Format

Send to

Choose Destination
Gastroenterol Clin North Am. 2009 Sep;38(3):463-80. doi: 10.1016/j.gtc.2009.06.001.

Chronic constipation in the elderly.

Author information

1
Department of Medicine, Division of Gastroenterology and Hepatology, E6A, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL 32224, USA. bouras.ernest@mayo.edu

Abstract

Chronic constipation is a common problem in the elderly, with a variety of causes, including pelvic floor dysfunction, medication effects, and numerous age-specific conditions. A stepwise diagnostic and therapeutic approach to patients with chronic constipation based on historical and physical examination features is recommended. Prudent use of fiber supplements and laxative agents may be helpful for many patients. Based on their capabilities, patients with pelvic floor dysfunction should be considered for pelvic floor rehabilitation (biofeedback), although efficacy in the elderly is uncertain. Clinical awareness and focused testing to identify the physiologic abnormalities underlying constipation, while being mindful of situations unique to the elderly, facilitate management, and improve patient outcomes.

PMID:
19699408
DOI:
10.1016/j.gtc.2009.06.001
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center