The role of specialists like gastroenterologists is to identify which patients need additional testing or specific treatments. It is one of the most prevalent outpatient diagnoses among gastrointestinal disorders. In addition to alleviating constipation, laxatives are sometimes used to clear the bowels before procedures like colonoscopies.Ĭonstipation is a commonly overlooked problem in clinic visits and inpatient settings, even though it causes significant distress to patients and leads to secondary complications like urinary retention, abdominal pain, and nausea. have suggested using laxatives during opioid administration in patients with sickle cell disease, particularly in post-surgical patients and even younger children. have described the prophylactic use of laxatives in the intensive care unit (ICU) patients to prevent constipation. Laxatives can also be useful in patients with irritable bowel syndrome (IBS), constipation, chronic idiopathic constipation (CIC), and opioid-induced constipation. Prokinetics and secretagogues are the next steps when osmotic or stimulants are unable to control constipation. Osmotic or stimulant laxatives are considered first-line. When constipation is not controlled by lifestyle modification, treatment with laxatives should be a consideration. Initial management of constipation should include lifestyle changes such as increasing fluids and fiber-rich foods such as asparagus, broccoli, Brussels sprouts, cabbage, and spinach. The chronic constipation treatment approach includes patient education, behavior modification, dietary changes, and laxative therapy. It is important to note that laxative therapy is not the only treatment for constipation. Constipation is a common diagnosis that requires proper evaluation and appropriate treatment.
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