PPT-Constipation and Diarrhea

Elizabeth Whiteman MD Goals and Objectives Diagnose GI symptoms in Palliative care Assess causes of bowel dysfunction Understand bowel physiology of altered bowel movement Treatment options non pharmacologic and pharmacologic. A Training Program on Community- Directed Intervention (CDI) to Improve Access to Essential Health Services. Module 18 Objectives. By the end of this module, learners will: . State the . burden of diarrheal illnesses. (Gastro-enteritis. ). Prof. Dr. Mohamed A. . Khafagy. Public Health & Preventive Medicine. Epidemiology of Communicable Diseases . A clinical syndrome. :. Affects . GIT. Has . different etiologies: . What is . DIARRHEA. ?. MOST CAUSATIVE AGENT. Pathophysiology: OSMOTIC . DIARRHEA. SECRETORY . DIARRHEA. Agents inducing SECRETORY . DIARRHEA. INFLAMMATORY & INFECTIOUS . DIARRHEA. PATHOGENS ASSOCIATED . What is Constipation?. Passage of hard, dry bowel movements, usually fewer than three times a week. Symptoms:. painful bowel movements. bloated. uncomfortable. sluggish. As a rule, if more than three days pass without a bowel movement, the intestinal contents may harden, and a person may have difficulty or even pain during elimination. . Alison Freeman, MD, MPH. Primary Care Conference. January 5, 2012. Case 1. 61 . yo. M with no . signif. . PMHx. (although hasn’t been to MD in >10 yrs), presents w/ 3-4 years of watery diarrhea, now worse for last 1 mos. Endorses 12-14 BMs, fairly large volume, daily. Denies . Eric M. Osgard MD FACG. Gastroenterology Consultants. Reno, NV. Chronic Diarrhea. Definition. “Old” sub-types. Osmotic, secretory, motility, inflammatory. “New” Subtypes. Inflammatory, Fatty, and Watery . Dr. . Shujauddin. Department of Pharmacology. JNMC, AMU. Constipation. C. ommon complaint in clinical practice. . D. efinition . of constipation includes the . following:. -infrequent bowel movements (typically three times or fewer per week). characterised. by the passage of . hard, dry stools . less frequently . than by the person’s normal pattern.. Patient . Assessment. Details of bowel habit. Associated . symptoms….. Bowel cancer. Veter ans ’ MATES – a preventable problem One of the most common adverse effects of chronic opioid therapy is constipation. 1-4 Up to 95% of patients prescribed an opioid report constipat PG. 1 Introduction A bowel movement is nature’s way of eliminating waste from our bodies. Everyone has a bowel elimination pattern that is unique to them. What Signs and symptoms of constipatio constipation. Millions of prescriptions are written every year for laxatives and stool softeners. W hy does constipation happen? Most constipation is functional, meaning that either the colon is slo What is constipation? . Constipation is when your stools become hard and you find it more difficult or painful to go to the toilet. . . . . NHS (2017) explain constipation as: -. Not opening your bowels 3 times in one week. Typically, it is infrequent bowel movements fewer . than 3 per . week, but the patients may experience hard . stools, a feeling of incomplete . evacuation, abdominal . discomfort, bloating, and distention, as . . characterized by the passage of. . hard, dry stools less frequently than by the person’s normal pattern.. Details of bowel habit :.