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 |