Constipation
signs & symptoms
Infrequent bowel movements
lumpy or hard stools
Straining
Pain when passing stools
Abdominal bloating
Lethargy
Decreased appetite
RED FLAGS
Change in bowel habit
rectal bleeding
Weight loss
Night sweats
Vomiting
New onset confusion
Assessment
SOCRATES
PMH
Family History
Social History
Occupation
PR Exam
Abdominal Exam
Treatment
Choice of laxitive
Stimulant laxatives
Osmotic laxatives
Bulk-forming laxatives
Prokinetic laxatives
Lifestyle Advice
Fiber intake
Fluid Intake
Mobility
Associated Factors
Underlying psychological conditions
toileting habits
withholding or ignoring the urge to defecate
access to the toilet at home or work
eating disorders
Medication
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On PR exam
Anal fissures
haemorrhoids
skin tags
rectal prolapse
skin erythema or excoriation
rectal mass
faecal mass
rectocele