I gave a talk on inpatient bowel regimens today for the @YaleMed @YaleIMed residents and students, with additional 💎s on outpatient #constipation. Here are the slides!
💩 💩 💩
#MedTwitter #GITwitter #motility #MedEd @YaleIM_Chiefs @MayoClinicGIHep
Most inpatients require a bowel regimen. Our patients typically have most of the risk factors for #constipation!
#Constipation is more about symptoms than frequency! 🚽
It’s also a *symptom* (like chest pain), so need to figure out what’s causing it and treat accordingly.
Inpatient #constipation is associated with worse 🏥 outcomes.
@KewinSiah #StoolCanKill
Anatomy and physiology of defecation, with fun facts!
Part 1: above and other- I think of 🔟 broad classes 💩
We should optimize these lifestyle factors for all patients with #constipation
👎Lubricants
👎Docusate is the worst! And that includes senna-docusate!
👍Bulk forming agents = FIBER
👍Stimulant laxatives
👍Osmotic laxatives
👍PAMORAs
👍Secretagogues and prokinetics
👍#Microbiome therapeutics
👍Miscellaneous
🍑Below: suppositories and enemas
Pitfalls
My approach for inpatient and outpatient #constipation 💩
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