Effective Management Strategies for Chronic Constipation:
Reviewing the Evidence



Before you begin, please help us assess the effectiveness of this educational activity.

Please indicate your profession:
My primary specialty is:
Please consider the following case for questions 1&2: Ms. Jones is a 79-year-old patient in your primary care practice. Her diagnoses include hypertension, diabetes mellitus, and mild cognitive impairment. Her medications include donepezil, hydrochlorothiazide, verapamil, and metformin. At this visit, she complains of constipation and abdominal fullness.
Which of the following features of this patient are risk factors for chronic constipation?(select all that apply)
Which of the following would you do at this point? (select only 1)
Using the scale below, please rate the effectiveness of the following options in managing a patient’s chronic constipation. (select one for each choice)
Extremely
effective
6

5

4

3

2		Not at all
effective
1
Bulking agents (eg, methylcellulose)
Stool softener (eg, docusate)
Enemas (eg, sodium phosphates)
Stimulants (eg, bisacodyl)
Osmotic agents (eg, polyethylene glycol)
Lubricants (eg, mineral oil)
Chloride channel activator (eg, lubiprostone)



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