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Is the constipation acute or chronic? If the constipation is acute and there is abdominal pain or vomiting, one must consider the possibility of intestinal obstruction. An examination may disclose an empty rectum, in ... DIAGNOSTIC WORKUP
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Constipation is a common complaint that must be accurately defined by the patient before initiating an extensive evaluation. Constipation may include fewer than three bowel movements (BMs) in a week, excessive straining during BMs, a feeling... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Constipation is a common complaint, accounting for 3% of all pediatric office visits. Stool frequency can be variable in infants, who average 4 per day (SD 1.8) at 1 week, 2.2 per day (SD 1.6) at 1 month, and 1.8 per day (SD 1.2) at 1 year. After 4 years of age, 95–99% of... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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... The causes of constipation can be recalled on a physiologic basis. Normal defecation requires feces that are of proper consistency, good muscular contraction of the walls of the large intestine, and unobstructed passage of the stool. It follows that constipation will result from
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... Constipation is defined as small, infrequent, or difficult bowel movements. Because normal bowel movements can vary in frequency and from individual to individual, constipation is relative and must be determined in relation to the patient's normal... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pictures
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... Behavioral/Psychiatric Factors
Low-residue diet
Chronic laxative and/or enema abuse
Immobility
Reduced food intake
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... Signs and Symptoms Depending on location of obstruction: nausea, vomiting, diarrhea, abdominal pain, drowsiness, thirst, rebound tenderness, abdominal distention, dehydration, constipation
Treatment (Tx) Surgery,... Pictures
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... Constipation is defined as small, infrequent, or difficult bowel movements. Because normal bowel movements can vary in frequency and from individual to individual, constipation must be determined in relation to the patient’s normal elimination pattern.... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... W. Robert Kiser
Approach Constipation, defined as the passage of two or fewer stools per week (1), is the most frequently reported gastrointestinal (GI) complaint in primary care, responsible for as many as 1.25 million patient visits annually (2).... History ... Physical examination ... Diagnostic testing ... Diagnostic assessment
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... Differential Overview
❑ Lifestyle
❑ Drugs
❑ Depression
❑ Irritable bowel syndrome
❑ Pelvic floor dysfunction ... Diagnostic Approach ... Clinical Findings
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... An intestinal obstruction is a partial or complete blockage of the lumen in the small or large bowel. A small-bowel obstruction is more common (90% of patients) and usually more serious. A complete obstruction in any part of the bowel, if untreated, can cause death within hours... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Also known as lazy colon, colonic stasis, colonic inertia, and atonic constipation, chronic constipation may lead to fecal impaction if left untreated. It’s common in elderly and disabled people because of their inactivity and is commonly relieved with... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Constipation is defined as small, infrequent, or difficult bowel movements. Because normal bowel movements can vary in frequency and from individual to individual, constipation must be determined in relation to the patient’s normal elimination... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Constipationis difficult passage of hard stools. Clinical problem is not infrequent passageper se, but difficult and painful bowel movements. Common manifestations include crampyabdominal pain, abdominal distension, anorexia, irritability, andurinary... Principal Causes of Constipation ... Clinical Features and Diagnosis ... Diagnostic Approach ... References
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... Constipation is defined as small, infrequent, or difficult bowel movements. Because normal bowel movements can vary in frequency and from individual to individual, constipation is relative and must be determined in relation to the patient's normal... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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The causes of constipation can be recalled on a physiologic basis.
Normal defecation requires feces that are of proper consistency, good
muscular contraction of the walls of the large intestine, and unobstructed
passage of the stool. It follows that constipation will... Pictures
... READ EXCERPTS »
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