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    Constipation in old age.

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    Authors
    Gallagher, Paul
    O'Mahony, Denis
    Affiliation
    Department of Geriatric Medicine, Cork University Hospital, Wilton, Cork, Ireland. pfgallagher77@eircom.net
    Issue Date
    2009
    MeSH
    Adult
    Age Factors
    Aged
    Aging
    Combined Modality Therapy
    Constipation
    Defecation
    Evidence-Based Medicine
    Fecal Impaction
    Fecal Incontinence
    Female
    Health Services for the Aged
    Humans
    Male
    Predictive Value of Tests
    Risk Factors
    Treatment Outcome
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    Citation
    Constipation in old age. 2009, 23 (6):875-87 Best Pract Res Clin Gastroenterol
    Journal
    Best practice & research. Clinical gastroenterology
    URI
    http://hdl.handle.net/10147/201261
    DOI
    10.1016/j.bpg.2009.09.001
    PubMed ID
    19942165
    Abstract
    The prevalence of constipation increases with age. However, constipation is not a physiological consequence of normal ageing. Indeed, the aetiology of constipation in older people is often multifactorial with co-morbid diseases, impaired mobility, reduced dietary fibre intake and prescription medications contributing significantly to constipation in many instances. A detailed clinical history and physical examination including digital rectal examination is usually sufficient to uncover the causes of constipation in older people; more specialized tests of anorectal physiology and colonic transit are rarely required. The scientific evidence base from which to develop specific treatment recommendations for constipation in older people is, for the most part, slim. Constipation can be complicated by faecal impaction and incontinence, particularly in frail older people with reduced mobility and cognitive impairment; preventative strategies are important in those at risk.
    Item Type
    Article
    Language
    en
    ISSN
    1532-1916
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.bpg.2009.09.001
    Scopus Count
    Collections
    Cork University Hospital

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