Constipation in Adults

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Presentation transcript:

Constipation in Adults Karen Nelson / Sara-Jane Barlow HNHSFT Continence Advisory Service

Constipation in Adults 20 minutes Presentation of symptoms Initial appointment Follow up / treatment options? Referral on?

Constipation in Adults Constipation? Hard, dry, pebbly stools Infrequent passage of stools A long time at the toilet Abdominal bloating Nausea / vomiting / confusion Overflow soiling Bladder problems / urinary retention

Constipation in Adults Initial appointment - What is worth knowing at this appointment? Stool chart? Type / frequency of stools Medication Laxatives taken? What has been tried before? Actively question the patient

Constipation in Adults What should you do at this appointment? Red flags? Fluids – types and amount Diet Toileting routine? Positioning? Stool chart to complete for review

Constipation in Adults

Constipation in Adults What should you do at this appointment? (GP) All of above – plus: - Abdominal examination Neurological examination

Constipation in Adults If you are prescribing laxatives – what do you want to achieve? QUIZ Softeners / osmotic laxatives? Stimulants? Bulking agents? Start with one!

Constipation in Adults Comments / Questions