Constipation Flashcards
What is definition of constipation
unsatisfactory defecation characterised by infrequent stools and difficult stool passage
What are some risk factors
low fibre and water intake
sedentary lifestyle
opiates
CCBs
IBD/IBS
cancer
psychological
affects mainly >65
What are some symptoms
Infrequent stools <3 a week
difficulty defecating
tenesmus
excessive straining
What may be seen on examination
abdominal mass in LLQ
anal fissures
Haemorrhoids
Hard stools on DRE
How do you manage constipation
Lifestyle
– increase fibre, water intake, exercise
–avoid triggering factors like certain meds
Laxatives-
What are some examples of osmotic laxatives
Macrogol, lactulose
What are some stimulant laxatives
Senna, bisacodyl
What are some complications
— overflow diarrhoea
–acute urinary retention
–haemorrhoids
