Medical Management of Constipation
Meredith Portalatin, Nathaniel S. Winstead
Abstract
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Meredith Portalatin, Nathaniel S. Winstead
Abstract
Open-access reader
Constipation is a common clinical problem. Initial management of chronic constipation should include lifestyle maneuvers, and increased fiber and fluids. Polyethylene glycol, sodium picosulfate, bisacodyl, prucalopride, lubiprostone, and linaclotide were all more effective than placebo for treating chronic idiopathic constipation. Many commonly used agents lack quality evidence supporting their use.
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Constipation is a common clinical problem. Initial management of chronic constipation should include lifestyle maneuvers, and increased fiber and fluids. Polyethylene glycol, sodium picosulfate, bisacodyl, prucalopride, lubiprostone, and linaclotide were all more effective than placebo for treating chronic idiopathic constipation. Many commonly used agents lack quality evidence supporting their use.
Key concepts: Lubiprostone, Bisacodyl, Constipation, Medicine, Chronic constipation, Placebo, Internal medicine, Gastroenterology