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Constipation - Coggle Diagram
Constipation
Red flags
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FTT (hypothyroid, coeliac)
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sacral dimple, naevus, hair tuft, discolouration (?spina bifida)
abnormal appearance (bruising, fissues) /position/patency of anus (?abnormal anorectal anatomy, sexual abuse)
perianal fistulae, abscesses, fissures (?Crohn's)
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Management
of overflow soiling...
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sometimes retention is so severe that evacuation is only possible with enemas or manual evacuation under anaesthesia
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Causes
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may be precipitated by dehydration, reduced fluid intake, anal fissue
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Intro
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= infrequent passage of dry, hardened faeces often a/w straining + pain