title: Constipation: evaluation and management.
abstract: Constipation is a common symptom that can result from several disorders. Most patients with chronic constipation do not have a medical disorder contributing to the constipation and, therefore, require limited evaluation. Initial intervention should include dietary measures and fiber supplements; however, if fiber supplementation is ineffective, other agents can be used. Surgery should be reserved for patients who meet specific clinical criteria.
authors.affiliation: Division of Gastroenterology, Department of Medicine, George Washington University Medical Center, Washington, DC 20037, USA.
authors.forename: M L
authors.initials: ML
authors.lastname: Borum
mesh_terms: D002400:Cathartics / Q000145:classification / Q000494:pharmacology / Q000627:therapeutic use; D002908:Chronic Disease; D003248:Constipation / Q000175:diagnosis* / Q000453:epidemiology / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D004043:Dietary Fiber / Q000008:administration & dosage; D004733:Enema; D005194:Family Practice / Q000379:methods; D006801:Humans; D010353:Patient Education as Topic; D011320:Primary Health Care / Q000379:methods; D012307:Risk Factors
chemical_list: D002400:Cathartics; D004043:Dietary Fiber