Med. praxi 2013; 10(6-7): 231-233

Constipation and its treatment in the general practicioner

MUDr.Ilja Tachecí, Ph.D.
2. interní gastroenterologická klinika &ndash, LF UK a FN Hradec Králové

Constipation is defined as uncommon (< 3× per week) and difficult emptying of tough stool. Constipation is a relatively common disorder

affecting up to 17% of the population. Secondary constipation is based on another underlying disease, primary constipation is caused

by impaired intestinal motility or disorder of anorectal segment. Diagnosis is focused on the exclusion of organic causes of constipation.

Treatment of secondary constipation is based on affecting the underlying disease. The diet modification (fiber, plenty of fluids) and use

of laxatives are the basic approaches in primary constipation cases.

Keywords: constipation, colonic inertia, anismus, laxatives

Published: July 29, 2013  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Tachecí I. Constipation and its treatment in the general practicioner. Med. praxi. 2013;10(6-7):231-233.
Download citation

References

  1. Garrigues V, Galvez C, Ortiz V, Ponce M, Nos P, Ponce J. Prevalence of constipation: agreement among several criteria and evaluation of the diagnostic accuracy of qualifying symptoms and self-reported definition in a population-based survey in Spain. Am J Epidemiol 2004; 159: 520-526. Go to original source... Go to PubMed...
  2. Cowlam S, Khan U, Mackie A, Varma JS, Yiannankou Y. Validity of segmental transit studies used in routine clinical practice, to characterize defaecatory disorder in patients with functional constipation. Colorectal Dis 2008; 10: 818-822. Go to original source... Go to PubMed...
  3. Bharucha AE. Update of tests of colon and rectal structure and function. J Clin Gastroenterol 2006; 40: 96-103. Go to original source... Go to PubMed...
  4. Drossman DA (ed). Rome III: The Functional Gastrointestinal Disorders. 3rd ed. McLean: Degnon Associates 2006.
  5. McCrea GL, Miaskowski C, Stotts NA, Macera L, Paul SM, Varma MG. Gender differences in self-reported constipation characteristics, symptoms, and bowel and dietary habits among patients attending a specialty clinic for constipation. Gend Med 2009; 6: 259-271. Go to original source... Go to PubMed...
  6. Choung RS, Locke GR 3rd, Schleck CD, Zinsmeister AR, Talley NJ. Cumulative incidence of chronic constipation: a population-based study 1988-2003. Aliment Pharmacol Ther 2007; 26: 1521-1528. Go to original source... Go to PubMed...
  7. Mařatka Z, a kol. Gastroenterologie. nakl.: Karolinum. 1. vyd., 1999. ISBN-10: 80-7184-561-2.




Medicine for Practice

Madam, Sir,
please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

I declare:

  1. that I have met the above instruction
  2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited


No

Yes

If your statement is not true, please be aware
that brings the risk of danger to their health or the health of others.