Current Cases

Polypharmacy, Chronic Constipation, and Medication Reconciliation: March 2009
Mrs. Greene is an 89-year-old woman admitted to a long-term care facility after a short hospitalization for congestive heart failu...
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Slow-Transit Constipation: January 2009
Mr. Halvorsen is an 82-year-old man who has resided in an assisted-living facility for 3 years. He originally relocated there due ...
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Opioid Analgesics and Constipation: December 2008
Mr. Cliver is an 80-year-old newly admitted resident of a nursing facility. He has a history of chronic pain secondary to lumbar d...
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Pelvic Floor Dyssnergia: November 2008
Mrs. Devlin is a highly active and vibrant 68-year-old woman referred to a gastroenterologist for her chronic constipation. She re...
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Normal-Transit Primary Constipation: October 2008
Mr. Jones is a 75-year-old nursing home resident who has been transferred to a new primary care physician. The nurses reporting on...
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Current Topics

A Patient-Centered Approach to Chronic Constipation
A number of major trends are emerging in long-term care settings, including an emphasis on community building and a commitment to ...
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A Multidisciplinary Team Approach to Chronic Constipation
Due to the clinical complexity and patient variability in chronic constipation, the condition is ideally managed by a multidiscipl...
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Chronic Constipation and the Risk of Hemorrhoids
Conventional wisdom tells us that every time we strain to have a bowel movement, we further the possibility of developing hemorrho...
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Assessment of Constipation in the Elderly
When evaluating a patient suffering from constipation it is important to look for red flag signs such as acute onset of constipati...
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Assessing Chronic Constipation in the Elderly and Ensuring Transition of Care
Articles on the assessment of chronic constipation and the development of a proactive treatment plan for patients and their family...
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Ask the Experts
Ask a Question»

Glycerin vs. Bisacodyl Suppositories
Is there a difference between bisacodyl suppositories and glycerin suppositories, and can they be used interchangeably?...
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Glycerine vs. Bisacodyl
Why isn't glycerine used instead of bisacodyl in nursing homes for bowel protocol? Isn't long term use of stimulant harmful to bow...
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Self-Diagnosing Patients
Sometimes, patients come to me thinking they have chronic constipation when they don't. How do you handle these patients?
...
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Choosing an Enema
If an enema is required, what type is safe and most effective?
...
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Functional Subtypes of Constipation
How do you distinguish between slow-transit, normal-transit and dyssynergic defecation in a clinical setting?...
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