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Table 5 The detail recommendations information of 2 highly guidelines

From: An appraisal of clinical practice guidelines for constipation: a right attitude towards to guidelines

Title

Items

Recommendations

Prevention of constipation in the older adult population [11]

Practice Recommendations

Assess client history (dietary fibre, medications), Physical activity, Evaluate client response for ongoing interventions

Education Recommendation

Comprehensive education programs

Organization & Policy Recommendations

Establish an interdisciplinary team

Constipation in Children and Young People: Diagnosis and Management of Idiopathic Childhood Constipation in Primary and Secondary Care [18]

History-taking

Stool patterns, Symptoms associated with defecation, History, Timing of onset of constipation and potential precipitating factors, Passage of meconium, Growth and general wellbeing, Symptoms in legs/locomotor development, Abdomen, Diet and fluid intake

Physical examination

Inspection of perianal area: appearance, position, patency, etc.; Abdominal examination; Spine/lumbosacral region/gluteal examination; Lower limb neuromuscular examination including tone and strength, reflexes

Laxatives

Macrogols (Polyethylene glycol3350 + electrolytes), Osmotic laxatives (Lactulose); Stimulant laxatives (Sodium picosulfate, Bisacodyl, Senna)

Diet and lifestyle

Infant formula, weaning, insufficient fluid intake; Adequate fluid intake; Adequate fibre

Clinical investigations

Endoscopy, Test for coeliac disease and hypothyroidism, Test for coeliac disease and hypothyroidism, plain abdominal radiograph, Transit studies, Rectal biopsy, Ultrasound; biofeedback; Antegrade colonic enema procedure