Constipation
Behavioral/Psychiatric Factors
Low-residue diet
Chronic laxative and/or enema abuse
Immobility
Reduced food intake
Repressed urge to defecate
Psychosis
Depression
Eating disorders
Obsessive/compulsive disorders
Functional Constipation
Simple (idiopathic) constipation
Irritable bowel syndrome
Slow transit
Outlet delay, anismus
Fecal impaction
Pseudo-obstruction
Gastrointestinal Disorders
Colonic extraluminal obstruction
Intraabdominal or pelvic tumors
Chronic volvulus
Hernias
Rectal prolapse
Ascites
Late pregnancy
Adhesions
Colonic luminal obstruction
Carcinoma of the colon or rectum
Benign colonic tumors
Recurrent diverticulitis
Diverticular stricture
Colonic stricture
Chronic ulcerative colitis
Eosinophilic colitis
Chronic amebiasis
Lymphogranuloma venereum
Syphilis
Tuberculosis
Ischemic colitis
Endometriosis
Postsurgical abnormalities
Intussusception
Corrosive enemas
Anorectal disorders
Proctitis (especially ulcerative)
Hemorrhoids
Fissures and fistulas (e.g., Crohn's disease)
Perianal abscess
Rectal prolapse
Anterior mucosal prolapse
Anal atresia or malformation
Anal stenosis
Solitary rectal ulcer syndrome
Internal intussusception
Hereditary internal anal sphincter myopathy
Carcinoma of the rectum or anus
Ulcerative proctitis
Lymphogranuloma venereum
Postsurgical
Descending perineum syndrome
Rectocele
Endocrine/Metabolic Causes
Hypothyroidism
Hypercalcemia
Porphyria
Pheochromocytoma
Panhypopituitarism
Diabetes mellitus
Uremia
Hypokalemia
Heavy metal poisoning
Pregnancy
Glucagonoma
Pseudohypoparathyroidism
Neuromuscular Disorders
Parkinson's disease
Cerebrovascular accident
Brain tumors
Senile dementia
Multiple sclerosis
Tabes dorsalis
Spinal lesions
Aganglionic megacolon (Hirschsprung's disease)
Neurofibromatosis
Multiple endocrine neoplasia type 2b
Diabetic autonomic neuropathy
Chagas' disease
Familial visceral myopathy
Muscular dystrophies
Likongo's syndrome (hindgut dysgenesis)
Scleroderma
Amyloidosis
Hypoganglionosis and hyperganglionosis
Intestinal pseudoobstruction
Dermatomyositis
Drugs
Antacids
Calcium carbonate
Aluminum hydroxide
Opiates
Anticholinergics
Anticonvulsants
Tricyclic antidepressants
Ganglionic blockers
Phenothiazines
Diuretics
Ferrous sulfate
Antihypertensives
Barium sulfate
Bismuth compounds
Ion-exchange resins
Antispasmodics
Antidepressants
Antipsychotics
Calcium channel blockers
Calcium supplements
Sucralfate
Cholestyramine
Monoamine-oxidase (MAO) inhibitors
Analgesics
Vinca alkaloids
References:
1. Lennard-Jones JE: Constipation, pp. 174–197. See Bibliography, 1.
2. Koch TR: Constipation, pp. 102–112. See Bibliography, 2.
Book Source Details
- Book Title: A Pocket Manual of Differential Diagnosis
- Author(s): Stephen N. Adler, Dianne B. Gasbarra
- Year of Publication: 1999
- Copyright Details: A Pocket Manual of Differential Diagnosis, Copyright © 1999 Lippincott Williams & Wilkins.
Other Book Chapters Related to Constipation
Read excerpts from these other book chapters related to Constipation:
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Copyright Details: A Pocket Manual of Differential Diagnosis, Copyright © 2008 Williams & Wilkins.
More About Causes of Constipation
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