Chronic idiopathic constipation in adults: epidemiology, pathophysiology, diagnosis and clinical managementDescription
This review examines the epidemiology, pathophysiology and clinical management of CIC (Chronic idiopathic constipation) in adults.
It is based on a synthesis of relevant evidence from articles listed in PubMed from inception until January 2018, including original research articles, consensus guidelines and opinion articles.
Christopher J Black, Alexander C Ford
- Identify any red ﬂag symptoms that would necessitate further investigation with colonoscopy to exclude colorectal malignancy through careful history taking and clinical assessment of the patient with constipation undertaking
- Coordinate lifestyle modiﬁcations, if these are not effective, choose treatment with osmotic and stimulant laxatives
- Explain the next steps if there is no response to pharmacological treatment and when it is suitable
Gastroenterology, constipation, symptom, medical history, colonoscopy, colorectal malignancy, laxative, diet, lifestyle
GP, GP Registrar, Specialist, Doctors in Training (DIT), Medical Student, International Medical Graduate, Overseas Trained Doctor, Gastroenterologist