From the Research
Introduction to Acute Constipation Treatment
Acute constipation is a common gastrointestinal complaint that can significantly affect an individual's quality of life [(1,2,3)]. The treatment approach for acute constipation involves a comprehensive evaluation to determine the underlying cause, followed by a tailored treatment plan [(1,2)].
Evaluation and Diagnosis
The diagnostic workup for acute constipation involves collecting subjective and objective information, including a thorough medical history and physical examination [(1,3)]. A diagnostic algorithm considering various differential diagnoses, including medications contributing to constipation, can assist practitioners in evaluating and diagnosing the cause(s) of constipation 3.
Treatment Options
Treatment for acute constipation can consist of:
- Nonpharmacological and dietary changes, which are typically recommended as first-line treatment [(1,2)]
- Medications, including over-the-counter products and prescription medications, with indications for specific types of constipation [(1,2)]
- Physical therapy and possibly surgery in refractory cases 2
Nonpharmacological Interventions
Nonpharmacological interventions play a key role in the treatment of acute constipation 1. These interventions may include:
- Dietary changes, such as increasing fiber intake
- Lifestyle modifications, such as increasing physical activity and ensuring adequate hydration
- Bowel habits training, such as establishing a regular bowel routine
Pharmacological Interventions
Pharmacological interventions, including laxatives and other medications, can be used to treat acute constipation [(1,2)]. The choice of medication depends on the underlying cause and type of constipation.
Special Considerations
In certain cases, such as in children, the management of constipation can be challenging 4. Ensuring effective initial emptying of the bowel and appropriate laxative therapy is crucial in the successful treatment of constipation in children 4.
Conclusion
The treatment of acute constipation requires a comprehensive approach, including evaluation, diagnosis, and tailored treatment [(1,2,3)]. By considering the underlying cause and type of constipation, healthcare providers can develop an effective treatment plan, incorporating nonpharmacological and pharmacological interventions as needed [(1,2)].