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Digestive Diseases and Sciences
Published in: Digestive Diseases and Sciences 11/2017

01-11-2017 | Correspondence

Physiologic Management of Chronic Constipation: Let’s FEED It

Author: Pankaj Garg

Published in: Digestive Diseases and Sciences | Issue 11/2017

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Excerpt

There are various treatment options available for chronic constipation (CC) [1]. However, the long-term usage of these treatment options such as laxatives, serotonergic agents, and prosecretory agents can have significant side effects [1]. Though there are several physiologic methods available to treat CC, they have never been used in combination. If these methods are used together, then a significant proportion of CC patients could perhaps be treated only by physiologic methods. The physiologic methods described to treat CC are increasing hip flexion while sitting on toilet commode [2], taking fiber supplement properly and [3] drinking more water [4]. …
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Sakakibara R, Tsunoyama K, Hosoi H, Takahashi O, et al. Influence of body position on defecation in humans. Low Urin Tract Symptoms. 2010;2:16–21.CrossRefPubMed
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Garg P. Psyllium husk should be taken at higher dose with sufficient water to maximize its efficacy. J Acad Nutr Diet. 2017;117:681.CrossRefPubMed
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Garg P. Why should a good proportion of hemorrhoids not be operated on?—let’s TONE up. Dis Colon Rectum. 2016;59:583–585.CrossRefPubMed
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Takano S, Sands DR. Influence of body posture on defecation: a prospective study of “The Thinker” position. Tech Coloproctol. 2017;20:117–121.CrossRef
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Muller-Lissner SA, Kamm MA, Scarpignato C, Wald A. Myths and misconceptions about chronic constipation. Am J Gastroenterol. 2005;100:232–242.CrossRefPubMed
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Garg P, Singh P. Adequate dietary fiber supplement and TONE can help avoid surgery in most patients with advanced hemorrhoids. Minerva Gastroenterol Dietol. 2017;63:92–96.PubMed
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McRorie JW Jr, McKeown NM. Understanding the physics of functional fibers in the gastrointestinal tract: an evidence-based approach to resolving enduring misconceptions about insoluble and soluble fiber. J Acad Nutr Diet. 2017;117:251–264.CrossRefPubMed
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King DE, Mainous AG 3rd, Lambourne CA. Trends in dietary fiber intake in the United States, 1999–2008. J Acad Nutr Diet. 2012;112:642–648.CrossRefPubMed
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Kumar A, Kumar N, Vij JC, Sarin SK, Anand BS. Optimum dosage of ispaghula husk in patients with irritable bowel syndrome: correlation of symptom relief with whole gut transit time and stool weight. Gut. 1987;28:150–155.CrossRefPubMedPubMedCentral
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Mohamed LAE-k, Hanafy NF. Hydrotherapy versus laxative for treatment of postoperative constipation among orthopedic patients. Adv Life Sci Technol. 2013;14:50–63.
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Garg P. Local and oral antibiotics with avoidance of constipation (LOABAC) treatment for anal fissure: a new concept in conservative management. Indian J Surg. 2016;78:80.CrossRefPubMed
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Garg P, Lakhtaria P, Gupta V. Oral plus local antibiotics significantly reduce the need for operative intervention in chronic anal fissure: a novel finding. Indian J Surg. 2017. doi:10.​1007/​s12262-017-1617-z.PubMed
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Wald A, Scarpignato C, Mueller-Lissner S, Kamm MA, et al. A multinational survey of prevalence and patterns of laxative use among adults with self-defined constipation. Aliment Pharmacol Ther. 2008;28:917–930.PubMed
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Wald A, Mueller-Lissner S, Kamm MA, Hinkel U, et al. Survey of laxative use by adults with self-defined constipation in South America and Asia: a comparison of six countries. Aliment Pharmacol Ther. 2010;31:274–284.PubMed
Metadata
Title
Physiologic Management of Chronic Constipation: Let’s FEED It
Author
Pankaj Garg
Publication date
01-11-2017
Publisher
Springer US
Published in
Digestive Diseases and Sciences / Issue 11/2017
Print ISSN: 0163-2116
Electronic ISSN: 1573-2568
DOI
https://doi.org/10.1007/s10620-017-4769-6

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