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
💩 💩 💩
#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.
It’s also a *symptom* (like chest pain), so need to figure out what’s causing it and treat accordingly.
Anatomy and physiology of defecation, with fun facts!
More on this here 👇🏽
https://twitter.com/john_damianosMD/status/1425009999634391091
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 💩
• • •
Missing some Tweet in this thread? You can try to
force a refresh
