FC in Geriatrics: Diagnosis and Management
Geriatrics is the branch of medicine that focuses on the health of older adults. Functional constipation (FC) is a common problem among older adults, and it can have a significant impact on quality of life. The diagnosis of FC is based on the Rome IV criteria, which include symptoms such as infrequent bowel movements, difficulty passing stools, and the need for manual maneuvers to evacuate the bowel.
Management of FC in older adults typically involves a combination of lifestyle changes, such as increasing physical activity and fiber intake, and the use of medications, such as laxatives and prokinetics. In some cases, a referral to a specialist, such as a gastroenterologist or a colorectal surgeon, may be necessary.
It is important to note that FC can be a symptom of an underlying condition, such as colon cancer or neurological disorders, and appropriate investigation and management of underlying conditions is crucial.
It is also important to consider the potential side effects of medications and their interactions with other medications that the older adult may be taking.
In summary, FC is a common problem among older adults that can have a significant impact on quality of life. It should be diagnosed and managed using a combination of lifestyle changes and medications, with referral to a specialist if necessary. The underlying condition should be also considered and appropriate investigation and management should be done.