Page 238 - 2021 IDMT Digital

CONSTIPATION
Introduction:
• &RQVWLSDWLRQ GLIILFXOW RU LQIUHTXHQW SDVVDJH RI VWRRO KDUGQHVV RI VWRRO RU D IHHOLQJ RI
LQFRPSOHWH HYDFXDWLRQ
• 2FFXUV LQ RI DGXOWV PRUH FRPPRQ LQ IHPDOHV
• (WLRORJLHV
o 3ULPDU\ FRQVWLSDWLRQ QRW DWWULEXWHG WR DQ\ VWUXFWXUDO DEQRUPDOLWLHV RU V\VWHPLF
GLVHDVH
o 6HFRQGDU\ FRQVWLSDWLRQ
ƒ 6\VWHPLF GLVRUGHUV WK\URLG GLDEHWHV
ƒ 0HGLFDWLRQV RSLRLGV 16$,'V
ƒ 2EVWUXFWLQJ FRORQLF OHVLRQV SURODSVH FDQFHU
ƒ 0RVW FRPPRQ HWLRORJLHV
ƒ ,QDGHTXDWH ILEHU DQG RU IOXLG LQWDNH
ƒ 3RRU ERZHO KDELWV KLVWRU\ RI KROGLQJ ERZHO PRYHPHQWV

Subjective:
• 6LJQV DQG 6\PSWRPV
o 3RVVLEOH GHVFULSWLRQV
ƒ ,QIUHTXHQW VWRROV IHZHU WKDQ ZHHN
ƒ +DUG VWRROV
ƒ ([FHVVLYH VWUDLQLQJ
ƒ 6HQVH RI LQFRPSOHWH HYDFXDWLRQ
• )RFXVHG +LVWRU\
o %RZHO KLVWRU\ VFKHGXOH DQG FKDUDFWHULVWLFV
Objective:
• 3K\VLFDO ([DP
o )XOO DEGRPLQDO H[DP
o 3RVVLEOH '5( DVVHVVPHQW IRU DQDO VWULFWXUHV UHFWRFHOH SURODSVH SHOYLF IORRU
PRWLRQ
• 7RROV
o 3RVVLEOH ODEV LI QHFHVVDU\
o 3RVVLEOH DEGRPLQDO LPDJLQJ LI QHFHVVDU\
Assessment:
• 'LIIHUHQWLDO UHODWHG WR SRVVLEOH HWLRORJ\
o )HFDO LPSDFWLRQ FUDPSV ZLWK ZDWHU\ PXFRXV RU IHFDO PDWHULDO DURXQG WKH
LPSDFWLQJ PDVV
o 2EVWUXFWLRQ DEGRPLQDO SDLQ WKDW FRPHV DQG JRHV XQDEOH WR GHIHFDWH SRVVLEOH
VZHOOLQJ
o ,%6 cKURQLF IXQFWLRQDO GLVRUGHU FKDUDFWHUL]HG E\ DEGRPLQDO SDLQ RU GLVFRPIRUW
ZLWK DOWHUQDWLRQV LQ ERZHO KDELWV QR DEQRUPDO ILQGLQJV XVXDOO\ QRWHG
o 0HGLFDWLRQ XVDJH RSLRLGV
o 7K\URLG GLVHDVH PD\ FDXVH FRQVWLSDWLRQ UXOH RXW ZLWK ODEV DQG WK\URLG H[DP

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