Chapter 74: Constipation

Question 1

How constipation traditionally define?

Answer 1

<3 bowel movement per week

Question 2

Criteria used for the diagnosis of constipation

Answer 2

Rome criteria

Question 3

What are the components of Rome’s criteria?

Answer 3

(1) straining at defecation at least 25% of the time
(2) hard stools at least 25% of the time
(3) incomplete evacuation at least 25% of the time
(4) fewer than three bowel movements per week
(5) rarely having loose stools without the use of laxatives and having symptoms for at least 3 months in the preceding 6 months for chronic constipation

Question 4

Ascites in the presence of constipation can be a sign of what in women?

Answer 4

Ovarian or uterine neoplasm

Question 5

What to give in opioid induced constipation?

Answer 5

methylnaltrexone and oral naloxegol

Question 6

A clinical disorder with the signs, symptoms, and radiographic appearance of an acute large bowel obstruction with no evidence of distal colonic obstruction

Answer 6

Intestinal pseudo-obstruction (ogilvie’s syndrome)

Question 7

What is the treatment for fecal impaction?

Answer 7

Manual disimpaction