Interní Med. 2014; 16(3): 113-115

Constipation

MUDr.Zuzana Adamová1, MUDr.Radim Slováček1, MUDr.Petr Šindler2
1 Chirurgické oddělení Vsetínská nemocnice, a.s.
2 Dětské oddělení Vsetínská nemocnice, a.s.

Constipation is traditionally defined as less than 3 stools in a week and difficult stool passage. Risk factors for constipation include female

sex, older age, low-fiber and fluid diet, inactivity, low income, low educational level. Chronic constipa tion is classified as functional (primary)

or secondary. Secondary constipatin is related to organic disease, systemic disease or medications. The evaluation of constipa tion

includes a history and physical examination to rule out alarm signs. Patients with such signs require futher evaluation by specialist, the

other may be treated symptomaticaly.

Keywords: chronic constipation, classification, treatment, laxative

Published: May 26, 2014  Show citation

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Adamová Z, Slováček R, Šindler P. Constipation. Interní Med. 2014;16(3):113-115.
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References

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  14. Stewart WF, Liberman JN, Sandler RS, Woods MS, Stemhagen A, Chee E, Lipton RB, Farup CE. Epidemiology of constipation (EPOC) study in the United States: relation of clinical subtypes to sociodemographic features.Am J Gastroenterol. 1999; 94/12: 3530-3540. Go to original source... Go to PubMed...
  15. Sonnenberg A, Koch TR. Physician visits in the United States for constipation: 1958 to 1986. Dig Dis Sci. 1989; 34/4: 606-611. Go to original source... Go to PubMed...
  16. Leung L, Riutta T, Kotecha J, Rosser W. Chronic constipation: an evidence-based review. J Am Board Fam Med. 2011; 24/4: 436-451. Go to original source... Go to PubMed...
  17. Gonenne J, Esfandyari T, Camilleri M, Burton DD, Stephens DA, Baxter KL, Zinsmeister AR, Bharucha AE. Effect of female sex hormone supplementation and withdrawal on gastrointestinal and colonic transit in postmenopausal women. Neurogastroenterol Motil. 2006; 18/10: 911-918. Go to original source... Go to PubMed...
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  23. Slíva J. Stimulační laxativa v léčbě chronické zácpy. Prakt. lékáren. 2012; 8/1: 38-39.
  24. Zonča P, Rathore MA, Loughlin V, Mrázek T, Houdail D, Goralczyk A. Kazinota Z. ACE operace pro dlouhodobou obstipaci u dospělého. Rozhl Chir. 2007; 86/12: 657-660. Go to PubMed...




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