Constipation

Description
Difficult, uncomfortable, or infrequent bowel movements. The feces is typically hard and dry. Constipation is usually harmless, but it can indicate an underlying disorder. When severe constipation can lead to fecal impaction, and if not relieved can result in intestinal obstruction. The primary causes of constipation include dehydration, sedentary lifestyle, medications (especially narcotics), stress, pregnancy, laxative abuse, depression, poor diet low in fiber, large hemorrhoids, and low thyroid levels.

Symptoms
Inability to have a bowel movement, rectal pain, abdominal cramping, nausea, vomiting.

Tests
A history and physical exam will be performed. Generally no tests beyond a physical is needed. Occasionally a CT scan is done to rule out other more serious causes.
- X-Ray
- CT Scan
Treatment
Treatment includes: laxatives, enemas, and/or digital disimpaction. Prevention of recurrence is important and involves the bilking up of the diet, and staying hydrated. At times chronic use of stool softeners are needed.

Research

News
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In draft guidance published, NICE recommends prucal...
(HealthDay News) -- Here are the latest clinical tr...




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