便秘:生理的方法

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管理病人便秘的第一步是了解投诉的确切性质。最近开始吗?的频率和大便的形式,需要付出多少努力大便吗?便秘稳定或交替在肠易激综合症?有结构、代谢或药理混杂因素?病人抑郁吗?膳食纤维被试在一个足够的剂量?病人的理解和信仰是什么症状呢?有足够的和适当的调查?带着这些问题的答案,医生可以帮助大多数患者通过生活方式,饮食和药物调整,补充纤维。 Some patients may require regular doses of an osmotic laxative. Those few that fail these measures should have their transit time estimated while on a high fibre diet; if it is normal, further testing is unlikely to help. The above efforts should be re-emphasized, and reassurance should be offered. Some patients may require a psychological assessment. If transit time is prolonged and the patient may benefit from surgery for colonic inertia or biofeedback for anismus, then colon and anorectal function should be assessed. The decision to perform further tests should be made carefully, and unrealistic expectations should be discouraged. Before surgery is offered, the patient should have the benefit of receiving an expert opinion. Biofeedback helps some patients with isolated anorectal dysfunction.

加拿大胃肠病学和肝脏病学杂志》上

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