Constipation - Differential Diagnosis Algorithm
Diet/Lifestyle
• Fibre
• Calories
• Fluid
• Exercise
• Psychosocial
Medications
• Neurally Active Medications (e.g. Opiates, Antihypertensives)
• Cation Related (e.g. Iron, Aluminum, Calcium, Potassium)
• Anticholinergic (e.g. Antispasmodics, Antidepressants, Antipsychotics)
Colonic Inertia
Outlet Delay
• Pelvic Floor Dyssyngergia
Irritable Bowel
Neurogenic - Peripheral
• Hirschsprung's Disease
• Autonomic Neuropathy
• Pseudo--obstruction
Neurogenic - Central
• Muitiple Sclerosis
• Parkinson's Disease
• Spinal Cord / SacraI / Cauda Equina Injury
Metabolic
• Hypothyroidism
• Hypokalemia
• Hypercalcemia
Colorectal Disease
• Colon Cancer
• Colonic Stricture (Inflammatory Bowel Disease and Diverticular Disease)
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