Constipation

Question 1

What are the causes for constipation?

Answer 1

• Inadequate fibre
• Inadequate fluid intake
• Medications – ( codeine, morphine, iron tablets, antacid aluminium and antidepressants)
• Medical conditions – underactive thyroid, IBS, bowel disorders
• Pregnancy – due to hormonal change and as baby grows

Question 2

What are the red flags for constipation?

Answer 2

• New onset constipation 50+
• Anaemia
• Abdo pain
• Unexplained weight loss
• Blood in stool

Question 3

What are the different types of laxatives?

Answer 3

• Bulk forming
• Osmotic
• Stimulant
• Stool softener

Question 4

When is BOS used?

Answer 4

BOS is bulk, osmotic, stimulant :
* Short term constipation
* Pregnancy
* Long term constipation

Question 5

When is OS used?

Answer 5

OS is osmotic and stimulant:
* Faecal impaction
* Opioid induced constipation
* Children (macrogol)