![]() ![]() Are there any co-factors? Psychological, stress, dietary, environmental.If it is long standing – why have they presented now.Does the patient’s definition of constipation match your definition? Ask the patient exactly what they mean, and exactly what their symptoms are.If the patient seems vague, consider a diary of symptoms.Determine onset, evolution and related symptoms.When they try to defecate, instead of the rectal angle decreasing and straightening up, the angle will increase, and thus making it virtually impossible to defecate. It is caused by an incoordination of muscles’ actions. taking lots of fluids and eating lots of fibre). They will present at the stage where they are already taking lots of laxatives and controlling their diet (e.g. Ano-rectal dysmotility (aka anismus) – this is common in younger people, particularly women.Systemic diseases such as hypothyroidism.This is particularly common in neurological conditions, e.g. Often constipation is a consequence of lack of mobility, rather than a direct consequence of the disease itself.Often these people won’t go to GP, they will just go to chemist and get laxativesĭisease associated with chronic constipation.This is a condition where there is no underlying pathological condition.thyroid disease – particularly common is hypothyroidism in older age. Opiates and analgesics are particularly common, but there are loads more!.Has there been a change? What kind of change? What is the frequency and consistency of the stool? Causes What is important is an altered bowel habit – from the patient’s own baseline. ![]()
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