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Constipation Assessment/Plan
Jan 1, 2017
•
Mark Morgan
categories:
Gastroenterology & Hepatology
Assessment/Plan
Assessment: Functional Constipation
Plan:
LIFESTYLE CHANGE: Increase oral hydration (without caffeine or alcohol)
LIFESTYLE CHANGE: Increase physical activity
BULKING AGENT: Methylcellulose powder 19 g per day by mouth once daily - anticipate onset in 12-72 hours
BULKING AGENT: Polycarbophil tablets 1250 mg by mouth one to four times per day - anticipate onset in in 12-72 hours
BULKING AGENT: Psyllium powder 1 teaspoon or 1 packet by mouth one to three times per day - anticipate onset in 12-24 hours
OSMOTIC LAXATIVE: Lactulose 15 to 30 mL by mouth once per day - anticipate onset in 24-48 hours
OSMOTIC LAXATIVE: Magnesium Citrate 150 to 300 mL by mouth as a single dose - anticipate onset in 30 minutes to 6 hours
OSMOTIC LAXATIVE: Magnesium Hydroxide 30 to 60 mL by mouth once per day - anticipate onset in 30 minutes to 6 hours
OSMOTIC LAXATIVE: Polyethylene glycol powder 17 g by mouth once per day - anticipate onset in 24-48 hours
STOOL SOFTENER: Docusate sodium 100 mg by mouth twice per day - anticipate onset in 24-48 hours
STIMULANT LAXATIVE: Bisacodyl 5 to 15 mg by mouth per day - anticipate onset in 6-10 hours
STIMULANT LAXATIVE: Senna 15 mg by mouth per day - anticipate onset in 6-10 hours
References (Hide/Show)
Mounsey A, Raleigh M, Wilson A. (2015) Am Fam Physician. 92(6):500-504.
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