Constipation

Question 1

What is the most common digestive complaint in the US?

Answer 1

Constipation

Question 2

What is the most common cause of constipation?

Answer 2

Diminished fiber with decreased fluid intake

Question 3

What might patients complain of if they have constipation?

Answer 3

Infrequent stool
Excessive straining
Sense of incomplete evacuation
Need for digital manipulation

Question 4

What labs should be completed for patients with constipation?

Answer 4

CBC for anemia
Thyroid function for hypothyroidism
Electrolyte abnormalities (hypokalemia or hypercalcemia)

Question 5

Which radiological studies should be done for patients with constipation?

Answer 5

Upright chest film and abdominal flat and erect films for Prescence or absence of obstruction
Abdominal films to assess stool burdens

Question 6

What first line treatments should be done for patients with constipation

Answer 6

Address adverse psychosocial issues
Strict dietary changes and exercise regiment
Increase water and fiber
Fiber provides no immediate response so increase dose gradually over 7-10days