Current approaches to diagnosing and managing constipation in advanced cancer and palliative care.
Constipation is common in advanced cancer. Despite this, clinicians' understanding of the underlying changes affecting the colon and the rest of the gastrointestinal tract are limited. Two case histories are used to illustrate the problems encountered when the current approaches to diagnosing and managing altered bowel habits are unsuccessful. An alternative paradigm in which to consider the problems of constipation encountered by some people with advanced cancer is proposed.
Clark
Katherine
K
Royal Hospital for Women, Darlinghurst, New South Wales, Australia. kclark3@nd.edu.au
Urban
Kat
K
Currow
David C
DC
D002400:Cathartics / Q000627:therapeutic use; D003248:Constipation / Q000175:diagnosis* / Q000188:drug therapy* / Q000209:etiology / Q000628:therapy; D004573:Electrolytes / Q000627:therapeutic use; D004733:Enema; D005260:Female; D006801:Humans; D007792:Lactulose / Q000627:therapeutic use; D008875:Middle Aged; D009369:Neoplasms / Q000150:complications*; D010166:Palliative Care; D010710:Phosphates / Q000627:therapeutic use; D011092:Polyethylene Glycols / Q000627:therapeutic use
D002400:Cathartics; D004573:Electrolytes; D010710:Phosphates; D011092:Polyethylene Glycols; D007792:Lactulose; C018279:sodium phosphate