Constipation. Understanding Mechanisms and Management.

Vanessa C. Costilla, Amy E. Foxx-Orenstein

Research output: Contribution to journalReview article

39 Scopus citations

Abstract

Constipation is a frequently diagnosed gastrointestinal disorder. Symptoms of constipation are common, with the greatest prevalence in the elderly. Evaluation of constipation begins with a detailed medical history and a focused anorectal examination. Diagnostic testing for constipation is not routinely recommended in the initial evaluation in the absence of alarm signs. Key self-management strategies include increased exercise, a high-fiber diet, and toilet training. High-fiber diets can worsen symptoms in some patients who have chronic constipation. Biofeedback is an effective treatment option for patients who have constipation caused by outlet obstruction defecation. A variety of medications are available to remedy constipation.

Original languageEnglish (US)
Pages (from-to)107-115
Number of pages9
JournalClinics in Geriatric Medicine
Volume30
Issue number1
DOIs
StatePublished - Feb 1 2014

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Keywords

  • Anorectal manometry
  • Chronic constipation
  • Constipation testing
  • Dyssynergic defecation
  • Outlet dysfunction
  • Pelvic floor dysfunction
  • Slow transit constipation

ASJC Scopus subject areas

  • Geriatrics and Gerontology

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