Constipation Medicine
Treatment For Constipation
Constipation refers to bowel movements that are infrequent or hard to pass. Constipation is a common cause of painful defecation. Severe constipation includes obstipation (failure to pass stools or gas) and fecal impaction .Constipation is common; in the general population incidence of constipation varies from 2 to 30%.Constipation is a symptom with many causes. These causes are of two types: obstructed defecation and colonic slow transit . About 50% of patients evaluated for constipation at tertiary referral hospitals have obstructed defecation.This type of constipation has mechanical and functional causes. Causes of colonic slow transit constipation include diet, hormones, side effects of medications, and heavy metal toxicity.Treatments include changes in dietary habits, laxatives, enemas, biofeedback, and surgery. Because constipation is a symptom, not a disease, effective treatment of constipation may require first determining the cause.
A.Luminally active agent:
a.Bulk forming Laxative
-Methylcellulose
-Phsyllium
-Polycarbophil
b.Osmotic Laxative
-Sorbitol
-Magnesium oxide
-Polyethylene Glycol
-Lactulose
c.Stool surfactant agent
-Docusate
-Glycerin suppository
-Mineral oil
B.Non Specific Stimulant
1.Diphenylmethane derivative
-Bisacodyl
-Phenolphthalein
-Sodium Picosulfate
2.Anthraquinone derivatives
-Alone
-Cascara
-Senna
3.Castor Oil
4.Lubiprostone
-for chronic constipation
C.Prokinetic Agent
1.Tegaserod
2.Misoprostol
3.Opioid Antagaonist
by Lakdhes..
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