Mistakes in constipation and how to avoid them

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Mistakes in constipation and how to avoid them

Claudia Barber, Jordi Serra

Summary

AI Generated

This article identifies ten common mistakes in managing constipation and provides guidance on how to avoid them based on recent studies and clinical guidelines.

Constipation is a common condition affecting people of all ages worldwide, with higher prevalence in women and increasing frequency with age
The condition has multiple causes and various diagnostic and treatment options are available
Due to its high frequency and chronic nature, managing constipation can lead to common mistakes that the article aims to help clinicians avoid

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This summary was generated by an AI large language model based on the content transcript. It is for informational purposes only and should not be considered a substitute for clinical judgment. Always rely on your professional expertise and the full clinical context when making clinical decisions.

References

Mistakes

References

Mistake 1 Mistake 2 Mistake 3 Mistake 4 Mistake 5 Mistake 6 Mistake 7 Mistake 8 Mistake 9 Mistake 10

Mearin et al. Clinical practice guidelines: irritable bowel syndrome with constipation and functional constipation in adults: Concept, diagnosis, and healthcare continuity. (Part 1 of 2). Aten Primaria 2017 Jan;49(1):42-55. [Link]

Serra et al. European society of neurogastroenterology and motility guidelines on functional constipation in adults. Neurogastroenterol Motil.2020 Feb;32(2) [Link]

Lacy et al. Bowel disorders. Gastroenterology, 2016 Feb 18:S0016-5085(16)00222-5. [Link]

Bharucha et al. American gastroenterological association technical review on constipation. Gastroenterology. 2013;144:218‐238 [Link]

Rao SSC. Constipation: evaluation and treatment of colonic and anorectal motility disorders. Gastroenterol Clin North Am. 2007;36:687‐711. [Link]

Mearin et al. Clinical Practice Guideline: Irritable bowel syndrome with constipation and functional constipation in the adult. Rev Esp Enferm Dig 2016;108:332-363. [Link]

Lam et al. Clinical examination remains more important than anorectal function tests to identify treatable conditions in women with constipation. Int Urogynecol J. 2013;24:67‐72. [Link]

Talley NJ. How to do and interpret a rectal examination in gastroenterology. Am J Gastroenterol. 2008;103:820‐822. [Link]

Soh JS, Lee HJ, Jung KW, et al. The diagnostic value of a digital rectal examination compared with high‐resolution anorectal manometry in patients with chronic constipation and fecal incontinence. Am J Gastroenterol. 2015;110:1197‐1204. [Link]

10.

Bove A. Consensus statement AIGO/SICCR: Diagnosis and treatment of chronic constipation and obstructed defecation (part I: Diagnosis). World J Gastroenterol. 2012;18:1555. [Link]

11.

Roerig et al. Laxative abuse: epidemiology, diagnosis and management. Drugs 2010 Aug 20; 70(12):1487-503. [Link]

12.

Gibson et al. Personality characteristics and medical impact of stimulant laxative abuse in eating disorder patients a pilot study. J Eat Disord (2021) 9:146 [Link]

13.

Deb et al. Constipation and fecal incontinence in the elderly. Curr Gastroenterol Rep. 2020 Aug 24; 22(11):54. [Link]

14.

Nurko et al. Coexistence of constipation and incontinence in children and adults. Best Pract Res Clin Gastroenterol. 2011 Feb; 25(1):29-41. [Link]

15.

Serra et al. Clinical practice guidelines for the management of constipation in adults. Part 2: Diagnosis and treatment. Gastroenterol Hepatol.2017;40(4):303-316. [Link]

Abstract

Constipation is a common condition that affects people of all ages worldwide. It's more prevalent in women and increases with age. The causes are multiple, and there are various diagnostic and treatment options available. However, due to its high frequency and chronic nature, managing constipation can lead to common mistakes. This article highlights ten common mistakes in managing constipation and how to avoid them based on recent studies and clinical guidelines.

Topics

Small Intestine & Nutrition

Citation

Barber C and Serra J. Mistakes in constipation and how to avoid them. UEG Education 2022; 22: 43-46.

Published

2022

More Like This:

Mistakes in dyspepsia and how to avoid them

Mark Fox

Mistakes in dietary management of IBS and how to avoid them

Jean W.M. Muris

Mistakes in irritable bowel syndrome and how to avoid them

Robin Spiller

Mistakes in faecal incontinence management and how to avoid them

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Mistakes in dyspepsia and how to avoid them

Mark Fox

Summary

AI Generated

Summary is not available for this content yet.

Download PDF

Was this helpful?

Thanks for your feedback.

References

Mistakes

References

Mistake 1 Mistake 2 Mistake 3 Mistake 4 Mistake 5 Mistake 6 Mistake 7 Mistake 8 Mistake 9 Mistake 10

Serra et al. European society of neurogastroenterology and motility guidelines on functional constipation in adults. Neurogastroenterol Motil.2020 Feb;32(2) [Link]

Lacy et al. Bowel disorders. Gastroenterology, 2016 Feb 18:S0016-5085(16)00222-5. [Link]

Bharucha et al. American gastroenterological association technical review on constipation. Gastroenterology. 2013;144:218‐238 [Link]

Rao SSC. Constipation: evaluation and treatment of colonic and anorectal motility disorders. Gastroenterol Clin North Am. 2007;36:687‐711. [Link]

Mearin et al. Clinical Practice Guideline: Irritable bowel syndrome with constipation and functional constipation in the adult. Rev Esp Enferm Dig 2016;108:332-363. [Link]

Lam et al. Clinical examination remains more important than anorectal function tests to identify treatable conditions in women with constipation. Int Urogynecol J. 2013;24:67‐72. [Link]

Talley NJ. How to do and interpret a rectal examination in gastroenterology. Am J Gastroenterol. 2008;103:820‐822. [Link]

10.

Bove A. Consensus statement AIGO/SICCR: Diagnosis and treatment of chronic constipation and obstructed defecation (part I: Diagnosis). World J Gastroenterol. 2012;18:1555. [Link]

11.

Roerig et al. Laxative abuse: epidemiology, diagnosis and management. Drugs 2010 Aug 20; 70(12):1487-503. [Link]

12.

Gibson et al. Personality characteristics and medical impact of stimulant laxative abuse in eating disorder patients a pilot study. J Eat Disord (2021) 9:146 [Link]

13.

Deb et al. Constipation and fecal incontinence in the elderly. Curr Gastroenterol Rep. 2020 Aug 24; 22(11):54. [Link]

14.

Nurko et al. Coexistence of constipation and incontinence in children and adults. Best Pract Res Clin Gastroenterol. 2011 Feb; 25(1):29-41. [Link]

15.

Serra et al. Clinical practice guidelines for the management of constipation in adults. Part 2: Diagnosis and treatment. Gastroenterol Hepatol.2017;40(4):303-316. [Link]

Abstract

2024 update: Mark Fox
2016 version: Mark Fox

Dyspepsia refers to upper abdominal discomfort that can arise from the upper gastrointestinal tract, with symptoms including epigastric pain, bloating, early satiety, belching, nausea, and heartburn. It is commonly caused by functional dyspepsia, gastro-oesophageal reflux disease (GORD), peptic ulcer disease, or malignancy. Endoscopy is not always necessary for diagnosis, and clinical guidelines recommend considering clinical presentation without alarm symptoms. The management of dyspepsia is challenging due to its broad definition, lack of specific treatments, and psychosocial issues. Here, I discuss 10 common mistakes in diagnosis and treatment.

Topics

Neurogastroenterology & Motility

Published

2024

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Mistakes in dyspepsia and how to avoid them

Mark Fox

Mistakes in dietary management of IBS and how to avoid them

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Mistakes in irritable bowel syndrome and how to avoid them

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Mistakes in faecal incontinence management and how to avoid them

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European Guideline on Chronic Nausea and Vomiting—A UEG and ESNM Consensus for Clinical Management

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UEG Mistakes In Articles

Share via Email Share on Facebook Share on X Share on LinkedIn Share on Bluesky

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Mistakes in dietary management of IBS and how to avoid them

Jean W.M. Muris, Daniel Keszthelyi, Jenny Brouns, Zlatan Mujagic

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References

Mistakes

References

Mistake 1 Mistake 2 Mistake 3 Mistake 4 Mistake 5 Mistake 6 Mistake 7 Mistake 8 Mistake 9 Mistake 10

Serra et al. European society of neurogastroenterology and motility guidelines on functional constipation in adults. Neurogastroenterol Motil.2020 Feb;32(2) [Link]

Lacy et al. Bowel disorders. Gastroenterology, 2016 Feb 18:S0016-5085(16)00222-5. [Link]

Bharucha et al. American gastroenterological association technical review on constipation. Gastroenterology. 2013;144:218‐238 [Link]

Rao SSC. Constipation: evaluation and treatment of colonic and anorectal motility disorders. Gastroenterol Clin North Am. 2007;36:687‐711. [Link]

Mearin et al. Clinical Practice Guideline: Irritable bowel syndrome with constipation and functional constipation in the adult. Rev Esp Enferm Dig 2016;108:332-363. [Link]

Lam et al. Clinical examination remains more important than anorectal function tests to identify treatable conditions in women with constipation. Int Urogynecol J. 2013;24:67‐72. [Link]

Talley NJ. How to do and interpret a rectal examination in gastroenterology. Am J Gastroenterol. 2008;103:820‐822. [Link]

10.

Bove A. Consensus statement AIGO/SICCR: Diagnosis and treatment of chronic constipation and obstructed defecation (part I: Diagnosis). World J Gastroenterol. 2012;18:1555. [Link]

11.

Roerig et al. Laxative abuse: epidemiology, diagnosis and management. Drugs 2010 Aug 20; 70(12):1487-503. [Link]

12.

Gibson et al. Personality characteristics and medical impact of stimulant laxative abuse in eating disorder patients a pilot study. J Eat Disord (2021) 9:146 [Link]

13.

Deb et al. Constipation and fecal incontinence in the elderly. Curr Gastroenterol Rep. 2020 Aug 24; 22(11):54. [Link]

14.

Nurko et al. Coexistence of constipation and incontinence in children and adults. Best Pract Res Clin Gastroenterol. 2011 Feb; 25(1):29-41. [Link]

15.

Serra et al. Clinical practice guidelines for the management of constipation in adults. Part 2: Diagnosis and treatment. Gastroenterol Hepatol.2017;40(4):303-316. [Link]

Abstract

People with irritable bowel syndrome (IBS) experience chronic intermittent symptoms, such as abdominal pain, bloating and/or altered bowel movements. These symptoms may negatively impact their daily life, prohibiting participation in social activities or leading to work absenteeism, and they are associated with increased healthcare utilisation.More than 85% of people with IBS indicate that food is one of the triggers for their gastrointestinal symptoms. Many of them have also tried diets, eliminated certain foods, taken supplements or used over-the-counter remedies before consulting a doctor or dietitian.4 Somewhat contradictorily, according to surveys of patients’ expectations in primary care, patients with IBS expect their general practitioner to provide reassurance or drug treatments, but less than 10% value dietary intervention. This is despite the fact that almost 95% of general practitioners report that they start the treatment of IBS by giving nutritional advice.5 Dietary interventions are also given a prominent place in the guidelines as both first- and second-line treatments for IBS.

Topics

Neurogastroenterology & Motility

Citation

Mujagic Z, Brouns J, Keszthelyi D and Muris JWM. Mistakes in dietary management of IBS and how to avoid them. UEG Education 2022; 22: 1–4.

Published

2022

More Like This:

Mistakes in dyspepsia and how to avoid them

Mark Fox

Mistakes in dietary management of IBS and how to avoid them

Jean W.M. Muris

Mistakes in irritable bowel syndrome and how to avoid them

Robin Spiller

Mistakes in faecal incontinence management and how to avoid them

Kestutis Adamonis

European Guideline on Chronic Nausea and Vomiting—A UEG and ESNM Consensus for Clinical Management

Carolina Malagelada

Episode 5: UEG Journal September Spotlight

Djuna L. Cahen

UEG Mistakes In Articles

Share via Email Share on Facebook Share on X Share on LinkedIn Share on Bluesky

This content is part of Gutflix. Log in with your myUEG account, or create one free, to watch it.

Not sure what you can access? Learn more about account types.

Mistakes in irritable bowel syndrome and how to avoid them

Robin Spiller

Summary

AI Generated

Summary is not available for this content yet.

Download PDF

Was this helpful?

Thanks for your feedback.

References

Mistakes

References

Mistake 1 Mistake 2 Mistake 3 Mistake 4 Mistake 5 Mistake 6 Mistake 7 Mistake 8 Mistake 9 Mistake 10

Serra et al. European society of neurogastroenterology and motility guidelines on functional constipation in adults. Neurogastroenterol Motil.2020 Feb;32(2) [Link]

Lacy et al. Bowel disorders. Gastroenterology, 2016 Feb 18:S0016-5085(16)00222-5. [Link]

Bharucha et al. American gastroenterological association technical review on constipation. Gastroenterology. 2013;144:218‐238 [Link]

Rao SSC. Constipation: evaluation and treatment of colonic and anorectal motility disorders. Gastroenterol Clin North Am. 2007;36:687‐711. [Link]

Mearin et al. Clinical Practice Guideline: Irritable bowel syndrome with constipation and functional constipation in the adult. Rev Esp Enferm Dig 2016;108:332-363. [Link]

Lam et al. Clinical examination remains more important than anorectal function tests to identify treatable conditions in women with constipation. Int Urogynecol J. 2013;24:67‐72. [Link]

Talley NJ. How to do and interpret a rectal examination in gastroenterology. Am J Gastroenterol. 2008;103:820‐822. [Link]

10.

Bove A. Consensus statement AIGO/SICCR: Diagnosis and treatment of chronic constipation and obstructed defecation (part I: Diagnosis). World J Gastroenterol. 2012;18:1555. [Link]

11.

Roerig et al. Laxative abuse: epidemiology, diagnosis and management. Drugs 2010 Aug 20; 70(12):1487-503. [Link]

12.

Gibson et al. Personality characteristics and medical impact of stimulant laxative abuse in eating disorder patients a pilot study. J Eat Disord (2021) 9:146 [Link]

13.

Deb et al. Constipation and fecal incontinence in the elderly. Curr Gastroenterol Rep. 2020 Aug 24; 22(11):54. [Link]

14.

Nurko et al. Coexistence of constipation and incontinence in children and adults. Best Pract Res Clin Gastroenterol. 2011 Feb; 25(1):29-41. [Link]

15.

Serra et al. Clinical practice guidelines for the management of constipation in adults. Part 2: Diagnosis and treatment. Gastroenterol Hepatol.2017;40(4):303-316. [Link]

Abstract

Around 11% of the worldwide population experience irritable bowel syndrome (IBS), making it one of the most frequent gastroenterological diagnoses.1 The symptoms of IBS include abdominal pain associated with unpredictable bowel habits and variable changes in the form and frequency of stool.2 While all patients with IBS suffer from recurrent bouts of abdominal pain, their bowel habits are varied: around one-third suffer predominantly with diarrhoea (IBS-D), one-fifth experience predominantly constipation (IBS-C) and half have an erratic mixed pattern of both diarrhoea and constipation (IBS-M).3 This very heterogeneous condition undoubtedly has multiple causes and an individualized approach to management and treatment is required. Here I discuss the mistakes most frequently made when diagnosing and managing IBS. The mistakes and discussion that follow are based, where possible, on published data and failing that on many years of my own clinical experience.

Topics

Neurogastroenterology & Motility Primary Care

Citation

Spiller R. Mistakes in irritable bowel syndrome and how to avoid them. UEG Education 2016: 16; 31–33.

Published

2024

More Like This:

Mistakes in dyspepsia and how to avoid them

Mark Fox

Mistakes in dietary management of IBS and how to avoid them

Jean W.M. Muris

Mistakes in irritable bowel syndrome and how to avoid them

Robin Spiller

Mistakes in faecal incontinence management and how to avoid them

Kestutis Adamonis

European Guideline on Chronic Nausea and Vomiting—A UEG and ESNM Consensus for Clinical Management

Carolina Malagelada

Episode 5: UEG Journal September Spotlight

Djuna L. Cahen

UEG Mistakes In Articles

Share via Email Share on Facebook Share on X Share on LinkedIn Share on Bluesky

This content is part of Gutflix. Log in with your myUEG account, or create one free, to watch it.

Not sure what you can access? Learn more about account types.

Mistakes in faecal incontinence management and how to avoid them

Kestutis Adamonis, Sadé L Assmann, Stéphanie O Breukink

Summary

AI Generated

Summary is not available for this content yet.

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Was this helpful?

Thanks for your feedback.

References

Mistakes

References

Mistake 1 Mistake 2 Mistake 3 Mistake 4 Mistake 5 Mistake 6 Mistake 7 Mistake 8 Mistake 9 Mistake 10

Serra et al. European society of neurogastroenterology and motility guidelines on functional constipation in adults. Neurogastroenterol Motil.2020 Feb;32(2) [Link]

Lacy et al. Bowel disorders. Gastroenterology, 2016 Feb 18:S0016-5085(16)00222-5. [Link]

Bharucha et al. American gastroenterological association technical review on constipation. Gastroenterology. 2013;144:218‐238 [Link]

Rao SSC. Constipation: evaluation and treatment of colonic and anorectal motility disorders. Gastroenterol Clin North Am. 2007;36:687‐711. [Link]

Mearin et al. Clinical Practice Guideline: Irritable bowel syndrome with constipation and functional constipation in the adult. Rev Esp Enferm Dig 2016;108:332-363. [Link]

Lam et al. Clinical examination remains more important than anorectal function tests to identify treatable conditions in women with constipation. Int Urogynecol J. 2013;24:67‐72. [Link]

Talley NJ. How to do and interpret a rectal examination in gastroenterology. Am J Gastroenterol. 2008;103:820‐822. [Link]

10.

Bove A. Consensus statement AIGO/SICCR: Diagnosis and treatment of chronic constipation and obstructed defecation (part I: Diagnosis). World J Gastroenterol. 2012;18:1555. [Link]

11.

Roerig et al. Laxative abuse: epidemiology, diagnosis and management. Drugs 2010 Aug 20; 70(12):1487-503. [Link]

12.

Gibson et al. Personality characteristics and medical impact of stimulant laxative abuse in eating disorder patients a pilot study. J Eat Disord (2021) 9:146 [Link]

13.

Deb et al. Constipation and fecal incontinence in the elderly. Curr Gastroenterol Rep. 2020 Aug 24; 22(11):54. [Link]

14.

Nurko et al. Coexistence of constipation and incontinence in children and adults. Best Pract Res Clin Gastroenterol. 2011 Feb; 25(1):29-41. [Link]

15.

Serra et al. Clinical practice guidelines for the management of constipation in adults. Part 2: Diagnosis and treatment. Gastroenterol Hepatol.2017;40(4):303-316. [Link]

Abstract

People with faecal incontinence (FI) suffer from chronic involuntary loss of bowel content. Patients often experience embarrassment, shame, low self-esteem, and depression, affecting their quality of life. Treatment approaches vary, and less invasive options should be tried before considering more invasive treatments. It's important to consider contributing factors, physician and patient preferences, and available procedures. This article discusses common mistakes in treating faecal incontinence and how to avoid them, based on evidence and clinical experience.

Topics

Neurogastroenterology & Motility

Citation

Assmann S L, Breukink S O and Keszthelyi D. Mistakes in faecal incontinence management and how to avoid them. UEG Education 2023; 23: 1-3.

Published

2023

More Like This:

Mistakes in dyspepsia and how to avoid them

Mark Fox

Mistakes in dietary management of IBS and how to avoid them

Jean W.M. Muris

Mistakes in irritable bowel syndrome and how to avoid them

Robin Spiller

Mistakes in faecal incontinence management and how to avoid them

Kestutis Adamonis

European Guideline on Chronic Nausea and Vomiting—A UEG and ESNM Consensus for Clinical Management

Carolina Malagelada

Episode 5: UEG Journal September Spotlight

Djuna L. Cahen

UEG Standards and Guidelines

Consensus

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European Guideline on Chronic Nausea and Vomiting—A UEG and ESNM Consensus for Clinical Management

Carolina Malagelada

Summary

AI Generated

Summary is not available for this content yet.

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Guideline

ABSTRACT

Introduction

Chronic nausea and vomiting are symptoms of a wide range of gastrointestinal and non-gastrointestinal conditions. Diagnosis can be challenging and requires a systematic and well-structured approach. If the initial investigation for structural, toxic and metabolic disorders is negative, digestive motility and gut-brain interaction disorders should be assessed. United European Gastroenterology (UEG) and the European Society for Neurogastroenterology and Motility (ESNM) identified the need for an updated, evidence-based clinical guideline for the management of chronic nausea and vomiting.

Methods

A multidisciplinary team of experts in the field, including European specialists and national societies, participated in the development of the guideline. Relevant questions were addressed through a literature review and statements were developed and voted on according to a Delphi process.

Results

Ninety-eight statements were identified and voted following the Delphi process. Overall agreement was high, although the grade of scientific evidence was low in many areas. Disagreement was more evident for some pharmacological treatment options. A diagnostic algorithm was developed, focussing on the differentiating features between gastrointestinal motility and gut-brain interaction disorders with predominant nausea and vomiting.

Conclusion

These guidelines provide an evidence-based framework for the evaluation and treatment of patients with chronic nausea and vomiting.

Publisher

European Society of Neurogastroenterology and Motility

Guideline

Consensus

Topics

Neurogastroenterology & Motility Paediatrics Primary Care Stomach & H. Pylori

Citation

United European Gastroenterol J.

Published

2025

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Mistakes in dyspepsia and how to avoid them

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Mistakes in dietary management of IBS and how to avoid them

Jean W.M. Muris

Mistakes in irritable bowel syndrome and how to avoid them

Robin Spiller

Mistakes in faecal incontinence management and how to avoid them

Kestutis Adamonis

European Guideline on Chronic Nausea and Vomiting—A UEG and ESNM Consensus for Clinical Management

Carolina Malagelada

Episode 5: UEG Journal September Spotlight

Djuna L. Cahen

UEG Podcast Episode

Journal Podcast

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Episode 5: UEG Journal September Spotlight

Mohsan Subhani, Djuna L. Cahen

Summary

AI Generated

Summary is not available for this content yet.

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Abstract

Published

2025

More Like This:

Mistakes in dyspepsia and how to avoid them

Mark Fox

Mistakes in dietary management of IBS and how to avoid them

Jean W.M. Muris

Mistakes in irritable bowel syndrome and how to avoid them

Robin Spiller

Mistakes in faecal incontinence management and how to avoid them

Kestutis Adamonis

European Guideline on Chronic Nausea and Vomiting—A UEG and ESNM Consensus for Clinical Management

Carolina Malagelada

Episode 5: UEG Journal September Spotlight

Djuna L. Cahen