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Constipation – Constipation occurs in 11–38% of pregnant women. [29] Constipation during pregnancy is thought to be due to decreased smooth muscle motility in the bowel caused by normal increases in progesterone. [30] Treatment for constipation includes dietary modifications, including increased fiber and fluid intake, stool softeners, and ...
Treatment of this condition is very similar to treatment of non-gravid heart failure patients, however, safety of the fetus must be prioritized. For example, for anticoagulation due to increased risk for thromboembolism, low molecular weight heparin which is safe for use during pregnancy is used instead of warfarin which crosses the placenta.
Constipation is more concerning when there is weight loss or anemia, blood is present in the stool, there is a history of inflammatory bowel disease or colon cancer in a person's family, or it is of new onset in someone who is older. [12] Treatment of constipation depends on the underlying cause and the duration that it has been present. [4]
Pregnancy usually occurs by sexual intercourse, but can also occur through assisted reproductive technology procedures. [6] A pregnancy may end in a live birth, a miscarriage, an induced abortion, or a stillbirth. Childbirth typically occurs around 40 weeks from the start of the last menstrual period (LMP), a span known as the gestational age.
Lactulose is a non-absorbable sugar used in the treatment of constipation and hepatic encephalopathy. [3] [4] It is administered orally for constipation, and either orally or rectally for hepatic encephalopathy. [3] It generally begins working after 8–12 hours, but may take up to 2 days to improve constipation. [1] [2]
Constipation as a general complaint is very common. The ODS subtype is also known to be a common problem, [1] but the exact reported epidemiological figures vary. [5] It is estimated that approximately a third of patients complaining of constipation have the ODS subtype, which is more than slow transit constipation. [5]
Abnormal descent of the perineum may be asymptomatic, but otherwise the following may feature: perineodynia (perineal pain) [1]; Colo-proctological symptoms, e.g. obstructed defecation, [4] dyschesia (constipation), [1] or degrees of fecal incontinence [1]
Anismus is classified as a functional defecation disorder. It is also a type of rectal outlet obstruction (a functional outlet obstruction). Where anismus causes constipation, it is an example of functional constipation. Many authors describe an "obstructed defecation syndrome", of which anismus is a cause. [24]
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