Dehydration
Flatulence
Dark colored urine

Question 10

Contraindication of laxatives

Question 11

What is colonoscopy?

Question 12

Indication for colonoscopy?

Question 13

Pre-procedure for colonoscopy

Question 14

During colonoscopy

Question 15

Post colonoscopy

Question 16

Side effects of colonoscopy

Question 17

Fiber diet

Question 18

Bulk forming laxative

Question 19

Osmotic laxative

Question 20

Stimulant laxative

Question 21

Stool softener

Question 22

What laxative should be given if patient has DM

Answer 22

Senokot

Question 23

When is the proper time to take senokot?

Answer 23

Night time
Triggers the bowel 6-12 hrs

Question 24

Complications of constipation

Answer 24

Hemorrhoids
Fecal impaction
Anal fissure

Question 25

How fibre rich diet helps in constipation?

Answer 25

Fibre is a bulk forming content and it increase fluids

Question 26

How fluids help in constipation?

Answer 26

It helps to soften the stool

Question 27

Complication of consti

Answer 27

Haemorrhoids - Swollen and inflamed veins in the rectum andanus
o Faecal impassion - Intestinal obstructions
o Anal fissure - while staining