Constipation Flashcards
What is the treatment for acute Constipation
1st Line:
Bulk forming + good hydration
2nd Line:
OsmoticH
What is the treatment for chronic Constipation
1st Line:
Bulk forming + good hydration
2nd Line:
Osmotic laxative (lactulose)
3rd Line:
Prucalopride
When would you give Pruclaopride in Chronic Constipation
in a women with no change after 6 months of 2nd line treatment
(osmotic laxative)
How would you withdraw lactulose
slowly
How to treat Faecal Impaction: hard stool
1st Line:
Osmotic laxative then stimulant
2nd Line:
Rectal bisacodyl
How to treat Faecal Impaction: soft stool
1st Line:
Stimulant
2nd Line:
Rectal bisacodyl
How to treat opioid induced Constipation
1st Line:
Osmotic + Stimulant
2nd Line:
Naloxegel (prescription only)
Which laxative should you avoid in Opioid induced constipation
Bulk forming
(can cause obstruction)
How to treat Child constipation
1st Line:
Dietary + Osmotic
2nd Line:
Stimulant
(if stools are hard use lactulose)
What is the 1st Line for Pregnancy and Breastfeeding Constipation
Dietary and Lifestyle
What is the 2nd Line for Pregnancy and Breastfeeding Constipation
Bulk forming
What is the 3rd Line for Pregnancy and Breastfeeding Constipation
Osmotic (Lactulose)
What is the 4th Line for Pregnancy and Breastfeeding Constipation
Stimulant (Bisacodyl or Senna)
Which laxative should you not use near term in pregnancy
Senna (stimulant)
