Erliza Fatmawati and Iswan Abbas Nusi and Poernomo Boedi Setiawan and Herry Purbayu and Titong Sugihartono and Ummi Maimunah and Ulfa Kholili and Budi Widodo and Husin Thamrin and Amie Vidyani and Muhammad Miftahussurur (2017) Chronic Constipation Management in Adults. In: Proceedings of Surabaya International Physiology Seminar. SCITEPREES-Science and Technology Publications, Lda., Surabaya, pp. 397-404. ISBN 978-989-758-340-7

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Abstract

Constipation is a symptom characterized by defecation frequency less than three times a week or fecal impaction. Chronic constipation is characterized by a sense of rectal dissatisfaction, bowel movement difficulty, or both. This literature review will explain the latest pathophysiology of constipation, diagnosis based on international clinical criteria (ROME III), and national consensus of the Indonesian Society of Gastroenterology, as well as the selection of evidence-based therapy. Factors causing chronic constipation include mechanical, metabolic, neuropathic, myopathic and idiopathic. Diagnosis needs to be systematically evaluated from anamnesis, identification of alarm symptoms, physical examination and investigation. Management of chronic constipation depends on the type of constipation. It is performed comprehensively to restore normal physiological defecation function and evaluate constipation causes. Constipation treatment may be pharmacological and non-pharmacological. Cons tipation complications include pelvic organ prolapse, hemorrhoids, hemorrhoid bleeding, fissure ani, fecal impaction causing colonic or stercoraceous ulcer obstruction, resulting in bleeding/perforation and recurrent urinary tract infections due to ureter compression due to stool mass

Item Type:	Book Section
Uncontrolled Keywords:	Alarm symptom, constipation, chronic constipation, Indonesian Society of Gastroenterology, ROME III
Subjects:	R Medicine > R Medicine (General) R Medicine > RC Internal medicine
Divisions:	01. Fakultas Kedokteran > Ilmu Penyakit Dalam
Creators:	Creators NIM Erliza Fatmawati UNSPECIFIED Iswan Abbas Nusi NIDN0028025003 Poernomo Boedi Setiawan NIDN8886900016 Herry Purbayu NIDN8884800016 Titong Sugihartono NIDN8836800016 Ummi Maimunah NIDN8896900016 Ulfa Kholili NIDN0004047511 Budi Widodo NIDN8804800016 Husin Thamrin NIDN8825800016 Amie Vidyani NIDN0028018002 Muhammad Miftahussurur NIDN0029097909
Depositing User:	arys fk
Date Deposited:	06 Dec 2019 02:09
Last Modified:	06 Dec 2019 02:09
URI:	http://repository.unair.ac.id/id/eprint/92004
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