STRATEGIES FOR CONSTIPATION Flashcards
WHAT PROPORTION OF THE POPULATION ARE AFFECTED BY CONSITPATION
1/3
WHAT DEFINITIONS CONSITUTE CONSTIPATION
BOWEL MOVEMENTS LESS THAN THREE TIMES A WEEK
PRODUCTION OF STOOL WHICH IS HARD, OR PAINFUL TO PASS
WHAT ARE THE ROME III CRITERIA FOR CHRONIC FUNCTIONAL CONSTIPATION
TWO OR MORE OF THE FOLLOWING THAT APPLY TO 25% OF BOWEL MOTIONS OVER A 3 MONTH PERIOD:
STRANING OR MANUAL MANOUVERS REQUIRED TO FACILITATE EVACUATION
LUMPY HARD STOOLS (OR IF LOSE STOOLS ARE RARE WITHOUT LAXITIVES)
SENSATION OF INCOMPLETE EVACUATION OR ANORECTAL BLOCKAGE
LESS THAN THREE MOVEMENTS EACH WEEK
ON THE BRISTOL STOOL SCALE WHAT CONSTITUTES AS THE PERFECT POO
TYPE 4
ON THE BRISTOL STOOL SCALE WHAT CONSTITUES AS A GOOD POO
TYPE 3-4
WHAT ARE THE FEATURES OF CONSTIPATION WARRANTING REFERRAL
ONSET IN MIDDLE/ OLD AGE
PER RECTAL BLEEDING, MALENA, OR MUOUS
WEIGHT LOSS, FEVER, RECTAL PAIN, ANOREXIA, NAUSEA, VOMITING
FAM HX OF COLORECTAL CANCER
WHAT ARE THE RECOMMENDED MANAGEMENT STRATEGIES FOR CONSTIPATION
INCREASE FIBRE AND WATER INTAKE
INTRODUCE GENTLE EXERCSISE
DRUG REGIMN MODIFICATION
ADDRESS PSYCHOLOGICAL ISSUES
USE OF BIOFEEDBACK OR NEUROMUSCULAR RETRAINING
THE PELVIC FLOOR IS TONICALLY CONTRACTED MOST OF HE TIME TO
SUPPORT ABDOMINOPELVIC VISCERA AND MAINTAIN URINARY AND FAECAL CONTINENCE
WHAT CAN OSTEOS DO TO HELP CONSTIPATION
VISCERAL TECHNIQUES
PATIENT EDUCATION (SQUATTING POSITION)
AT WHAT ANGLE (SPINE TO FEMUR) DOES THE PUBORECTALIS MM RELAX
35
WHAT ARE THE FIRST LINE pharmaceutical THERAPIES FOR CONSTIPAION
BULKING AGENTS
OSMOTIC LAXATIVES
WHAT IS THE MECHANISM OF BULKING AGENTS
INCREASE FAECAL BULK WHICH STIMULATES PERISTALSIS
WHAT IS THE MECHANISM OF OSMOTIC LAXATIVES
EXERTS OSMOTIC EFFECT WHICH INCREASES INTRALUMINAL PRESSURE
