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  • Title: Constipation: understanding mechanisms and management.
    Author: Costilla VC, Foxx-Orenstein AE.
    Journal: Clin Geriatr Med; 2014 Feb; 30(1):107-15. PubMed ID: 24267606.
    Abstract:
    Constipation is a frequently diagnosed gastrointestinal disorder. Symptoms of constipation are common, with the greatest prevalence in the elderly. Evaluation of constipation begins with a detailed medical history and a focused anorectal examination. Diagnostic testing for constipation is not routinely recommended in the initial evaluation in the absence of alarm signs. Key self-management strategies include increased exercise, a high-fiber diet, and toilet training. High-fiber diets can worsen symptoms in some patients who have chronic constipation. Biofeedback is an effective treatment option for patients who have constipation caused by outlet obstruction defecation. A variety of medications are available to remedy constipation.
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