127 results
Causes of Constipation - Differential Diagnosis Framework
 • Motility: Diet, IBS-C, Colonic inertia, Pelvic floor disorders,
Causes of Constipation ... inertia, Pelvic floor ... @drkeithsiau #Constipation
Stool Incontinence - Differential Diagnosis Algorithm
Affected Pelvic Floor 
 - Trauma/Surgery
   • Surgery: Anorectal,
Affected Pelvic Floor ... Intact Pelvic Floor ... - Chronic Constipation
Constipation - Differential Diagnosis Algorithm
Diet/Lifestyle
 • Fibre
 • Calories
 • Fluid
 • Exercise
 • Psychosocial
Medications
 •
Constipation - Differential ... Delay • Pelvic Floor ... Diverticular Disease) #Constipation
Bloating and Belching - Differential Diagnosis Framework and Workup
Phenotypes:
"The gastric bloater" - Gastric outlet obstruction, Gastroparesis,
IBS-C, Simple constipation ... , Pelvic floor dysfunction
Causes of Chronic Pelvic Pain (> 6 months in duration) - Differential Diagnosis Algorithm
Co-morbidities:
 • Somatization
bowel disease • Constipation ... Musculoskeletal: • Pelvic floor
Management of Abdominal Distension and Bloating - Treatment Algorithm

Definitions
Pathophysiology
Organic/Pathologic Etiologies:
 • Small Intestinal Bowel Overgrowth (SIBO)
Chronic Idiopathic Constipation ... • Pelvic Floor
Causes of Constipation in Adults
Most common
 - Inadequate fiber or fluid intake
 - Poor bowel habits
Systemic
Causes of Constipation ... pseudo-obstruction Pelvic floor ... bowel syndrome #Constipation
Pathogenesis of Select Causes of Constipation in Adults and in Elderly

 • Mechanical (ex. Bowel Obstruction,
Select Causes of Constipation ... contract • Pelvic Floor ... transit time #constipation
Irritable Bowel Syndrome (IBS) - Diagnosis and Workup Summary
Use a positive diagnostic strategy with minimal testing.
Pelvic Floor Disorder ... /or Refractory Constipation
Irritable Bowel Syndrome (IBS) Treatment Algorithm

IBS-Constipation:
 • Constipation: Osmotic laxatives
 • Abdominal pain: Antispasmodics

IBS-Diarrhea:
 • Diarrhea:
Algorithm IBS-Constipation ... : • Constipation