Subject(s)
Amyloidosis/prevention & control , Familial Mediterranean Fever/diagnosis , Familial Mediterranean Fever/genetics , Mutation/genetics , Abdominal Pain/etiology , Adult , Amyloidosis/etiology , Colchicine/therapeutic use , Consanguinity , DNA Mutational Analysis , Diagnosis, Differential , Familial Mediterranean Fever/drug therapy , Female , Fever/etiology , Gout Suppressants/therapeutic use , Humans , RecurrenceABSTRACT
Chronic constipation is a frequent disorder, which results from a disturbed colonic passage and/or an impaired evacuation of the rectum. Secondary forms of constipation due to systemic disorders or medications are frequent. Therapy of constipation is complex and should be planned according to the type of constipation. Therapy includes general rules, dietary fibers and, when necessary, the controlled treatment with medications. Functional obstructions in the rectum may require a surgical therapy or specialized forms of treatment like biofeedback.
Subject(s)
Constipation/etiology , Cathartics/administration & dosage , Cathartics/adverse effects , Chronic Disease , Constipation/therapy , Diagnosis, Differential , Dietary Fiber/administration & dosage , HumansABSTRACT
Therapy of constipation is complex. It is mainly based on general rules and treatment with dietary fibers. If drugs are necessary they should be applied according to the type of constipation as evidenced by the results of special diagnostic procedures. Some patients may improve with psychotherapeutic procedures. Surgical treatment should be the last choice. The aim of therapy is to relieve the patient from his symptoms and achieve a habit of regular defecation, if possible with only a small amount of laxatives--or better without the application of drugs. Most often a highly individualized therapy is necessary. Many patients consult their doctor only when they have already a grave problem. Therapy then becomes difficult. Information on bowel movements and on how to prevent constipation by the way of living, therefore, should be widely spread in the general population in order to minimize constipation as a medical problem.
Subject(s)
Cathartics/administration & dosage , Constipation/therapy , Dietary Fiber/administration & dosage , Gastrointestinal Agents/administration & dosage , Cathartics/adverse effects , Chronic Disease , Constipation/etiology , Gastrointestinal Agents/adverse effects , Humans , Patient Education as TopicSubject(s)
Esophageal Achalasia/drug therapy , Esophageal Spasm, Diffuse/drug therapy , Molsidomine/administration & dosage , Adolescent , Adult , Aged , Esophagogastric Junction/drug effects , Esophagus/drug effects , Female , Humans , Male , Manometry , Middle Aged , Molsidomine/adverse effects , Peristalsis/drug effectsABSTRACT
Therapy of constipation is complex. It is mainly based on general rules and treatment with dietary fibres. If drugs are necessary they should be applied according to the type of constipation as evidenced by the results of special diagnostic procedures. Surgical treatment is only the last choice. The aim of therapy is to relieve the patient from his symptoms and achieve a habit of regular defecation, if possible without the application of laxatives. The foremost problem in the treatment of constipation is to interrupt the vicious circle 'constipation/abuse of laxatives.' Many patients only consult a physician when they are already in that problem. Therapy then becomes difficult. Information on bowel movements and on how to prevent constipation by the way of living, therefore, should be widely spread in the general population in order to minimize constipation as a medical problem.
Subject(s)
Constipation/therapy , Biofeedback, Psychology , Cathartics/adverse effects , Cathartics/therapeutic use , Combined Modality Therapy , Constipation/physiopathology , Diet , Dietary Fiber/therapeutic use , Fluid Therapy , Gastrointestinal Agents/therapeutic use , Humans , Self Care , Substance-Related DisordersABSTRACT
Incontinence is a very stigmatizing symptom in our society. About 1% of the adult population is affected by fecal incontinence. In the evaluation anorectal manometry and defecography play a major role. Therapy often is still disappointing. In recent years simple retaining or biofeedback therapy have been reported to improve about 70% of incontinent patients. Within one year we treated 19 patients. Success was achieved in 69%. Biofeedback training, therefore, should be attempted prior to considering surgery.
