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Constipation in the elderly: investigation and management
Aging Health, 10/07/09

Krogh K et al. – Depending on the definitions used, chronic constipation affects 2–28% of the general population and the prevalence increases with age. Constipation is usually classified as functional (idiopathic) or as secondary to diseases, conditions or to medications. In the elderly population, constipation is often associated with Parkinson’s disease, stroke or rectocele and prolapse. Treatment of constipation is initiated after a thorough history and physical exam. A number of tests are available but in most patients without alarm symptoms treatment is instituted after a physical examination and relevant blood samples. Basic treatment consists of appropriate daily habits, oral laxatives or suppositories, and mini enema. In more severe cases irrigation with enemas can be used. Surgical treatment is restricted to highly selected patients.

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