Canterbury DHB
Constipation is common in advanced disease and can cause many distressing symptoms colicky abdominal pain, anorexia, nausea, vomiting, urinary retention, anxiety and in some elderly patients may cause confusion.
Prevention is the key, and the need to treat constipation is usually due to a failure of prevention.
It should be anticipated when patients are taking opioids or anticholinergic drugs and it is imperative in these patients to prescribe prophylactic laxatives. "The hand that charts the morphine, charts the laxatives".
A rectal examination must be carried out on all patients to decide on appropriate treatment required.
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Topic Code: 4097