Constipation & Overflow Diarrhoea

Question 1

Presentation of constipation?

Answer 1

Abdominal pain

Abdominal discomfort

Question 2

Risk factors for constipation?

Answer 2

Long periods of immobility
Taking multiple analgesics/drugs
- elderly are particularly at risk due to both these reasons

Question 3

Presentation of spurious/overflow diarrhoea?

Answer 3

A mixed picture of diarrhoea on a background of constipation

Question 4

Treatment for constipation?

Answer 4

Lifestyle advice
- increase fluid intake
- increase mobility
Medication
- change/withhold constipating drugs e.g. opiates
- osmotic laxatives (draw water into the stool) such as lactulose
- bulk-forming laxatives - bran
stimulant laxatives - movicol or glycerine suppository