Chronic Idiopathic Constipation in Adults: Epidemiology, pathophysiology, diagnosis and clinical managementDescription
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.
- 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
- Coordinate lifestyle modiﬁcations, if these are not effective, choose treatment with osmotic and stimulant laxatives
- Explain the next steps if there is no response to pharmacological treatment and when it is suitable
Authors: Christopher J Black, Alexander C Ford
Article Type: Narrative review