Constipation & Diarrhea

Question 1

Medical conditions that can cause constipation

Answer 1

Irritable bowel syndrome
Anal disorders (fissures, fistulae, rectal prolapse)
Multiple sclerosis
Cerebrovascular events
Parkinson disease
Pregnancy
Spinal cord tumors
Diabetes
Hypothyroidism

Question 2

Which OTC to recommend for constipation

Answer 2

Most adults: fiber
Iron-induced or hard stool: stool softener or bulk-forming drug
Opioid-induced: Stimulant or osmotic laxative
Pregnancy: fiber
Fast relief needed: Adults=bisacodyl or glycerin (more gentle) suppository, children=glycerin suppository
If no improvement after 7 days, refer to a healthcare provider