Gastroenterology
Chronic Constipation
만성변비
Fewer than 3 stools/wk or difficult defecation for ≥3 months
- How common
- Common
- Typical age
- Variable age
What is it?
Core pathophysiology of Chronic Constipation.
Commonly affected: Affected GI region
How it develops
- TriggerTriggering factor for Chronic Constipation
- Local changeGI tissue-specific changes occur
- ManifestationCharacteristic GI features appear
- CourseCourse depends on treatment
Symptoms
- Abdominal pain/discomfortClassic Chronic Constipation pain pattern
- Bowel change or emesisDiarrhea, constipation, or vomiting
- Systemic featuresFever, weight loss, fatigue
How it is examined
- Abdominal examTenderness, mass, peritoneal signs
- DRE if neededFor lower GI evaluation
Imaging
AXR/US/CT for initial imaging.
- Abdominal imaging findings
Endoscopy or MR/CT for further evaluation.
- Confirmatory findings
Non-surgical care
- PharmacotherapyDiagnosis-appropriate medications
- Diet/lifestyleAvoid triggers, bland diet
- Symptomatic careAnalgesia, fluid, electrolytes
Conservative options are generally tried first. Medications listed here can have side effects — discuss them with your prescriber.
When surgery is considered
Medical failure or emergency complication
Procedures that may be discussed
- Endoscopic intervention
- Laparoscopic or open surgery
Outlook
Good with appropriate treatment.