Please enable JavaScript.
Coggle requires JavaScript to display documents.
Colonic Diseases: Constipation - Coggle Diagram
Colonic Diseases: Constipation
localization
CS
reduced/absent defecation
vocalization
hematochezia
dyschezia
repeated attempts to defecate
easy to confuse with urinary obstruction
signalment
male
middle age
PE
dehydrated
large, firm feces
abdo
pain
mass
neurologic abnormalities
hernia
pelvic asymmetry
lethargy, inappetance
diagnostics
tier 1
CBC
chem
UA
T4
fecal exam
abdo rads
pelvic abnormalities
degree of constipation
neurological exam
rectal (
need sedation
)
tier 2
FeLV/FIV
GI panel
tier3
CT scan
colonoscopy for biopsy
causes
neuromuscular dysfxn
nerve injury
idiopathic megalcolon
sacral SC dysfxn
dyasutonomia
obstruction
cancer
pelvic obstruction
foreign body
inflammatory
IBD
metabolic
dehydration
hypercalcemia
hypokalemia
hypothyroidism
obesity
pharmacological
can progress to obstipation
can progress to megacolon
surgical options only
loss of form and function
loss of function
timeline days to months
treatment
rehydrate
removal of impacted feces
mild cases
oral laxatives
bulk (dietary fiber)
emollient laxative
lubricant laxative
hyperosmotic
lactulose
miralax
causes water retention in intestinal lumen
enemas
warm water
lube
:forbidden: sodium phosphate "Fleet"
manual removal if severe
prokinetic medication
metocloramide
cisapride
questionable efficacy
must ID and treat underlying cause
most likely chronic
subtotal colectomy
chronic diarrhea if performed
:cat: