Tags

Type your tag names separated by a space and hit enter

Bowel care in the elderly.
Dig Dis. 2007; 25(2):160-5.DD

Abstract

BACKGROUND

Intestinal complaints are a frequent health concern for elderly people and their care providers.

AIMS

To explore the distinction between constipation and the subjective complaints in elderly people and to review the diagnosis, causes and treatment of constipation, fecal impaction, and fecal incontinence.

METHODS

Review of studies that give information on prevalence, causes, symptoms, and treatment of bowel problems in the elderly, excluding uncontrolled clinical observations.

RESULTS

Self-reported constipation and laxative use increase with age and are more common among women, blacks and people of low socio-economic level. The patient's pharmacological history is fundamental, because medications are the cause of up to 40% of chronic constipation, and are often used inappropriately. The results of most laxative trials require cautious interpretation, but fiber and laxatives are more effective than placebo against constipation. Much additional research is needed to determine the most cost-effective method of treating intestinal complaints in the elderly.

CONCLUSIONS

Bowel problems in older people have a considerable impact on the quality of life and have many contributory causes that are often amenable to treatment and management. Results of therapy can be good, leading to alleviation of suffering and the ability to lead a fuller life.

Authors+Show Affiliations

Department of Gastroenterology, Ospedale Valduce, Como, Italy. gispinz@tin.it

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

17468552

Citation

Spinzi, G C.. "Bowel Care in the Elderly." Digestive Diseases (Basel, Switzerland), vol. 25, no. 2, 2007, pp. 160-5.
Spinzi GC. Bowel care in the elderly. Dig Dis. 2007;25(2):160-5.
Spinzi, G. C. (2007). Bowel care in the elderly. Digestive Diseases (Basel, Switzerland), 25(2), 160-5.
Spinzi GC. Bowel Care in the Elderly. Dig Dis. 2007;25(2):160-5. PubMed PMID: 17468552.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Bowel care in the elderly. A1 - Spinzi,G C, PY - 2007/5/1/pubmed PY - 2007/7/3/medline PY - 2007/5/1/entrez SP - 160 EP - 5 JF - Digestive diseases (Basel, Switzerland) JO - Dig Dis VL - 25 IS - 2 N2 - BACKGROUND: Intestinal complaints are a frequent health concern for elderly people and their care providers. AIMS: To explore the distinction between constipation and the subjective complaints in elderly people and to review the diagnosis, causes and treatment of constipation, fecal impaction, and fecal incontinence. METHODS: Review of studies that give information on prevalence, causes, symptoms, and treatment of bowel problems in the elderly, excluding uncontrolled clinical observations. RESULTS: Self-reported constipation and laxative use increase with age and are more common among women, blacks and people of low socio-economic level. The patient's pharmacological history is fundamental, because medications are the cause of up to 40% of chronic constipation, and are often used inappropriately. The results of most laxative trials require cautious interpretation, but fiber and laxatives are more effective than placebo against constipation. Much additional research is needed to determine the most cost-effective method of treating intestinal complaints in the elderly. CONCLUSIONS: Bowel problems in older people have a considerable impact on the quality of life and have many contributory causes that are often amenable to treatment and management. Results of therapy can be good, leading to alleviation of suffering and the ability to lead a fuller life. SN - 1421-9875 UR - https://www.unboundmedicine.com/medline/citation/17468552/Bowel_care_in_the_elderly_ L2 - https://www.karger.com?DOI=10.1159/000099481 DB - PRIME DP - Unbound Medicine ER -