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Med. Clin. North Am. · Jan 2021
Review Case ReportsA Case-Based Approach to Constipation in Primary Care.
- David B Snell, Saamia Faruqui, and Brian P Bosworth.
- Division of Gastroenterology & Hepatology, Department of Medicine, New York University, 550 First Avenue, New York, NY 10016, USA. Electronic address: David.Snell2@nyulangone.org.
- Med. Clin. North Am. 2021 Jan 1; 105 (1): 55-73.
AbstractPrimary care physicians frequently evaluate patients with constipation. The history is crucial in uncovering warning symptoms and signs that warrant colonoscopy. Particular elements in the history and rectal examination also can provide clues regarding the underlying etiology. Regardless of etiology, lifestyle modifications, fiber, and laxatives are first-line therapies. Patients who fail first-line therapies can be offered second-line treatments and/or referred for testing of defecatory function. In those with severely refractory symptoms, referrals to a gastroenterologist and a surgeon should be considered.Copyright © 2020 Elsevier Inc. All rights reserved.
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