approach to constipation

constipation

Constipation affects the GI tract but can arise from broader causes, as the system-based approach shows

A

B

C: CARDIOVASCULAR

  • Volume depletion: dehydration

D: NEUROLOGIC

  • myeLopathy: spinal cord lesion

E: ENDO

  • Electrolyte: hypercalcemia, hypokalemia, hypomagnesemia
  • hOrmones: diabetes, hypothyroid

F: PELVIS

  • Pregnant

G: ABDOMINAL

  • No motion: obstruction, tumour

H

I: INTOX

  • Ingest: narcotic
  • N
  • Treat: opioid, iron, diretic, anti-Parkinsons, anticholinergic

 

Putting this together

  • A
  • B
  • C: rehydrate
  • D: neurological exam
  • E: measure electrolytes, consider hormones
  • F
  • G: r/o obstruction: Xray +/- CT
  • H
  • I: consider exposures

constipation

 

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