Algorithm for Treating Constipation in Hospitalized Patients 1. Start with miralax daily, uptitrate to desired BM, consider addition of senna as needed/if on opioids 2. Give magnesium citrate/suppository If ESRD/cirrhosis: choose lactulose instead of milk of magnesia If neutropenic, no enemas disimpaction 3. Give an enema including tap water, smog, or soap suds w/ oral laxative (avoid fleet enema with advanced renal disease) 4. Manual disimpaction Dr. Ann Marie Kumfer @AnnKumfer #Constipation #Algorithm #management #treatment #inpatient
