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Flashcards in Adult - Constipation Deck (13):
1

What is the beginning of constipation in adults?

3 stools per week or less

2

More prevalent in what population?

more in older women

3

Primary pathophys of constipation?

colorectal dysfunction

4

Secondary pathophys of constipation?

-neurogenic disorders (peripheral or central)
-IBS
****-medications**** (antacids, stool softeners)
-non-neurogenic disorders

5

What are some peripheral neurogenic disorders that may cause constipation?

-diabetes**
-autonomic neuropathy
-intestinal pseudoobstruction
-chagas disease
-hirschprung disease

6

What are some central neurogenic disorders that may cause constipation?

-Multiple sclerosis
-spinal cordinjuries
-parkinson disease

7

What are some non-neurogenic disorders that may cause constipation?

-hypothyroidism
-hypokalemia
-anorexia nervosa
-pregnancy
-panhypopituitarism
-systemic sclerosis
-myotonic dystrophy

8

red flags to know when doing a patient work up:

History is super important -duh
-RED FLAGS:
hematochezia
+ fecal occult blood
obstructive symptoms
WL of 10 pounds or more
change is stool caliber

9

Common drugs to watch for that cause constipation:

-antihistamines
-antispasmodics
-antidepressants
-antipsychotics
-iron supplements
-antacids
-opiates
-CCB

10

Constipation - Rectal exam - asses for:

hard stool
masses
anal fissures
hemorrhoids
sphincter tone
BPH
posterior vaginal mass

11

Blood tests with constipation:

CBC
serum glucose
creatinine
calcium
TSH

12

Suprising dietary solution for constipation?

prunes!

13

Usual best help for consitpation?

patient education - increase fiber and fluids - reduce laxative use (mess with electrolytes esp with stimulant laxative