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Gastroenterology: Approach To The Patient With Constipation With Kelley Chuang, M.D
Gastroenterology: Approach To The Patient With Constipation With Kelley Chuang, M.D
Rectal bleeding
• Common causes: adhesions from prior surgery, incarcerated hernia, malignancy, IBD, etc.
• Features:
• Obstipation
• Risk factors:
• Recent surgery
• Intraabdominal inflammation
• Clinical features:
Initial Pharmacologic
Lifestyle and dietary changes: • Fiber supplements
• Increase dietary fiber • Osmotic laxatives
• Increase physical activity • Stimulants
Severe cases
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