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Andrew Lopez, RN
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Canadian Society of Gastroenterology Nurses and Associates (CSGNA):"The CSGNA is a special interest group representing gastroenterology nurses from across Canada. The association includes endoscopy nurses, other health care professionals and workers in the field of gastroenterology, endoscopy or a related field." Canadian Society of Gastroenterology Nurses and Associates (CSGNA) #224, 1540 Cornwall Road Oakville , Ontario L6J 7W5 Toll Free 1-866-544-8794 http://www.csgna.com/ Category: Canadian Nursing Associations, Healthcare Organizations, Nursing Associations ****************************************************** ******************************************************
Pain Medicine and Constipation, Patient Education, Akron General Medical Center:"Constipation is the passage of hard, dry stool, usually fewer than three times a week, caused by the slow movement of stool through the large intestine. There are many causes of constipation. One cause is as a side effect of medications. Opioids (oh-pee-oids) are medicines used to control pain. Examples of opioid medications are: morphine (MS-Contin®, MS-IR®, Roxanol®), oxycodone (OxyContin®, Oxy-IR®, Oxy-FAST®, Percocet®), hydromorphone (Dilaudid®) and fentanyl (Duragesic® Patch, Actiq® lozenge.) Opioids almost always cause constipation by slowing down the action of the bowels. Fortunately, we are able to prevent or treat this side effect with laxatives and stool softeners." ******************************************************
What Is Constipation? American Society of Colon and Rectal Surgeons:"Constipation is a symptom that has different meanings to different individuals. Most commonly, it refers to infrequent bowel movements, but it may also refer to a decrease in the volume or weight of stool, the need to strain to have a movement, a sense of incomplete evacuation, or the need for enemas, suppositories or laxatives in order to maintain regularity." ******************************************************
Constipation, How do I know if my child is constipated? AskDrSears.com:"Constipation refers to the compactness of the stools and the difficulty passing them, not the frequency of bowel movements. The consistency and number of stools varies according to age and from baby to baby. Newborns have several stools a day that are soft and the consistency of seedy mustard, especially if breastfed. Formula-fed infants usually have fewer, firmer and darker stools. Once solid food enters the diet, the stools become more formed and less frequent, and some babies may have a bowel movement without difficulty only once every three days, but daily is preferable." ******************************************************
Constipation, Comment, Bandolier:"Laxatives work. Perhaps there's nothing new in that. What is disappointing is that there is so little evidence to allow us to see which is best. What we can say is that for adult patients with chronic constipation, bran or bulk laxatives work as well as anything. The amount of bran used in the trials ranged from 0.5 gram to 24 grams a day, equivalent to from a quarter of a serving of fruit, vegetables or cereal a day to 12 servings a day. Advising adults with chronic constipation to eat more fruit and vegetables and have some bran seems to be the best evidence available." ******************************************************
Relieving constipation / Promoting bowel regularity, Calgary Health Region Learning and Development:"In many cases, constipation can be relieved or prevented by: drinking plenty of water, increasing the amount of fiber in your diet / natural fruit laxative,
getting regular exercise,
making time for elimination,
not ignoring the urge to move your bowels,
trying natural foods that tend to stimulate bowel function such as bran, prunes and prune juice." ******************************************************
Constipation, What causes constipation? College of Family Physicians of Canada:"As the food you eat passes through your digestive tract, your body takes nutrients and water from the food. This process creates a stool, which is moved through your intestines with muscle contractions (squeezing motion). A number of things can affect this process. These include not drinking enough fluids, not being active enough, not eating fibre, taking certain drugs, not going to the bathroom when you have the urge to have a bowel movement and regularly using laxatives. Any of these things can cause the stools to move more slowly through your intestines, leading to constipation." ******************************************************
Constipation, Healthnotes, Inc., GNC.com:"Introduction, Checklist, Symptoms, Conventional treatment, Dietary changes, Lifestyle changes, Supplements, Herbs, Integrative options, References." ******************************************************
Constipation, What are the causes and risks of the condition? Healthanswers, Inc.:"This condition can be caused by: · a recent change in diet · dietary factors, such as not drinking enough fluids, eating too much animal protein, or not eating enough fiber-rich foods · a decrease in physical activity or too little physical activity · illness · iron tablets · certain drugs, such as those for pain, depression, and high blood pressure · rapid weight loss · a person ignoring the feeling of needing to pass stool · hormone changes, such as those in pregnancy · high blood calcium · specific diseases, such as colon cancer or an underactive thyroid · depression, tension, or anxiety." ******************************************************
Constipation in the Elderly, interMDnet Corporation:"The prevalence of constipation is not known. However, in the U.S., a distinct geographic distribution exists that may suggest three global environmental factors: rural living, colder temperature and low socio-economic status.3
Risk factors include:
Older age
African-American
Female
Poor socio-economic status
Less exercise
Less education
Low calorie intake." ******************************************************
Constipation, Do Laxatives Help? Jackson Gastroenterology:"There are two main types of laxatives: stimulants (chemical) and saline (liquid or salt). They occasionally help temporary constipation problems. However, chronic use of laxatives is discouraged because the bowel becomes dependent upon them. Bowel regularity should occur without laxatives. An occasional enema is preferrable over the chronic use of laxatives." ******************************************************
Constipation, Questions to Ask, Medical College of Wisconsin:"Some doctors suggest asking these questions to decide if you are really constipated.
Do you often have fewer than three bowel movements each week?
Do you often have a hard time passing stools?
Is there pain?
Are there other problems such as bleeding?
If the answers are yes, you probably do have a problem. Otherwise, you probably do not." ******************************************************
Why Am I Constipated? National Digestive Diseases Information Clearinghouse:"Some people think they should have a bowel movement every day. That is not really true. There is no "right" number of bowel movements. Each person's body finds its own normal number of bowel movements. It depends on the food you eat, how much you exercise, and other things.
At one time or another almost everyone gets constipated (CON-stuh-pay-ted). In most cases, it lasts for a short time and is not serious. When you understand what causes constipation, you can take steps to prevent it." ******************************************************
Constipation, Age Page, National Institute on Aging:"Nearly everyone becomes constipated at one time or another. Usually, it is not serious. To avoid most constipation problems, it helps to know what causes it, how to prevent it, and how to treat it.
Constipation is a symptom, not a disease. You may be constipated if you are having fewer bowel movements than usual, with a long or hard passing of stools. Older people are more likely than younger people to become constipated." ******************************************************
Constipation: What are the complications of constipation? Netdoctor.co.uk:Haemorrhoids. These are swollen veins at the anus, caused by straining at a stool over a long period of time. If large enough they will be visible from the outside. They can be painful or cause local bleeding.
Dependency on laxatives. The bowel in someone who has abused laxatives over a long period of time becomes sluggish and eventually dependent on the use of laxatives.
Hernia (bulging of the abdominal contents through a weak point in the abdominal wall). This is made worse by too much straining when trying to get rid of hard stools.
A prolapse of the womb or the rectum. These complications result from excess straining and weakness of the muscles in this area." ******************************************************
Constipation, Nursing Tips For Living With ALS:"Although we joke about constipation, it is a miserable experience and should never be taken lightly in the ALS patient. Loss of appetite from frequent constipation leads to weight loss, weakness and dehydration. It can progress to nausea and vomiting, very dangerous for a person who cannot turn over when lying on his back. The blockage can become so severe as to require hospitalization to correct." ******************************************************
Should we use laxatives to help our toddler, who's constipated, be more comfortable with potty training? Parentcenter.com:"Constipation makes for difficult and painful bowel movements, a complication that a toddler in the midst of potty training can do without. But before you use laxatives or stool softeners — which you shouldn't give your child without the go-ahead of his pediatrician — try altering his diet first." ****************************************************** Constipation, Common Causes, Protocare Corporation:"Sometimes too much water is absorbed by the large intestine, leaving a very hard and dry stool that can't be passed without straining. That's constipation. Constipation itself is unpleasant enough, but when compounded by hemorrhoids created from straining, it can be miserable. Listed below are some common causes of constipation." http://www.quickcare.org/gast/constipation.html ******************************************************
Common causes of CONSTIPATION, Rxinsider.com:"Constipation can be caused by lack of exercise, inadequate fluid intake, poor diet and a diet lacking in fiber.
Certain medications may cause constipation (narcotic pain medications, iron, diuretics and certain types of antacids, antispasmodics, antidepressants, and anticonvulsants).
Abuse of laxatives may cause constipation.
Certain medical conditions including irritable bowel syndrome, multiple sclerosis, lupus, diabetes and thyroid disorders may also contribute to constipation.
Problems with the rectum and colon including colon cancer with obstruction, anal fissures and hemorrhoids.
Changes in life or routine such as pregnancy, traveling and old age may all contribute to constipation." ****************************************************** ****************************************************** Nursing Topics, A to Z: A, B, C, D, E, F, G, H, I, K L, M, N, O, P, R, S, T, U, V, W, X, Y, Z
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