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

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

3. 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

4. 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

5. 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

6. Constipation in Adults

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

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

9. Constipation in Adults
Comments / Questions