Term
| Constipation tends to be defined as |
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Definition
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Term
| Rome III criteria for constipation |
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Definition
Have at least 2 of:
Straining during at least 25%
Lumpy/hard stools at least 25%
Sensation of incomplete evac 25%
Sensation of anorectal blockage 25%
Need for manual maneuvers to facilitate 25%
Fewer than 3 a week |
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Term
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Definition
Must be symptomatic for 6 months
Meet rome criteria III over at least the last 3 months |
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Term
| Contipation more common in |
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Definition
Women, children and the elderly
Less common in Europeans |
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Term
| Most common complication of constipation |
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Definition
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Term
| Intrinsic constipatoin risk factors |
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Definition
Pevlic floor dysfunction
Slow colon transit time |
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Term
| 3 catagories of constipation |
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Definition
Normal-Transit
Slow-Transit
Disorders of defecatory or rectal evacuation |
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Term
| Normal Transit consptipaton |
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Definition
Functional or Idiopathic (no physical cause)
Most common form
Hard stools
Bloating and abdominal pain
Symptoms respond to deitary fiber and laxatives
Start slow with the fiber |
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Term
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Definition
Often hard, small stool
More common in children and young women
subtypes
-Colonic inertia: decreased peristalsis
-Uncoordinated peristalsis in distal colon |
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Term
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Definition
Commonly due to pelvic floor or anal sphincter dysfunction
Common in women and elderly
Prolonged avoidance of pain associated with passage of large hard stool, anal fissure, hemorrhoid
Hard or pellet like stools |
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Term
| Complicatoins of chronic constipation |
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Definition
Fecal incontinence
Hemorrhoids
Anal fissure
Organ prolapse
Fecal impaction
bowel perforation andperitonitis |
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Term
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Definition
| Holding stool, common /w children |
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Term
how much dietary fiber a day
When do you not eat fiber |
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Definition
25-30 g
Avoid if bedridden or not consuming 1.5L of fluid a day |
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Term
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Definition
Bulk forming (metamucil)
Stool softeners and lubricants (colace)
Saline and osmotic solutions (lactulose)
Stimulants (Dulcolax) |
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Term
Chloride channel activators
5-Hydrotrypatamine Receptor Subtype 4
Guanylate Cyclase Receptor Agonists |
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Definition
good for chronic
Initiates peristalsis, only for women
Induces intestinal fluid secretion |
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Term
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Definition
avoid Soapsuds enemas due to inflam of colon mucosa
Sodium phosphate enemas asscociated with lyte imbalance
Oil retention enemas to soften fecal impaction |
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Term
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Definition
Improve chronic constipation in elderly in long term care
Effective when person taking inadequate calories
Need to be fridged |
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Term
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Definition
Fecal impaction
Colonic perforation may occur |
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Term
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Definition
Inability to pass stool for several days, despite the urge. Ooze of diarrhea seeping around the mass
Loss of apetite
Urinary frequency and incontinence
Fever, tachy |
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