Latest & greatest articles for constipation

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Top results for constipation

61. Constipation in children: What are the red and amber flags for constipation in a child?

Constipation in children: What are the red and amber flags for constipation in a child? Red and amber flags | Diagnosis | Constipation in children | CKS | NICE Search CKS… Menu Red and amber flags Constipation in children: What are the red and amber flags for constipation in a child? Last revised in June 2019 What are the red and amber flags for constipation in a child? Red flags suggest a serious underlying cause or condition. If any of the following are detected, refer the child urgently (...) to an appropriate specialist (the urgency depending on clinical judgement), and do not initiate treatment for constipation in primary care. They include: Symptoms of constipation appearing from birth or during the first few weeks of life — may indicate Hirschsprung's disease (congenital aganglionic megacolon). Delay in passing meconium for more than 48 hours after birth, in a full-term baby — may indicate Hirschsprung's disease or cystic fibrosis. Abdominal distention with vomiting — may indicate Hirschsprung's

2017 NICE Clinical Knowledge Summaries

62. Constipation in children: Scenario: Management of constipation in children

Constipation in children: Scenario: Management of constipation in children Scenario: Management | Management | Constipation in children | CKS | NICE Search CKS… Menu Scenario: Management Constipation in children: Scenario: Management of constipation in children Last revised in June 2019 Scenario: Management of constipation in children From birth to 18 years. How should I manage a child with idiopathic constipation in primary care? Treat a child for constipation in primary care only (...) if a working diagnosis of has been made and have been excluded. Liaise with other members of the primary care multidisciplinary team, if necessary, such as the health visitor or school health adviser. Assess for the presence of and if present, refer for further specialist assessment, the urgency depending on clinical judgement. Give information and advice to the child and/or their parents/carers: Reassure that underlying causes of constipation have been excluded by the history and physical examination

2017 NICE Clinical Knowledge Summaries

63. Constipation in children: Doses and titration of laxatives

Constipation in children: Doses and titration of laxatives Doses and titration | Prescribing information | Constipation in children | CKS | NICE Search CKS… Menu Doses and titration Constipation in children: Doses and titration of laxatives Last revised in June 2019 Doses and titration of laxatives In general, start at the lowest dose and increase the dose every few days until one or two soft, formed stools are produced each day. Giving adequate fluids with laxatives may reduce the risk (...) of dehydration. Higher doses than the maximum licensed dose may often be needed to adequately treat constipation. If so, informed consent should be verbally obtained and documented. Table 1. Recommended laxative doses. Laxative Age Suggested start dose Titration schedule (recommended by NICE) License status Polyethylene 3350 plus electrolytes (macrogol) Disimpaction doses 1–11 months Movicol ® Paediatric Plain Half a sachet daily Increase to one sachet daily if needed. Treat until impaction resolves. Off

2017 NICE Clinical Knowledge Summaries

64. Constipation in children: Contraindications and cautions

Constipation in children: Contraindications and cautions Contraindications and cautions | Prescribing information | Constipation in children | CKS | NICE Search CKS… Menu Contraindications and cautions Constipation in children: Contraindications and cautions Last revised in June 2019 Contraindications and cautions Do not prescribe laxatives if there is suspected: Intestinal obstruction or perforation. Paralytic ileus. Crohn's disease or ulcerative colitis. Toxic megacolon. Galactosaemia

2017 NICE Clinical Knowledge Summaries

65. Constipation in children: Choice of laxatives

Constipation in children: Choice of laxatives Choice of laxatives | Prescribing information | Constipation in children | CKS | NICE Search CKS… Menu Choice of laxatives Constipation in children: Choice of laxatives Last revised in June 2019 Choice of laxatives The choice of laxative will depend on the age of the child, the formulation preferred (liquid or tablet), and individual preference. Osmotic laxatives increase the amount of fluid in the large bowel, thereby softening the stool

2017 NICE Clinical Knowledge Summaries

66. Constipation in children: Adverse effects

Constipation in children: Adverse effects Adverse effects | Prescribing information | Constipation in children | CKS | NICE Search CKS… Menu Adverse effects Constipation in children: Adverse effects Last revised in June 2019 Adverse effects Adverse effects of laxatives are generally mild and infrequent, and include: Macrogols — abdominal pain, bloating, flatulence, nausea and vomiting; less commonly dehydration, especially if inadequate fluid intake. Lactulose — nausea (can be reduced

2017 NICE Clinical Knowledge Summaries

67. Constipation in children

Constipation in children Constipation in children | Topics A to Z | CKS | NICE Search CKS… Menu Constipation in children Constipation in children Last revised in June 2019 Constipation is a decrease in the frequency of bowel movements characterized by the passing of hardened stools Diagnosis Management Prescribing information Background information Constipation in children: Summary Constipation is a decrease in the frequency of bowel movements characterized by the passing of hardened stools (...) which may be large and associated with straining and pain. Normal stool frequency in children ranges from an average of 4 per day in the first week of life to 2 per day at 1 year of age. Passing between 3 stools per day and 3 per week is usually attained by 4 years of age. Constipation is termed idiopathic (functional) if it cannot be explained by any anatomical or physiological abnormality. Contributing factors for constipation include pain, fever, inadequate fluid intake, reduced dietary fibre

2017 NICE Clinical Knowledge Summaries

68. Constipation

Constipation Constipation | Topics A to Z | CKS | NICE Search CKS… Menu Constipation Constipation Last revised in May 2020 Constipation is a symptom-based disorder which describes defecation that is unsatisfactory because of infrequent stools, difficulty passing stools Diagnosis Management Prescribing information Background information Constipation: Summary Constipation is a symptom-based disorder which describes defecation that is unsatisfactory because of infrequent stools, difficulty passing (...) stools, or the sensation of incomplete emptying. The Rome IV diagnostic criteria for constipation include spontaneous bowel movements occurring less than three times a week. Chronic constipation usually describes symptoms which are present for at least 12 weeks in the preceding six months. Faecal loading/impaction describes retention of faeces to the extent that spontaneous evacuation is unlikely. Functional (primary or idiopathic)constipation is chronic constipation without a known cause. Secondary

2017 NICE Clinical Knowledge Summaries

69. Transcutaneous electrical stimulation (TES) for treatment of constipation in children. Full Text available with Trip Pro

Transcutaneous electrical stimulation (TES) for treatment of constipation in children. Childhood constipation is a common problem with substantial health, economic and emotional burdens. Existing therapeutic options, mainly pharmacological, are not consistently effective, and some are associated with adverse effects after prolonged use. Transcutaneous electrical stimulation (TES), a non-pharmacological approach, is postulated to facilitate bowel movement by modulating the nerves of the large (...) bowel via the application of electrical current transmitted through the abdominal wall.Our main objective was to evaluate the effectiveness and safety of TES when employed to improve bowel function and constipation-related symptoms in children with constipation.We searched MEDLINE (PubMed) (1950 to July 2015), the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library, Issue 7, 2015), EMBASE (1980 to July 2015), the Cochrane IBD Group Specialized Register, trial registries

2016 Cochrane

70. WITHDRAWN: Transcutaneous electrical stimulation (TES) for treatment of constipation in children. Full Text available with Trip Pro

WITHDRAWN: Transcutaneous electrical stimulation (TES) for treatment of constipation in children. Childhood constipation is a common problem with substantial health, economic and emotional burdens. Existing therapeutic options, mainly pharmacological, are not consistently effective, and some are associated with adverse effects after prolonged use. Transcutaneous electrical stimulation (TES), a non-pharmacological approach, is postulated to facilitate bowel movement by modulating the nerves (...) of the large bowel via the application of electrical current transmitted through the abdominal wall.Our main objective was to evaluate the effectiveness and safety of TES when employed to improve bowel function and constipation-related symptoms in children with constipation.We searched MEDLINE (PubMed) (1950 to July 2015), the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library, Issue 7, 2015), EMBASE (1980 to July 2015), the Cochrane IBD Group Specialized Register, trial

2016 Cochrane

71. Prucalopride (Resolor) and chronic constipation in men

Prucalopride (Resolor) and chronic constipation in men Prescrire IN ENGLISH - Spotlight ''In the October issue of Prescrire International: Prucalopride (Resolor°) and chronic constipation in men'', 1 October 2016 {1} {1} {1} | | > > > In the October issue of Prescrire International: Prucalopride (Resolor°) and chronic constipation in men Spotlight Every month, the subjects in Prescrire’s Spotlight. 100 most recent :  |   |   |   |   |   |    (...) |   |   |  Spotlight In the October issue of Prescrire International: Prucalopride (Resolor°) and chronic constipation in men FREE DOWNLOAD For men presenting with constipation, a troublesome but usually benign disorder, prucalopride carries a disproportionate risk of cardiovascular disorders, depression and suicidal ideation. As in women, it is better to optimise the use of standard laxatives, and to avoid prucalopride altogether. Full text available for free download. Summary

2016 Prescrire

72. Acupuncture for Chronic Severe Functional Constipation: A Randomized, Controlled Trial. (Abstract)

Acupuncture for Chronic Severe Functional Constipation: A Randomized, Controlled Trial. Acupuncture has been used for chronic constipation, but evidence for its effectiveness remains scarce.To determine the efficacy of electroacupuncture (EA) for chronic severe functional constipation (CSFC).Randomized, parallel, sham-controlled trial. (ClinicalTrials.gov: NCT01726504).15 hospitals in China.Patients with CSFC and no serious underlying pathologic cause for constipation.28 sessions of EA

2016 Annals of Internal Medicine Controlled trial quality: predicted high

73. Transcutaneous electrical stimulation (TES) for treatment of constipation in children. Full Text available with Trip Pro

Transcutaneous electrical stimulation (TES) for treatment of constipation in children. Childhood constipation is a common problem with substantial health, economic and emotional burdens. Existing therapeutic options, mainly pharmacological, are not consistently effective, and some are associated with adverse effects after prolonged use. Transcutaneous electrical stimulation (TES), a non-pharmacological approach, is postulated to facilitate bowel movement by modulating the nerves of the large (...) bowel via the application of electrical current transmitted through the abdominal wall.Our main objective was to evaluate the effectiveness and safety of TES when employed to improve bowel function and constipation-related symptoms in children with constipation.We searched MEDLINE (PubMed) (1950 to July 2015), the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library, Issue 7, 2015), EMBASE (1980 to July 2015), the Cochrane IBD Group Specialized Register, trial registries

2016 Cochrane

74. Naldemedine for opioid-induced constipation in adults

Naldemedine for opioid-induced constipation in adults Naldemedine for opioid-induced constipation in adults Naldemedine for opioid-induced constipation in adults NIHR HSRIC Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation NIHR HSRIC. Naldemedine for opioid-induced constipation in adults. Birmingham: NIHR Horizon Scanning Research&Intelligence Centre. Horizon (...) Scanning Review. 2016 Authors' conclusions Opioids are a class of drugs that are commonly prescribed for pain. Constipation is a side effect that affects nearly all patients taking opioid treatment. There has been an increase in the use of opioids to treat chronic pain in recent years. Current treatment for opioid-induced constipation often involves laxatives. But, it has been estimated that 50–80% of people taking laxatives for opioid-induced constipation get only a limited improvement in symptoms

2016 Health Technology Assessment (HTA) Database.

75. Linaclotide for Constipation: Clinical and Cost-Effectiveness

Linaclotide for Constipation: Clinical and Cost-Effectiveness Linaclotide for Constipation: Clinical and Cost-Effectiveness | CADTH.ca Find the information you need Linaclotide for Constipation: Clinical and Cost-Effectiveness Linaclotide for Constipation: Clinical and Cost-Effectiveness Published on: June 21, 2016 Project Number: RA0852-000 Product Line: Research Type: Drug Report Type: Reference List Result type: Report Question What is the clinical effectiveness of linaclotide (...) for the treatment of patients with chronic idiopathic constipation? What is the clinical effectiveness of linaclotide for the treatment of patients with irritable bowel syndrome with constipation? What is the cost-effectiveness of linaclotide for the treatment of patients with chronic idiopathic constipation What is the cost-effectiveness of linaclotide for the treatment of patients with irritable bowel syndrome with constipation? Key Message Eight systematic reviews, three randomized controlled trials, six non

2016 Canadian Agency for Drugs and Technologies in Health - Rapid Review

76. Easing the strain: put your feet up for constipation

Easing the strain: put your feet up for constipation Easing the strain: put your feet up for constipation - Evidently Cochrane Search and hit Go By February 24, 2016 // In this guest blog, pelvic physiotherapist and comedian Elaine Miller tells us what we need to know to avoid constipation and when the going gets tough. This is the third blog in our new series Evidence for Everyday Health Choices. Constipation is a miserable condition which can worsen co-morbidities like low back pain, muscle (...) can cause constipation, particularly in children – it’s best to move your bowels when you feel the first urge. Poo position You can help reduce the stress on the tissues and reduce straining by squatting to pass a bowel movement. This position encourages the pelvic floor to relax. This can be mimicked on a Western style toilet by raising the feet on a low stool. A stool stool, if you will. Sitting with hips at 90 degrees means the puborectalis muscle is not relaxed, which means the kink

2016 Evidently Cochrane

77. Evaluation and Management of Constipation

Evaluation and Management of Constipation Copyright © The American Society of Colon & Rectal Surgeons, Inc. Unauthorized reproduction of this article is prohibited. 479 Diseases of the Colon & ReCtum Volume 59: 6 (2016) t he a merican s ociety of Colon and Rectal surgeons is dedicated to assuring high-quality patient care by advancing the science, prevention, and manage- ment of disorders and diseases of the colon, rectum, and anus. t he Clinical Practice Guidelines Committee is com- posed (...) specific procedure must be made by the physician in light of all of the cir- cumstances presented by the individual patient. STATEMENT OF THE PROBLEM Constipation is a benign condition that can have a signifi- cant impact on quality of life. t he prevalence has been es- timated to be as high as 30% in select populations and has been noted to be higher in women, nonwhites, those aged >65 years, and those with lower socioeconomic status. 1–6 Constipation is characterized by dysfunction of colonic

2016 American Society of Colon and Rectal Surgeons

78. Constipation in older adults: Stepwise approach to keep things moving

Constipation in older adults: Stepwise approach to keep things moving Constipation in older adults | The College of Family Physicians of Canada Main menu User menu Search Search for this keyword Search for this keyword Research Article Practice Constipation in older adults Stepwise approach to keep things moving Brenda G. Schuster , Lynette Kosar and Rejina Kamrul Canadian Family Physician February 2015, 61 (2) 152-158; Brenda G. Schuster Clinical Pharmacist in the Academic Family Medicine Unit (...) , Regina Division, at the University of Saskatchewan, and Academic Detailer for the RxFiles Academic Detailing Program. Lynette Kosar Clinical Pharmacist for the RxFiles Academic Detailing Program. Rejina Kamrul Assistant Professor in the Academic Family Medicine Unit, Regina Division. Constipation is a common complaint and challenge for older adults. The prevalence of constipation increases with age and differs among settings. In individuals 65 years of age or older in the community, the prevalence

2016 RxFiles

79. Constipation

Constipation Scottish Palliative Care Guidelines - Constipation Scottish Palliative Care Guidelines search / / / Constipation Constipation Introduction Constipation is the passage of small, hard faeces infrequently or with difficulty, and less often than is normal for that individual. Constipation can cause unpleasant symptoms such as abdominal and rectal pain, distension, and other negative effects on the patient’s wellbeing. As well as the physical suffering, constipation can cause (...) psychological distress and agitation in the terminally ill patient. There are many reasons why palliative care patients may develop constipation and these are discussed below. Constipation can be complex and may require specialist advice if the current treatment regime is not successful. Assessment A full assessment of the patient and their symptoms should be obtained looking at: normal and current bowel pattern (frequency, consistency, ease of passage, blood present, pain on passing stool) current

2016 Scottish Palliative Care Guidelines

80. Interventions for treating constipation in pregnancy. (Abstract)

Interventions for treating constipation in pregnancy. Constipation is a common symptom experienced during pregnancy. It has a range of consequences from reduced quality of life and perception of physical health to haemorrhoids. An understanding of the effectiveness and safety of treatments for constipation in pregnancy is important for the clinician managing pregnant women.To assess the effectiveness and safety of interventions (pharmacological and non-pharmacological) for treating constipation (...) in pregnancy.We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (30 April 2015), ClinicalTrials.gov and the WHO International Clinical Trials Registry Platform (ICTRP) (30 April 2015) and reference lists of retrieved studies.We considered all published, unpublished and ongoing randomised controlled trials (RCTs), cluster-RCTs and quasi-RCTs, evaluating interventions (pharmacological and non-pharmacological) for constipation in pregnancy. Cross-over studies were not eligible

2015 Cochrane