Constipation And Diarrhea Flashcards
How much undigested dietary residue passes into the colon?
1L/day
What is the colon’s function?
Convert liquid effluent into semi-solid feces prior to it arriving in the rectum
Average daily output of stool
200g; 60-80% is water
Physiological processes invovled in solidying poop
Absorb fluid and electrolytes
Peristaltic contractions
Control of complex enteric nervous system
Defecation
If the ability to resist the defecatory urge is over-utilized, chronic rectal distention, reduced afferent signals, lax tone and chronic constipation may result.
Yeah nothing to say about this, just writing it. Self induced constipation
Absorption of fluid and electrolytes. What happens?
Sodium and chloride actively transport primarily in ascending and transverse colon; not much in descending colon.
Water is passively reabsorbed with these electrolytes
Peristaltic contractions
Facilitate mixing, desication, passage
What is essential when evaluating constipation or diarrhea?
Detailed drug history
Defecation
Defecatory reflex initiated by distention of rectum
Sigmoidal and rectal contractions
Relaxation of internal and external anal sphincters
Voluntary increased intra-abdominal pressure