Constipation

Question 1

Constipation - key symptoms (4)

Answer 1

Difficulty going to the toilet
Pain when going to the toilet
Feeling bloated
Stomach discomfort

Question 2

Constipation - extra questions to ask (4)

Answer 2

Is there any blood
When was the last time you were able to go to the toilet
Do you find it difficult when going to the toilet / straining
Are they on medication (opioids)

Question 3

Constipation - explanation of diagnosis

Answer 3

Common condition where it can be difficult to go to the toilet which results in pressure in the stomach which is what is causing the stomach pain

Question 4

Constipation - causes (6)

Answer 4

Diet - low fibre
Inadequate fluid intake
Poor toilet habits
Lack of exercise
Stress/anxiety
Medication

Question 5

Constipation - first-line treatment (product, how it works, how to use it and how long to see effects)

Answer 5

Fybogel
Bulk-forming laxative that works to increase the size of your stools and promotes gut movement
1 sachet to be dissolved in water after food in the morning and evening
12-24 hours to notice effects

Question 6

Constipation - lifestyle (7)

Answer 6

Gradually increase fibre intake (30g - wholemeal bread and bran)
Increase sorbitol intake (fresh fruit and veg, 4Ps)
Increase activity levels (150 minutes of moderate intensity - home workouts or jogging)
Adequate fluid intake (2L of water)
Don’t rush when going to the toilet
Don’t avoid going to the toilet
Raise knees using a stool

Question 7

Constipation - when to refer (6)

Answer 7

Child
Longer than 14 days
Blood in stools
Weight loss
Opioid induced
No improvement following treatment