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The First Step-by-step Plan To Cure Constipation Using A Combination Of Unique All-natural Remedies. This plan uses a strategically organized and ordered combination of the safest and most effective natural remedies for constipation. Everything used in this plan is from natures garden. No use of harmful laxatives. People who have used these swear they work Better than over-the-counter laxatives! Every strategy is carefully researched for safety and effectiveness. Each remedy builds on the last while helping out the next. The plan takes into account human physiology, anatomy, nutrition, metabolic needs and deficiencies while using specific dietary remedies and the almost always neglected but extremely powerful, mechanical remedies. All of these have been carefully planned and refined to provide you the most powerful, synergistic constipation relief plan that will relieve you of even the most stubborn of constipation episodes within as quick as 15 minutes and less than 24 Hours. Continue reading...

Natures Quick Constipation Cure Overview


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Natural Remedies For Constipation

Here is a comprehensive constipation e-book that cover all aspects of colon health. If ever you wanted to find answers on how to keep your colon healthy, how to elminated constipation, or follow a health lifestyle, then this is an e-book you should read. It just not for constipation, but for gaining your health back when you hav an illness. This e-book is about how to eliminate constipation, how to keep regular by maintaining a healthy colon, and how to prevent constipation in the future. Here's what you will discover in, Constipation Natural Cures: Why drugstore laxatives will kill you if you continue to use them (page 26 27) Which drugstore laxative is the safest to use (page 28) How many bowels movements should you have each day (page 19) How to tell if you are constipated (page 20) How long does it take for food you eat to come out the rectum (page 18) One thing that will keep your colon healthy and keep you from having constipation (page 46) Two areas that you need to massage to keep your stools moving in the right direction (page 40) The best good bacteria supplement you should take (page 45, 46) What you can feed your good bacteria so that the bad bacteria doesn't take over (page 46 and 47) What happens when bad bacteria in your colon takes over (page 49) Continue reading...

Natural Remedies For Constipation Overview

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Author: Rudy Silva
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Price: $19.97

Functional Anorectal Disorders Constipation

There is a large variation in stool frequency between individuals and infrequent bowel actions in the absence of symptoms can be regarded as part of the normal spectrum of bowel function. However, constipation is a symptom that may affect a quarter of the population at some time and patients with decreased bowel frequency or impaired rectal evacuation have impaired quality of life and consume a large amount of healthcare resources. Many different processes can result in the final common symptoms of constipation and no single treatment will be effective across the board. The multidiscipli-nary team approach is valuable in the management of difficult constipation. For people with mild longstanding constipation investigations are not required, and dietary management is usually sufficient to relieve symptoms. When chronic constipation is more severe, detailed consideration of likely causes and other treatments is warranted. Psychological morbidity, such as depression is commonly...


Constipation is a very common complaint among patients with PD and is probably multifactorial in origin. Frequency estimates vary, but in one study of 94 patients, 71 were constipated as defined by less than one bowel movement in three days (44). Although the neuropathology of PD itself is a major causative factor, these authors pointed out in addition that PD patients have a significantly reduced water intake per day when compared with controls. Further questioning of these constipated PD patients revealed that, in most, decreased water drinking preceded the onset of constipation. Braak et al. (45) observed that the neuropathology of PD begins in the glos-sopharyngeal and vagal nerves and then spreads caudally into the brainstem where the substantia nigra becomes affected. In accordance with this finding, Singaram et al. (46) counted neurons in the myenteric plexus of the colon and found that 9 of 11 PD patients had fewer intact dopaminergic neurons in the colon compared with...


Patients who are undergoing treatment for cancer need particular attention given to the type of laxative used for constipation. It is important to provide immediate relief in the most gentle way, even if an aggressive approach is needed to relieve severe constipation and prevent more severe problems. The patient's total physical condition and the presence of bulky disease in the abdomen must be considered, as addressed in the following paragraphs. Patients undergoing chemotherapy that may cause myelosuppression need preventative laxative therapy because the treatment options for myelosuppressed patients with constipation are limited manual disimpaction, suppositories, and enemas are contrain-dicated in patients with low platelet counts or altered prothrombin time or partial thromboplastin time because of the potential for bleeding. When patients have abdominal pain from a large tumor burden and are constipated, it is best to avoid stimulant cathartics and instead give a hyperosmotic...

Glycocholate Breath Test

Breath test is a simple, inexpensive, and noninvasive technique to diagnose SBBO. The lactulose breath test is performed after 12 hours fasting previous to the test. Hydrogen breath samples are taken at baseline, and subsequently every 10-30 minutes after the test meal that contains 10-12 g of lactulose. The hydrogen breath samples are analyzed gas chromatographically (81). Baseline samples average 7.1 +5 parts per million (ppm) of H2 and 0-7 ppm for CH4 (82). Values of the baseline sample over 20 ppm H2 are suspect for bacterial overgrowth. Values between 10 and 20 suggest incomplete fasting before the test or ingestion of slowly digested foods the day before the test, the colon being the source of the elevated levels (82). Slowly digested foods like beans, bread, pasta, and fiber must not be consumed the night before the test because these foods produce prolonged hydrogen excretion (82). The patient is not allowed to eat during the complete test. Antibiotics and laxatives must be...

Frequency Of Autonomic Dysfunction In Parkinsons Disease

Although the focus of routine follow-up visits between PD patients and neurologists is typically on motor symptoms of the disease, autonomic problems are frequently present and can be identified if patients are specifically asked. In one study of 48 men with PD, 89 had at least one autonomic symptom compared with 43 of elderly control subjects (2). Autonomic symptoms seen in these men with PD included erectile dysfunction (60 ), urinary urgency (46 ), constipation (44 ), dysphagia (23 ), and orthostatism (22 ), and each of these symptoms was more common in PD patients than controls. Siddiqui et al. (3) performed a comprehensive symptom survey of autonomic symptoms in 44 patients with PD, comparing the frequency and severity of these symptoms with 24 aged-matched controls. Using a five point scale to rate symptom severity, the authors tabulated the severity of symptoms in each of five areas GI, urinary, sexual dysfunction, cardiovascular, and thermoregulatory. They found that PD...

Gastrointestinal System

There is some truth to the old saying that you are what you eat, but individual differences in metabolism certainly play a role in determining how a person is affected by what he or she ingests. Old age is sometimes caricatured as a time of digestive and eliminative disturbances, and, like many other caricatures, this one has some degree of accuracy. As a person grows older, there is a decline in esophageal and intestinal peristalsis and fewer stomach contractions. Food moves more slowly down the digestive tract and metabolism is slower. Appetite is usually not as keen, and almost all foods are less appealing. Constipation, which is exacerbated by low fluid intake, lack of fiber in the diet, and lack of exercise, is more common, leading to increased use of laxatives, Periodontal disease, hemorrhoids, and diverticulosis (inflammation of the walls of the colon) may compound the digestive problems of older adults. Contributing to these functional changes are declines in stomach acid and...

Social History And Habits

Tiating opioid analgesic therapy for the elderly. If the patient has a history of chronic constipation and laxative use, then opioids can exacerbate the bowel dysfunction. A more aggressive laxative and bowel regimen should be started at the same time as the analgesic therapy, especially when opioid analgesics are involved. Patients receiving opioid analgesics should be placed on stimulant laxatives such as senna on a scheduled basis. Use of only stool softeners such as docusate is usually not adequate in preventing constipation induced by opioid analgesics.

Gastrointestinal side effects

Gastrointestinal problems are the most common side effects of almost all antiretro-viral drugs - nucleoside analogs, NNRTIs and particularly protease inhibitors - and occur especially during the early stages of therapy. Typical signs and symptoms include abdominal discomfort, loss of appetite, diarrhea, nausea and vomiting. Heartburn, abdominal pain, meteorism and constipation may also occur. Nausea is a common symptom with zidovudine-containing regimens diarrhea occurs frequently with zidovudine, didanosine and all PIs, particularly with lopinavir, fosameprena-

The functional properties of vitamin D in preventing heart disease

Excessive intake of vitamin D in fortified food, over-the-counter supplements or excessive ingestion of anti-rickets pharmaceuticals can result in vitamin D poisoning. An acute toxic dose has not been established but the chronic toxic dose is more than 5O OOO IU day in adults for 1-4 months and, in children, 4OO IU day is potentially toxic. Acute toxicity effects may include muscle weakness, apathy, headache, anorexia, nausea, vomiting, and bone pain. Chronic toxicity effects include the above symptoms and constipation, anorexia, polydipsia, polyuria, backache, hyperlipidemia, and hypercalcemia. Hypercalcemia may cause permanent damage to the kidney (see http emerg topic638.htm). Arterial hypertension and aortic valvular stenosis can also result from hypervitaminosis D.

Pharmacotherapy Assessment

Pharmacotherapy assessment starts with the assessment for need, followed by information on patient comprehension and ability. Need is based on identifying the cause of the pain, the types of pain, and the optimal drug to use for the identified pain. If, for example, a patient has back pain exacerbated by abdominal distention secondary to constipation, more opioid to treat the pain should not be given laxatives should be given instead. The laxative is not an analgesic per se, but for this patient, it is indeed the treatment of choice for increased back pain. Therefore, the assessment of need is the most important first step in pharmaco-therapy selection and design.

Consequences of Misperceptions for Behaviors

Similar findings have been obtained in relation to other problematic behaviors. For example, perceptions of the prevalence of peer use of cigarettes and marijuana predict personal cigarette and marijuana use (Graham et al, 1991 Juvonen et al, 2007). The body image and disordered eating literatures have documented disturbing relationships of perceived norms for weight and body size with unhealthy behaviors among young women. Sanderson and colleagues (2002) found that women who had greater discrepancies between their own body mass index and the perceived average body mass index of their peers were at increased risk for both experiencing an extreme desire to be thin and engaging in behaviors that are symptomatic of bulimia, such as binging and purging. Similarly, Bergstrom et al (2004) documented greater unhealthy weight loss behaviors, including vomiting, fasting, and use of laxatives and diuretics, among women who overestimated men's endorsement of overly thin women as attractive.

Needs Of Dying Persons

An ethic of care for terminally ill persons must be responsive to needs. Generally, the needs of dying persons will span the needs of life itself, from physical and medical care issues to psychological and social needs and often to spiritual concerns. To focus the point, consider persons dying from cancer. Sometimes these people will have to experience the deterioration of their bodies over a period of weeks or months. Anxiety, fear, loneliness, and depression are common. Most people can expect to experience symptoms from the primary disease. When a curative therapy is no longer possible, sometimes quite complicated medical care issues arise not only from the primary disease but from secondary sources, issuing in pain and discomfort. These may include appetite disturbance, fever, dysphagia (swallowing problems), persistent constipation, infections, dyspnea (difficulty in breathing), bladder dysfunction and incontinence, and

Identifying the multiple epistatic determinants underlying a developmental disorder Hirschsprung disease

Hirschsprung disease (HSCR) is a condition characterized by hypomotility of the large intestine attributable to the absence of intramural enteric ganglia. The clinical consequences are constipation, intestinal obstruction and life-threatening enterocolitis in newborns. The condition can be divided into a short segment form where lack of innervation only affects the distal large intestine and a long segment form characterized by absence of ganglia over more extensive regions of the colon. The length of affected intestine is correlated to the sib recurrence risk and inversely proportional to the ratio of affected males to females (Table 13.4 Garver et al., 1985 Badner et al., 1990).

Toward Ethical Guidelines Of Terminal Care

Of an individual patient may often hinge on effective relief from symptoms and having each symptom treated as it arises. Symptoms may range from minor irritations to serious distress, including dysphagia, anorexia, constipation, nausea, vomiting, incontinence, hiccup, cough, breathlessness, restlessness, and confusion (Enck, 1994 Saunders & Baines, 1989). Attending to the details of each symptom is important. Indeed, it has been shown that relief of minor symptoms often goes a long way to relieve the pain accompanying any serious illness. A patient who is terminally ill with cancer and is at the same time suffering from untreated constipation is a neglected patient, however much effort is or has otherwise been extended on that patient's behalf. Such treatment may not be heroic or dramatic, but is nevertheless important. Often those who compile lists of ways of relieving symptoms are apologetic for their simplicity, but it is all of the niggling things that can detract so much from...

Hypothalamic PituitaryThyroid Axis

Hyperthyroidism, i.e., a functional hyperac-tivity of the thyroid gland marked by increased T3 and T4 levels, coincides with hyperme-tabolic activity, weight loss, increased heart rate, increased cold tolerance, tremulousness, fatigue, anxiety, restlessness, irritability, dyspho-ric mood, weakness, poor concentration, and cognitive deficits (Lesser and Flores, 2007). On the contrary, a deficient secretion of thyroid hormones in hypothyroidism is characterized by facial puffiness, dry skin, hair loss, myalgia, cold intolerance, constipation, fatigue, and manifest depression (Joffe, 2007).

Effects on Human Health

There is good evidence that prebiotics can relieve constipation and control hepatic encephalopathy, and lactulose is currently used pharmaceutically for these purposes. Additionally, a number of other health targets proposed for prebiotics have accumulating evidence of benefits. The most promising targets have been discussed in this chapter and include increasing calcium uptake, boosting colonization resistance against intestinal pathogens, and ameliorating IBD. Evidence for these benefits is still largely preliminary, but is sufficiently encouraging to warrant continuing investigation. While research efforts have naturally focused on the health benefits of prebiotics, and to date few reports of deleterious effects have surfaced, further quantification of the potential risks of prebiotics at different doses, in combination with different diets, and for different demographics, both healthy and diseased should be conducted. It is also important that prebiotics be trialed in the context...

Proposed Health Benefits Of Probiotics

The health benefits of probiotics can be direct or indirect through modulation of the composition and or activity of the endogenous microbiota or of the immune system. Many health claims have been made concerning probiotics, especially concerning their potential to prevent or help cure gastrointestinal and related ailments. These include improved lactose digestion and other direct enzymatic effects, prevention, and curative treatment of gastroenteritis, antibiotic-associated diarrhea, traveler's diarrhea, constipation, intestinal

Bladder Bowel and Sexual Disturbances

Bowel dysfunction in MS has received less attention than disturbances of micturition. However, studies have shown a prevalence rate of constipation ranging from 39 to 53 (139-142). The suggested causes include slow colonic transit due to autonomic dysfunction, abnormal rectal function, and intussuception (141-143). The problem is often compounded by a tendency of patients to reduce fluid intake in an attempt to decrease urinary frequency and urgency. In a recent survey of unselected outpatients, Hinds et al. (139) found that 51 of patients had experienced bowel incontinence at least once in the preceding three months, whereas 25 had experienced the symptom at least weekly. Fecal incontinence appeared to correlate with degree of disability, duration of disease, and the presence of urological symptoms.

Steps to Effective Bowel Management

Normalization means bringing the bowel back to a normal state without constipation or impaction and with no more than 3 bowel movements per day. When a patient is constipated or has a fecal impaction, the buildup of stool or the impaction must be removed. If a patient has diarrhea, the motility of the GI tract must be slowed to decrease the frequency of bowel movements to 3 or fewer per day. A bowel management program will be ineffective if it is begun before the bowel is returned to a normal state. constipation or dehydration from diarrhea. Patient education is crucial in helping patients prevent bowel problems.

Requirements for Adequate Bowel Function

A common culprit causing fecal impaction is recent diagnostic procedures using barium. This type of impaction can be prevented by routinely prescribing a laxative to be taken until evidence of barium excretion abates. Although laxatives are prescribed in many cases, the dose may be too small to fully eliminate the barium. Patients need to be instructed about the desired outcome from laxatives after barium ingestion so that they can inform their health care professional if the laxative does not work. If patients are assessed as having a high risk for constipation, a request to use Gastrografin (mixture of meglumine diatrizoate with sodium diatri-zoate) in place of barium is appropriate.

Suggested Readings

How to define and treat constipation. Geriatrics 1977 32 85-87. Bruera E, Suarez-Almazor M, Velasco A, et al. The assessment of constipation in terminal cancer patients admitted to a palliative care unit retrospective review. J Pain Symptom Manage 1994 9 515-519. Cimprich B. Symptom management of constipation. Cancer Nurs Suppl 1985 8 39-42. Glare P, Lickiss JN. Unrecognized constipation in patients with advanced cancer a recipe for therapeutic disaster. J Pain Symptom Manage 1992 7 369-371. Lembo A, Camilleri M. Chronic constipation. New Engl J Med 2003 349 1360-1368. Levy MH. Constipation and diarrhea in cancer patients. Cancer Bulletin l99l 43 412-422. Locke GR III, Pemberton JH, Phillips SF. American Gastroenterological Association medical position statement guidelines on constipation. Gastroenterology 2000 119 1761-1778. Mancini I, Bruera E. Constipation in advanced cancer patients. Support Care Cancer 1998 6 356-364. Portenoy RK. Constipation in the cancer...

Acquired anorectal disorders

Anal fissure is the most common cause of minor rectal bleeding in infants and toddlers, and is associated with constipation and painful defaecation. The tear in the anal mucosa is typically located in the posterior midline. Chronic fissure is sometimes associated with a sentinel skin tag at 12 o'clock position. Treatment consists of stool softener, sitz bath and local anaesthetic gel application. Occasionally a chronic fissure requires topical nitroglycerin therapy or lateral Rectal prolapse usually occurs in the toilet training age group and is often associated with constipation. The prolapse usually involves the mucosa only and responds to conservative treatment. Persistent prolapse may require hypertonic saline injection or Thiersch procedure using a strong nylon suture. The possibility of cystic fibrosis should be considered.

Classification Of Pain

Bone pain, which may classically be found in metastatic choriocarcinoma or seminoma, is an example of somatic pain. Bone destruction arises from the activity of tumor products on osteoclasts, causing increased resorption and decreased bone density. Periostial stretching, mechanical stress of weakened bone, and the entrapment of small surrounding nerves are thought to be the etiologic factors of the pain.11 Pain is experienced in the area of the affected bone, most commonly the vertebrae, pelvis, ribs, femur, and skull.12 It frequently develops gradually, becoming progressively more severe, especially at night or upon weight bearing. The pain is predominantly somatic unless there is invasion of adjacent neural structures, in which case there will be an additional neuropathic component. A sudden increase in pain may signify a pathologic fracture. Hypercalcemia, which is frequently associated with bone metastases, can cause weakness, lethargy, confusion, and constipation, all of which...

Step 3 Strong opioids

The commonest complications of morphine administration are nausea, vomiting, constipation, drowsiness and confusion. Difficulty with micturition, ureteric spasm and antidiuresis and a variety of autonomic effects may also occur. Large doses of morphine can cause respiratory depression and hypotension, leading to circulatory failure and deepening coma. Unless there is a definite reason for not doing so, a laxative should be prescribed for all patients receiving morphine. Best is a combination of a contact laxative (e.g. senna) and a faecal softener (e.g. docusate). Some patients may develop severe faecal retention and require suppositories, enemas or manual evacuation.

Clinical Trials

And neck cancers or into intrahepatic and intrapancreatic tumor masses revealed no maximal tolerated dose or dose-limiting toxicity after doses as high as 2 x 1012 viral particles injection (18,168,169). No clinically significant incidence of hepatitis or pancreatitis was seen. The most frequently reported adverse events were fever, chills, injection site pain, asthenia, and nausea. In addition to intratumoral injection, the intraperitoneal, intra-hepatic arterial, and intravenous administration routes have also been used with this vector (18,168,169). Intraperitoneal administration was feasible at doses as high as 1013 viral particles divided over 5 d. The most common toxic effects included fever abdominal pain nausea, vomiting, or both and bowel-motility changes (i.e., diarrhea and constipation). No dose-limiting toxicities were seen for doses as high as 2 x 1012 viral particles single dose with intra-hepatic arterial administration or 2 x1013 particles cycle (single injection week...


Autonomic symptoms are common in patients with PD, though often under-recognized. As in the case of constipation, evidence for autonomic dysfunction may precede the onset of motor features by years however, most autonomic symptoms increase in severity with the progression of motor disability. Careful attention by treating physicians to the autonomic features of PD is necessary in order to recognize these problems early and begin treatment in a timely fashion. In most areas of autonomic dysfunction in PD, the field remains in its infancy with many additional studies being needed to better understand the pathophysiology of the problem and to discover more effective treatments.

J L Grosfeld

Hirschsprung's disease is a common cause of neonatal intestinal obstruction that is of great interest to pediatric surgeons throughout the world. Prior reports concerning the historical origins ascribe the initial description of this condition to Fredericus Ruysch, a Dutch anatomist in Amsterdam in 1691 20, 33, 91, 137 . He described a 5-year-old girl with abdominal pain who did not respond to the usual treatment of the day to relieve pain, pass wind and kill worms. She eventually died. The information regarding the patient was incomplete in regard to the events that occurred at the time of her birth and except for enormous dilatation of the colon, the autopsy findings were not clearly described. Although this may have represented a case of Hirschsprung's disease there was inadequate evidence to be sure of the actual diagnosis 33 . Similarly, Domenico Battini in Italy in 1800 described a child whom he followed for 10 years with severe constipation who eventually died and demonstrated...

Drug Allergies

Opioids can frequently cause constipation and postoperative ileus the elderly patient is at the highest risk of developing these symptoms. If left untreated, constipation frequently can exacerbate lower back pain and discomfort from abdominal distention. Therefore, constipation and ileus need to be managed concurrently with the use of opioid analgesics to avoid stool impaction. Early mobilization after an injury is an important therapy in the elderly population to prevent constipation and reduce the risk for developing venous thrombosis.

Other symptoms

In the palliation of advanced cancer a number of other symptoms which may have a crescendo effect on pain, such as dyspnoea, mouth infections, skin ulcers, constipation and vomiting, require relief. In 1986 the EORTC initiated a research programme whose long-term objective was to develop an integrated measurement system for use in clinical trials. This used a modular approach to combine a sufficient degree ofgeneralizability for comparisons across the various trials but with a level of specificity by which research questions relevant to a particular trial could be addressed. The resulting questionnaire (EORTC QLQ-C30) incorporates five functional scales (physical, role, cognitive, emotional and social), three symptom scales (fatigue, pain and nausea and vomiting) and a global health and quality of life scale. In addition, there are a number of single items to assess commonly reported symptoms (dyspnoea, appetite loss, sleep disturbance, constipation and diarrhoea) and to uncover the...

Clinical Overview

Physical manifestations of WBS usually include involvement of the cardiovascular system, most often as a narrowing of the ascending aorta (SVAS) although a generalized arteriopathy can lead to vascular stenoses in other vessels, and hypertension is common in later life. Stellate irides, flat nasal bridge, short, up-turned nose with anteverted nostrils, long philtrum, full lips and lower cheeks, and a small chin are the recognizable facial features. Other symptoms include hernias, visual impairment, hypersensitivity to sound, chronic otitis media, malocclusion, small or missing teeth, renal anomalies, constipation, vomiting, growth deficiency, infantile hypercalcemia, musculoskeletal abnormalities, and a hoarse voice (11,12). As WBS individuals grow older they may also present with premature graying of the hair, diabetes and impaired glucose tolerance, decreased bone mineral density, sensorineural hearing loss, and a high frequency of psychiatric symptoms (13).

Voiding symptoms

As the obstruction increases the bladder detrusor muscle may decompensate and acute urine retention be precipitated. This can occur secondary to constipation, a urine infection or simply delaying passing urine, for example waiting until the end of the after-dinner speeches The pain of acute retention of urine is intense and felt suprapubically.


Porphyrias are a group of metabolic disorders characterized by defects in the synthesis of heme, a metalloporphyrin that is the product of porphyrin metabolism. Presentation of the disorder typically involves abdominal pain, vomiting, constipation, hypertension, tachycardia, photosensitivity, psychosis, and neuropathy. Neuropathy is estimated to affect 10 to 40 of patients and is primarily motor (126). Cranial neuropathies have been


In a review by Smith (17), the safety and tolerability of rHuIL-11 administered sc at the recommended dose of 50 g kg d was compared with placebo in two phase 2 studies. The dataset included 308 patients, ranging from 8 mo to 75 yr of age, who received up to eight sequential 1-28-d courses of oprelvekin. In this group, aside from complications associated with underlying malignancy or cytotoxic chemotherapy, most adverse events were of mild or moderate severity and were reversible after cessation of the growth factor. The incidence and type of adverse events were similar between patients who received oprelvekin and those who received placebo. Edema, dyspnea, tachycardia, conjunctival injection, palpitations, and pleural effusion occurred more frequently in the oprelvekin-treated patients. Adverse events that occurred in > 10 of patients and were observed in equal or greater frequency among patients receiving placebo included asthenia, pain, chills, abdominal pain, infection,...

Chapter Overview

This chapter addresses concepts used as a foundation for bowel management in patients with cancer. Because cancer treatment can be very noxious and disrupt bowel function, a preventive approach is an important part of bowel management for patients with cancer. The 6 steps to good bowel management are assessment and diagnosis of bowel dysfunction, normalization of the bowel, establishment of expectations for bowel-movement frequency, development of a bowel management program, assessment of outcomes, and adjustment of the bowel management program through problem-solving. New and innovative approaches to management of bowel dysfunction covered in this chapter are (1) differentiation between low and high impactions in the treatment of impactions (2) administration of milk-and-molasses enemas (3) use of a bowel training program for patients with constipation or diarrhea or frequent stooling and (4) use of a proven, nontraditional fiber regimen for patients with frequent stooling after...


Patients with increased acute toxicity during radiotherapy significantly increase the risk of late rectal morbidity94,95. Around 80 of late rectal complications occur within 30 months after the end of the treatment94,96-99. However the interval can be longer, until several years93. Radiation proctitis can include tenesmus, bleeding, low volume diarrhoea, rectal pain. A stricture results in abdominal pain, constipation. The main symptom of ulceration is pain, increasing with defecation. It can leads to abscess or fistulae93,100,101.


Constipation Opioid analgesics inhibit gastrointestinal propulsive peristalsis, but increase static tone of the gut, thereby causing constipation and cramping. This is especially true in the elderly population because of decreased activities, and bodily fluids. Find alternative opioid analgesic for patient. Selection may depend on patient history or by trial and error. Anti-emetics can be used to treat this side effect, however, sedation and cognition can further be comprised by the anti-emetics in the vulnerable patient population. Anticholinergic anti-emetics can exacerbate constipation, and urinary retention effects of the opioid analgesics. Opioid analgesic-induced constipation needs to be treated aggressively in the elderly population to prevent impaction and bowel obstruction. Stool softeners alone do not work Opioid-induced constipation must be treated with adequate hydration, along with stimulant laxatives such as senna, cascara, or bisacodyl. Osmotic laxatives such as...

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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