Latest & greatest articles for constipation

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Top results for constipation

121. Linaclotide improves abdominal pain and bowel habits in a phase IIb study of patients with irritable bowel syndrome with constipation (PubMed)

Linaclotide improves abdominal pain and bowel habits in a phase IIb study of patients with irritable bowel syndrome with constipation Linaclotide, a minimally absorbed, 14-amino acid peptide agonist of guanylate cyclase-C, has shown benefit in a proof-of-concept study for the treatment of patients with irritable bowel syndrome (IBS) with constipation (IBS-C). We assessed the efficacy and safety of linaclotide at a daily dose range of 75-600 μg in IBS-C.We performed a randomized, double-blind

2011 EvidenceUpdates

122. Cisapride for intestinal constipation. (PubMed)

Cisapride for intestinal constipation. Cisapride is a propulsive agent, withdrawn from most of the world's health institutes because of its recorded fatalities in addition to serious side effects such as severe arrhythmias. However it is widely available in third world countries and can be easily purchased through the Internet.  We did a systematic review to assess its efficacy and safety in relieving constipation.The primary objective is to assess Cisapride's role and safety as a prokinetic (...) drug in the management of constipation and constipation predominant Irritable bowel syndrome (C-IBS).The secondary objective is to assess Cisapride's efficacy in improving symptoms of constipation and IBS.Cochrane methodology was followed to find available RCTs that assessed the efficacy of cisapride. Electronic databases searched November 2009:Cochrane Central Register of Controlled Trials (CENTRAL) on The Cochrane Library 2009 issue 4MEDLINE (from 1966)EMBASE (from 1980)All RCTs comparing

2011 Cochrane

123. Systematic review: the effects of fibre in the management of chronic idiopathic constipation

Systematic review: the effects of fibre in the management of chronic idiopathic constipation Systematic review: the effects of fibre in the management of chronic idiopathic constipation Systematic review: the effects of fibre in the management of chronic idiopathic constipation Suares NC, Ford AC CRD summary This review concluded that soluble fibre could aid the management of chronic idiopathic constipation, but the data for insoluble fibre were conflicting, and better evidence was needed (...) for both types of fibre. The limitations of the evidence mean that the authors' conclusions seem appropriate, but the searches were not recent (2010), and further evidence may now be available. Authors' objectives To evaluate the efficacy of soluble or insoluble fibre supplementation in the management of chronic idiopathic constipation. Searching MEDLINE, EMBASE, and Cochrane Central Register of Controlled Trials (CENTRAL) were searched in July (CENTRAL) or September (other databases), 2010

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2011 DARE.

124. Rifaximin therapy for patients with irritable bowel syndrome without constipation. (PubMed)

Rifaximin therapy for patients with irritable bowel syndrome without constipation. Evidence suggests that gut flora may play an important role in the pathophysiology of the irritable bowel syndrome (IBS). We evaluated rifaximin, a minimally absorbed antibiotic, as treatment for IBS.In two identically designed, phase 3, double-blind, placebo-controlled trials (TARGET 1 and TARGET 2), patients who had IBS without constipation were randomly assigned to either rifaximin at a dose of 550 mg (...) groups.Among patients who had IBS without constipation, treatment with rifaximin for 2 weeks provided significant relief of IBS symptoms, bloating, abdominal pain, and loose or watery stools. (Funded by Salix Pharmaceuticals; ClinicalTrials.gov numbers, NCT00731679 and NCT00724126.).

2011 NEJM

125. Two randomized trials of linaclotide for chronic constipation. (PubMed)

Two randomized trials of linaclotide for chronic constipation. Linaclotide is a minimally absorbed peptide agonist of the guanylate cyclase C receptor. In two trials, we aimed to determine the efficacy and safety of linaclotide in patients with chronic constipation.We conducted two randomized, 12-week, multicenter, double-blind, parallel-group, placebo-controlled, dual-dose trials (Trials 303 and 01) involving 1276 patients with chronic constipation. Patients received either placebo (...) symptoms in patients with chronic constipation. Additional studies are needed to evaluate the potential long-term risks and benefits of linaclotide in chronic constipation. (Funded by Ironwood Pharmaceuticals and Forest Research Institute; ClinicalTrials.gov numbers, NCT00765882 and NCT00730015.).

2011 NEJM

126. Systematic review: Polyethylene glycol more effective than lactulose for relief of chronic constipation

Systematic review: Polyethylene glycol more effective than lactulose for relief of chronic constipation Polyethylene glycol more effective than lactulose for relief of chronic constipation | Evidence-Based Nursing We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your username and password For personal accounts OR managers (...) of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Polyethylene glycol more effective than lactulose for relief of chronic constipation Article Text Primary health care Systematic review Polyethylene glycol more effective than lactulose for relief of chronic

2011 Evidence-Based Nursing

127. Randomised controlled trial: Two weeks of rifaximin relieves global symptoms and bloating in people with IBS without constipation

Randomised controlled trial: Two weeks of rifaximin relieves global symptoms and bloating in people with IBS without constipation Two weeks of rifaximin relieves global symptoms and bloating in people with IBS without constipation | BMJ Evidence-Based Medicine We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your username (...) and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Two weeks of rifaximin relieves global symptoms and bloating in people with IBS without constipation Article Text Therapeutics Randomised controlled trial Two weeks

2011 Evidence-Based Medicine (Requires free registration)

128. Managing functional constipation in children

Managing functional constipation in children Constipation is a common childhood problem, with both somatic and psychological effects. The etiology of paediatric constipation is likely multifactorial, and seldom due to organic pathology. Children benefit from prompt and thorough management of this disorder. The goal of treatment is to produce soft, painless stools and to prevent reaccumulation of feces. Education, behavioural modification, daily maintenance stool softeners and dietary (...) modification are all important components of therapy. Fecal disimpaction may be necessary at the outset of treatment. Investigations are rarely necessary. Polyethylene glycol is a safe, effective and well-tolerated long-term treatment for constipation. Regular follow-up for children with constipation is important. Referral to a gastroenterologist should be made in refractory cases or when there is a suspicion of organic pathology. Key Words: Constipation; Encopresis; Laxative; Paediatric

2011 Canadian Paediatric Society

129. Lactobacillus reuteri (DSM 17938) in infants with functional chronic constipation: a double-blind, randomized, placebo-controlled study (PubMed)

Lactobacillus reuteri (DSM 17938) in infants with functional chronic constipation: a double-blind, randomized, placebo-controlled study To evaluate the beneficial effects of Lactobacillus reuteri (DSM 17938) in infants with functional chronic constipation.A double-blind, placebo-controlled, randomized study was conducted from January 2008 to December 2008 in 44 consecutive infants at least 6 months old (mean age+/-SD, 8.2+/-2.4 SD; male/female, 24/20) admitted to the Gastrointestinal Endoscopy (...) and Motility Unit of the Department of Pediatrics, University "Federico II" of Naples, with a diagnosis of functional chronic constipation. The 44 infants with chronic constipation were randomly assigned to 2 groups: group A (n=22) received supplementation with the probiotic L reuteri (DSM 17938) and group B (n=22) received an identical placebo. Primary outcome measures were frequency of bowel movements per week, stool consistency, and presence of inconsolable crying episodes, recorded in a daily diary

2010 EvidenceUpdates

130. Chenodeoxycholate in females with irritable bowel syndrome-constipation: a pharmacodynamic and pharmacogenetic analysis (PubMed)

Chenodeoxycholate in females with irritable bowel syndrome-constipation: a pharmacodynamic and pharmacogenetic analysis Sodium chenodeoxycholate (CDC) accelerates colonic transit in health. Our aim was to examine pharmacodynamics (colonic transit, bowel function) and pharmacogenetics of CDC in constipation-predominant irritable bowel syndrome (IBS-C).In a double-blind placebo-controlled study, 36 female patients with IBS-C were randomized to treatment with delayed-release oral formulations

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2010 EvidenceUpdates

131. LIFELAX - diet and LIFEstyle versus LAXatives in the management of chronic constipation in older people: randomised controlled trial

LIFELAX - diet and LIFEstyle versus LAXatives in the management of chronic constipation in older people: randomised controlled trial LIFELAX - diet and LIFEstyle versus LAXatives in the management of chronic constipation in older people: randomised controlled trial Journals Library An error has occurred in processing the XML document An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested could not be found

2010 NIHR HTA programme

132. Abdominal massage for people with constipation: a cost utility analysis (PubMed)

Abdominal massage for people with constipation: a cost utility analysis This paper is a report of a study conducted to evaluate change in health-related quality of life for people with constipation receiving abdominal massage and to estimate the cost-effectiveness of two alternative scenarios developed from the original trial.Constipation is a common problem and is associated with decrease in quality of life. Abdominal massage appears to decrease the severity of gastrointestinal symptoms (...) and eventually approached euro8300. For 'professional massage', the cost per quality adjusted life year was euro60,000 and eventually dropped to euro28,000.Abdominal massage may be cost-effective in the long-term and it is relevant to consider it when managing constipation. A crucial aspect will be to identify those who will benefit.

2010 EvidenceUpdates

133. Systematic review and meta analysis: polyethylene glycol in adults with non-organic constipation (PubMed)

Systematic review and meta analysis: polyethylene glycol in adults with non-organic constipation It is unclear how polyethylene glycol (PEG) laxatives compare with other classes of laxative in terms of efficacy. To assess efficacy of PEG vs. placebo and active comparators in adults with non-organic constipation. Text Word searches were carried out on MEDLINE, EMBASE, CINAHL, Cochrane Central Register of Clinical Trials and Google Scholar databases covering the period January 1970 to October (...) 2009. Search terms were (constipation) AND (randomised OR randomized) AND (PEG OR polyethylene OR macrogol OR movicol OR idrolax OR miralax OR transipeg OR forlax OR colyte OR golytely OR isocolan OR nulytely) NOT colonoscopy. Only published randomised controlled trials, with a parallel-group or cross-over design, comparing oral PEG with placebo or a comparator laxative in adults with a history of non-organic constipation, were included. The frequency of defaecation in each arm, on completion

2010 EvidenceUpdates

134. Digital rectal exams in children who present with constipation

Digital rectal exams in children who present with constipation BestBets: Digital rectal exams in children who present with constipation Digital rectal exams in children who present with constipation Report By: Nesba Naheed - Medical Student Search checked by Rachel Jenner - Consultant in Emergency Medicine Institution: Manchester Royal Infirmary Date Submitted: 5th June 2007 Date Completed: 8th June 2010 Last Modified: 8th June 2010 Status: Green (complete) Three Part Question In a [child (...) presenting with constipation] is a [digital rectal examination] recommended to [confirm the diagnosis]? Clinical Scenario A five year boy is presented to the Emergency department by his mother. His mother complains that he has constipation. After examining the boy's abdomen you wonder whether in order to confirm the diagnosis you should perform a digital rectal exam (DRE). Search Strategy Medline using the OVID interface 1950 to January Week 2 2010: (constipation.mp OR exp Constipation/ exp Feces/ or exp

2010 BestBETS

135. The use of senna with docusate for postoperative constipation after pelvic reconstructive surgery: a randomized, double-blind, placebo-controlled trial (PubMed)

The use of senna with docusate for postoperative constipation after pelvic reconstructive surgery: a randomized, double-blind, placebo-controlled trial The objective of the study was to compare time to first bowel movement (BM) after surgery in subjects randomized to placebo or senna with docusate.Ninety-six subjects completed a baseline 7-day bowel diary before and after surgery. After pelvic reconstructive surgery, the subjects were randomized to either placebo (n=45) or senna (8.6 mg

2010 EvidenceUpdates

136. Multicenter, 4-week, double-blind, randomized, placebo-controlled trial of sodium picosulfate in patients with chronic constipation (PubMed)

Multicenter, 4-week, double-blind, randomized, placebo-controlled trial of sodium picosulfate in patients with chronic constipation Although it has been used as a laxative for many years, high-quality trials assessing the efficacy of the laxative sodium picosulfate (SPS) are lacking. The purpose of this study was to assess the efficacy and safety of 4-week treatment with SPS in patients with functional constipation as defined by the Rome III diagnostic criteria.This study was a randomized (...) , double-blind, placebo-controlled, parallel-group study in 45 general practices in Germany. A total of 468 patients with chronic constipation presenting to their general practitioner and fulfilling the Rome III diagnostic criteria were screened. After a 2-week baseline period, 367 patients were randomized to either SPS drops or matching placebo in a 2:1 ratio for 4 weeks. Dose titration was permitted throughout treatment. Patients without a bowel movement for more than 72 h were allowed to use

2010 EvidenceUpdates

137. Management of constipation.

Management of constipation. Guidelines and Measures | Agency for Healthcare Research & Quality HHS.gov Search ahrq.gov Search ahrq.gov Menu Topics A - Z Healthcare Delivery Latest available findings on quality of and access to health care Searchable database of AHRQ Grants, Working Papers & HHS Recovery Act Projects AHRQ Projects funded by the Patient-Centered Outcomes Research Trust Fund You are here Guidelines and Measures Funding for the National Guideline Clearinghouse (NGC) has ended

2010 University of Iowa Gerontological Nursing Interventions Research Center, Research Translation and Di

138. Constipation: A Global Perspective

Constipation: A Global Perspective © World Gastroenterology Organisation, 2010 World Gastroenterology Organisation Global Guidelines Constipation: a global perspective November 2010 Review team Greger Lindberg (Chairman) Saeed Hamid (Pakistan) Peter Malfertheiner (Germany) Ole Thomsen (Denmark) Luis Bustos Fernandez (Argentina) James Garisch (South Africa) Alan Thomson (Canada) Khean-Lee Goh (Malaysia) Rakesh Tandon (India) Suliman Fedail (Sudan) Benjamin Wong (China) Aamir Khan (Pakistan (...) ) Justus Krabshuis (France) Anton Le Mair (The Netherlands) WGO Global Guideline Constipation 2 © World Gastroenterology Organisation, 2010 Contents 1 Introduction 3 1.1 Cascades—a resource-sensitive approach 3 2 Definition and pathogenesis 3 2.1 Pathogenesis and risk factors 3 2.2 Associated conditions and medications 4 3 Diagnosis 6 3.2 Diagnostic criteria for functional constipation 6 3.2 Patient evaluation 6 3.3 Alarm symptoms 7 3.4 Indications for screening tests 8 3.5 Transit measurement 8 3.6

2010 World Gastroenterology Organisation

139. Constipation in children and young people: diagnosis and management

Constipation in children and young people: diagnosis and management Constipation in children and y Constipation in children and young oung people: diagnosis and management people: diagnosis and management Clinical guideline Published: 26 May 2010 nice.org.uk/guidance/cg99 © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-of- rights).Y Y our responsibility our responsibility The recommendations in this guideline represent the view (...) in this guideline should be interpreted in a way that would be inconsistent with complying with those duties. Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible. Constipation in children and young people: diagnosis and management (CG99) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms

2010 National Institute for Health and Clinical Excellence - Clinical Guidelines

140. Constipation

Constipation © 2010, Dutch College of General Practitioners www.nhg.org Appendix to H&W, 2010, 53, No. 9, page 484 september 2010 Constipation in adults is diagnosed if there are at least two of the following symptoms: ? defecation frequency = 2 per week; ? increased straining during defecation; ? hard and/or pebble -like defecation; ? feeling of incomple te defecation; ? feeling of anorecta l obstruction/blockage; ? manual manoeuvres to facilitate defecation. Constipation in children (...) to promote defecation; incomplete defecation; dif ficult faecal passage; indications of irritable bowel syndrome). ? Diet (suf ficient fluid intake; suf ficient fibre intake). ? Causal factors and consequences (pain during defecation; rectal blood loss; use of laxatives and medication with constipation as a side ef fect; hypothyroidism, diabetes mellitus, pregnancy , Parkinson's disease, multiple sclerosis). ? General symptoms: increasing abdominal pain and vomiting, discomfort, weight loss. Additional

2010 Dutch College of General Practitioners (NHG)