State of New JerseyDepartment of Human ServicesDivision of Developmental Disabilities worse as the bowel contents tend to harden and become di28cult to pass 27is can cause pain and even small t ID: 941278
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DDD PREVENTION BULLETINDDD PREVENTION BULLETIN State of New JerseyDepartment of Human ServicesDivision of Developmental Disabilities worse as the bowel contents tend to harden and become di cult to pass. is can cause pain and even small tears ( ssures) in the anus (the bottom opening SEVERE Constipation may lead to FECAL IMPACTIONSLeakage of liquid or sudden episodes of watery diarrheaBladder pressure/loss of bladder controlLower back painRapid heartbeat Olmstead Resource TeamPhysical Nutritional Management SourcesJohnson, Graeme. 2002. From the Desk of the DDSN Medical Consultant. 1:3. Columbia, SC: SC Department of Disabilities and Special Needs.Delaware Division of Developmental Disabilities Services. (2011). e Fatal Four: ConstipationDelaware: e O ce of Training and Professional Development. Retrieved from www.dhss.delaware.gov/dhss/ddds/ les/learn_curve_oct11.pdfhttp://www.nlm.nih.gov/medlineplus/ency/article/000230.htmlhttp://www.oxyp
owder.com/bristol-stool-scale.htmlProduced by DHS O ce of Publications 5/2014Small hard lumps of stools Any bleeding from the anusHard, protruding abdomen Sausage-like lumpy stoolsRefusing to eat or drinkDi culty passing stoolSwelling or pain from abdomen Vomiting digested food that smells like fecesAdditional symptoms include: Prevent Constipation:In addition to the approaches listed above some experts suggest notifying a physician if a person is constipated for 3 or more days, or as directed by a physician if constipation occurs after beginning a new prescription, vitamin or mineral supplements accompanied by blood in stools, fever and/or abdominal pain. High fiber diet (20-35 grams/day)Adequate time for bowel movementsLaxatives under medical supervision Proper positioning Regular exerciseAdequate fluid intakeReview medications for constipation as a side-effectTrack BM frequency, consistency and volumeLimit foods with no or little fiber (cheese, meat, processed foods)