Constipation. Understanding Mechanisms and Management.

Vanessa C. Costilla, Amy E. Foxx-Orenstein

Research output: Contribution to journalArticle

35 Citations (Scopus)

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 2014

Fingerprint

Constipation
Toilet Training
Diet
Defecation
Self Care
Exercise

Keywords

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

ASJC Scopus subject areas

  • Geriatrics and Gerontology

Cite this

Constipation. Understanding Mechanisms and Management. / Costilla, Vanessa C.; Foxx-Orenstein, Amy E.

In: Clinics in Geriatric Medicine, Vol. 30, No. 1, 02.2014, p. 107-115.

Research output: Contribution to journalArticle

Costilla, Vanessa C. ; Foxx-Orenstein, Amy E. / Constipation. Understanding Mechanisms and Management. In: Clinics in Geriatric Medicine. 2014 ; Vol. 30, No. 1. pp. 107-115.
@article{928ea5aaaf6f4413bc0c2d83a47939a0,
title = "Constipation. Understanding Mechanisms and Management.",
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.",
keywords = "Anorectal manometry, Chronic constipation, Constipation testing, Dyssynergic defecation, Outlet dysfunction, Pelvic floor dysfunction, Slow transit constipation",
author = "Costilla, {Vanessa C.} and Foxx-Orenstein, {Amy E.}",
year = "2014",
month = "2",
doi = "10.1016/j.cger.2013.10.001",
language = "English (US)",
volume = "30",
pages = "107--115",
journal = "Clinics in Geriatric Medicine",
issn = "0749-0690",
publisher = "W.B. Saunders Ltd",
number = "1",

}

TY - JOUR

T1 - Constipation. Understanding Mechanisms and Management.

AU - Costilla, Vanessa C.

AU - Foxx-Orenstein, Amy E.

PY - 2014/2

Y1 - 2014/2

N2 - 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.

AB - 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.

KW - Anorectal manometry

KW - Chronic constipation

KW - Constipation testing

KW - Dyssynergic defecation

KW - Outlet dysfunction

KW - Pelvic floor dysfunction

KW - Slow transit constipation

UR - http://www.scopus.com/inward/record.url?scp=84888170276&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84888170276&partnerID=8YFLogxK

U2 - 10.1016/j.cger.2013.10.001

DO - 10.1016/j.cger.2013.10.001

M3 - Article

C2 - 24267606

AN - SCOPUS:84888170276

VL - 30

SP - 107

EP - 115

JO - Clinics in Geriatric Medicine

JF - Clinics in Geriatric Medicine

SN - 0749-0690

IS - 1

ER -