Learn

This review examines the epidemiology, pathophysiology and clinical management of CIC (chronic idiopathic constipation) in adults.

It is based on a synthesis of relevant evidence from articles listed in PubMed from inception until January 2018, including original research articles, consensus guidelines and opinion articles.

This MJA narrative review shares more.

Learning Outcomes

1. Identify any red flag symptoms that would necessitate further investigation with colonoscopy to exclude colorectal malignancy through careful history taking and clinical assessment of the patient with constipation undertaking
2. Coordinate lifestyle modifications, if these are not effective, choose treatment with osmotic and stimulant laxatives
3. Explain the next steps if there is no response to pharmacological treatment and when it is suitable.

Details

Authors: Christopher J Black, Alexander C Ford

Article Type: Narrative review