Features of diagnostics and treatment of constipation at patients of elderly age
Abstract
The aim of review. To demonstrate features of diagnostics and treatment of constipation at patients of elderly age.
Original positions. Constipation is present at 40% of persons at the age of 60 years and older. Risk factors of constipation at people of elderly age include: change of pattern of nutrition (decrease of alimentary fibers content in ration); still lifestyle (compelled bed rest); presence of concomitant diseases (endocrine, neurologic, mental disorders – depression, dementia); drug-induced constipations; age-related changes of the large intestine. Diagnostic concept is based on the position, that constipation is not a disease, but is just a symptom. Diagnostic actions should be aimed to recognition of etiology and type of constipation. Treatment should be provided according to the basic disease, and the age of patient. Main components of treatment are: diet, broadening of physical activity regimen, purging. Review presents characteristics of basic types of laxatives that are used at patients of elderly age at constipations of various origin.
Conclusion. Constipation at patients of elderly age is quite frequent and can aggravate general state of the patient. Complex treatment of constipation essentially improves quality of life of patients.
About the Authors
A. V. Kalinin
Государственный институт усовершенствования врачей МО РФ
Russian Federation
Russian Federation
L. I. Butorova
Государственный институт усовершенствования врачей МО РФ
Russian Federation
Russian Federation
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Review
For citations:
Kalinin A.V., Butorova L.I. Features of diagnostics and treatment of constipation at patients of elderly age. Russian Journal of Gastroenterology, Hepatology, Coloproctology. 2010;20(4):58-67. (In Russ.)
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