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Primary Care Management of Chronic Constipation in Asia: The ANMA Chronic Constipation Tool
Journal of Neurogastroenterology and Motility ; : 149-160, 2013.
Artigo em Inglês | WPRIM | ID: wpr-46115
ABSTRACT
Chronic constipation (CC) may impact on quality of life. There is substantial patient dissatisfaction; possible reasons are failure to recognize underlying constipation, inappropriate dietary advice and inadequate treatment. The aim of these practical guidelines intended for primary care physicians, and which are based on Asian perspectives, is to provide an approach to CC that is relevant to the existing health-care infrastructure. Physicians should not rely on infrequent bowel movements to diagnose CC as many patients have one or more bowel movement a day. More commonly, patients present with hard stool, straining, incomplete feeling, bloating and other dyspeptic symptoms. Physicians should consider CC in these situations and when patients are found to use laxative containing supplements. In the absence of alarm features physicians may start with a 2-4 week therapeutic trial of available pharmacological agents including osmotic, stimulant and enterokinetic agents. Where safe to do so, physicians should consider regular (as opposed to on demand dosing), combination treatment and continuous treatment for at least 4 weeks. If patients do not achieve satisfactory response, they should be referred to tertiary centers for physiological evaluation of colonic transit and pelvic floor function. Surgical referral is a last resort, which should be considered only after a thorough physiological and psychological evaluation.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Atenção Primária à Saúde / Ásia / Qualidade de Vida / Encaminhamento e Consulta / Entorses e Distensões / Diafragma da Pelve / Colo / Constipação Intestinal / Povo Asiático / Médicos de Atenção Primária Tipo de estudo: Guia de Prática Clínica Limite: Humanos País/Região como assunto: Ásia Idioma: Inglês Revista: Journal of Neurogastroenterology and Motility Ano de publicação: 2013 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Atenção Primária à Saúde / Ásia / Qualidade de Vida / Encaminhamento e Consulta / Entorses e Distensões / Diafragma da Pelve / Colo / Constipação Intestinal / Povo Asiático / Médicos de Atenção Primária Tipo de estudo: Guia de Prática Clínica Limite: Humanos País/Região como assunto: Ásia Idioma: Inglês Revista: Journal of Neurogastroenterology and Motility Ano de publicação: 2013 Tipo de documento: Artigo