Treating functional lower gastrointestinal symptoms

Thoua, Nora; Emmanuel, Anton

doi:10.7861/clinmedicine.6-5-449

Cited by 4 publications

(1 citation statement)

References 13 publications

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“…Chronic functional constipation is a chronic debilitating disorder associated in the more severely affected individuals by significant impairments in quality of life and social functioning [Belsey et al 2010]. The aetiopathogenesis of chronic constipation is increasingly being accepted as related to either or both slow transit through the gut (primarily, but not exclusively, the colon) or rectal evacuatory dysfunction (which may be due to structural disorders or physiological in coordination) [Thoua and Emmanuel, 2006]. The latter conditions need identification through bimanual pelvic examination and occasionally evacuation proctography (barium or magnetic resonance imaging) in patients with suggestive symptoms.…”

Section: Introductionmentioning

confidence: 99%

Current management strategies and therapeutic targets in chronic constipation

Emmanuel

2010

Therap Adv Gastroenterol

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Constipated patients who are refractory to simple lifestyle interventions will usually resort to laxatives, whether prescribed or over the counter. Clinical trial evidence is scarce for older medications such as laxatives, especially with a condition as chronic and subjective as constipation. Newer polyethylene glycol-based laxatives have been investigated under rigorous clinical trial settings, but comparisons between different laxatives are not available. Newer prokinetic agents, targeting peristalsis, intestinal secretion and the colonic flora, have been developed for laxative refractory constipation. This review focuses on the evidence for each of these agents, and the relative indications for each of them.

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Section: Introductionmentioning

confidence: 99%

Current management strategies and therapeutic targets in chronic constipation

Emmanuel

2010

Therap Adv Gastroenterol

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Alteration in bowel habit

Slater¹

2006

Imaging

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Transference and countertransference in anorexia nervosa care

Swatton

2011

Gastrointestinal Nursing

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Anorexia nervosa is an eating disorder characterized by refusal to maintain a healthy body weight and an obsessive fear of gaining weight. Gastrointestinal symptoms that can manifest due to a decrease in food intake include constipation and complications due to laxative abuse. The focus of biofeedback therapy is to holistically assess the patient's symptoms, provide education and return bowel and muscle control to normality. In this article, Anna Swatton discusses the complexities of caring for a patient with anorexia nervosa in a gastrointestinal care setting, by reflecting on a case study. The dynamics and the importance of the therapeutic relationship and its importance of this in ensuring optimal patient care will be discussed.

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Treating functional lower gastrointestinal symptoms

Cited by 4 publications

References 13 publications

Current management strategies and therapeutic targets in chronic constipation

Current management strategies and therapeutic targets in chronic constipation

Alteration in bowel habit

Transference and countertransference in anorexia nervosa care

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