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Constipation in Pregnancy

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1. Interventions for treating constipation in pregnancy. (Abstract)

Interventions for treating constipation in pregnancy. Constipation is a common symptom experienced during pregnancy. It has a range of consequences from reduced quality of life and perception of physical health to haemorrhoids. An understanding of the effectiveness and safety of treatments for constipation in pregnancy is important for the clinician managing pregnant women.To assess the effectiveness and safety of interventions (pharmacological and non-pharmacological) for treating constipation (...) in pregnancy.We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (30 April 2015), ClinicalTrials.gov and the WHO International Clinical Trials Registry Platform (ICTRP) (30 April 2015) and reference lists of retrieved studies.We considered all published, unpublished and ongoing randomised controlled trials (RCTs), cluster-RCTs and quasi-RCTs, evaluating interventions (pharmacological and non-pharmacological) for constipation in pregnancy. Cross-over studies were not eligible

2015 Cochrane

2. The effect of glucomannan on pregnancy constipation. (Abstract)

The effect of glucomannan on pregnancy constipation. Constipation is a common complication among pregnant women; it refers to hard and infrequent bowel movements where the stools defected from body becomes hard and dry, as well. various medical interventions are nowadays implemented to treat constipation, Some of which are either banned or not willingly implemented by pregnant women; thus, doctors try to avoid such methods. Glucomannan, a combination of a few simple sugars, is an effective (...) substance for treating constipation. According to the results of studies conducted in this area, glucomannan has been greatly welcomed and approved by pregnant women. Thus, the present study was conducted to investigate the effect of glucomannan on pregnancy constipation and to compare it with other common treatment methods.This study is a clinical trial in which 64 pregnant women with constipation were investigated in the two groups of intervention and control (32 participants in each group). All

2019 Journal of family medicine and primary care Controlled trial quality: uncertain

3. Constipation

cause. Secondary constipation is caused by a drug or medical condition (such as endocrine and metabolic diseases (...) , myopathic and neurological conditions, and certain bowel conditions). Faecal loading/impaction is retention of faeces to the extent that spontaneous evacuation is unlikely. Constipation is common at all ages especially in women, the elderly, and during pregnancy. Assessment should determine: The person’s understanding of constipation . The severity and impact of the constipation (...) Constipation Top results for constipation - Trip Database or use your Google+ account Liberating the literature ALL of these words: Title only Anywhere in the document ANY of these words: Title only Anywhere in the document This EXACT phrase: Title only Anywhere in the document EXCLUDING words: Title only Anywhere in the document Timeframe: to: Combine searches by placing the search numbers in the top search box and pressing the search button. An example search might look like (#1 or #2

2018 Trip Latest and Greatest

4. Colorectal Cancer Presenting with Constipation During Pregnancy Full Text available with Trip Pro

Colorectal Cancer Presenting with Constipation During Pregnancy Colorectal cancer is a rare occurrence during pregnancy and can present with symptoms that are common during pregnancy such as constipation.This can make the diagnosis of colorectal cancer during pregnancy difficult. Management of colorectal cancer during pregnancy is similar to the treatment of non-pregnant patients, but with fetal safety in mind. This case report describes a 33-year-old female gravida two para one (G2P1) at 29 (...) pregnancy. Once diagnosed, surgery can be considered if resectable, taking into account gestational age. Fetal safety is a major consideration during treatment.

2017 Cureus

5. CRACKCast E032 – Constipation

CRACKCast E032 – Constipation CRACKCast E032 - Constipation - CanadiEM CRACKCast E032 – Constipation In , by Adam Thomas March 23, 2017 This episode of CRACKCast cover’s Rosen’s Chapter 32, Constipation 1 . Constipation is a common presenting symptoms in the ER in our geriatric population, and a good approach can help prevent unnecessary testing. Shownotes – Rosen’s in Perspective Constipation as lots of different definitions: straining hard/infrequent stools pain during BMs, *Always have (...) the patient define what they mean by constipation* Chronic constipation > 3 months Constipation + inability to pass flatus = obstipation Constipation is most common in Women Elderly low SES high BMIs low fiber sedentaryism multiple medication GI tract normally sees 10 L of fluids and secretions. The small intestine absorbs all but 500 ml The colon uses these residues from the ileum to ferment and salvage nutrients and water. Stool evacuation and transport depends on: Neurotransmitters Colonic reflexes

2017 CandiEM

6. Constipation in Pregnancy

Constipation in Pregnancy Constipation in Pregnancy Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Constipation in Pregnancy (...) Constipation in Pregnancy Aka: Constipation in Pregnancy II. Evaluation See III. Management: Symptomatic Maximize dietary intake supplementation with ( ) More than 96 ounces of non-caffeinated fluid daily Increase intake of non-constipating foods (prunes) Medications safe in pregnancy ( ) - but questionable efficacy Medications to avoid in pregnancy Avoid s IV. References Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Constipation

2018 FP Notebook

7. The Effect of Probiotic Yogurt on Constipation in Pregnant Women: A Randomized Controlled Clinical Trial. Full Text available with Trip Pro

The Effect of Probiotic Yogurt on Constipation in Pregnant Women: A Randomized Controlled Clinical Trial. Probiotics can alter the colonic microbiota and might improve bowel function.The aim of this study was to evaluate the effect of the consumption of yogurt, enriched with Bifidobacterium and Lactobacillus 4.8 × 1010 (CFU) on the symptoms of constipated pregnant women.This triple-blind randomized controlled trial was conducted on 60 constipated pregnant women who were diagnosed by the ROME (...) ). There was no statistically significant difference between the groups in the mean scores of physical (P = 0.726) and mental (P = 0.678) aspects of quality of life after the intervention with the adjusting of baseline scores.Consumption of 300 g/day probiotic and conventional yogurt can play a role in improving the symptoms of constipation during pregnancy.

2017 Iranian Red Crescent medical journal Controlled trial quality: predicted high

8. Constipation in older adults: Stepwise approach to keep things moving

Constipation in older adults: Stepwise approach to keep things moving Constipation in older adults | The College of Family Physicians of Canada Main menu User menu Search Search for this keyword Search for this keyword Research Article Practice Constipation in older adults Stepwise approach to keep things moving Brenda G. Schuster , Lynette Kosar and Rejina Kamrul Canadian Family Physician February 2015, 61 (2) 152-158; Brenda G. Schuster Clinical Pharmacist in the Academic Family Medicine Unit (...) , Regina Division, at the University of Saskatchewan, and Academic Detailer for the RxFiles Academic Detailing Program. Lynette Kosar Clinical Pharmacist for the RxFiles Academic Detailing Program. Rejina Kamrul Assistant Professor in the Academic Family Medicine Unit, Regina Division. Constipation is a common complaint and challenge for older adults. The prevalence of constipation increases with age and differs among settings. In individuals 65 years of age or older in the community, the prevalence

2016 RxFiles

9. Constipation

. Faecal loading/impaction describes retention of faeces to the extent that spontaneous evacuation is unlikely. Functional (primary or idiopathic)constipation is chronic constipation without a known cause. Secondary (organic) constipation is constipation caused by a drug or underlying medical condition. Constipation may occur at any age but is more common in women, the elderly, and during pregnancy. Assessment of a person with constipation should include: Any red flag symptoms or signs that may suggest (...) in primary care. Symptoms persist or recur despite optimal management in primary care. Referral to a local continence service or dietitian should be considered, using clinical judgement. Have I got the right topic? Have I got the right topic? From age 18 years onwards. This CKS topic covers the management of constipation in adults, including in pregnancy and during breastfeeding. This CKS topic does not cover the management of constipation in palliative care or the specialist management of opioid-induced

2019 NICE Clinical Knowledge Summaries

10. Interventions for treating postpartum constipation. Full Text available with Trip Pro

Interventions for treating postpartum constipation. Constipation is a functional bowel disorder that can reduce quality of life in the puerperium period. The diagnosis of postpartum constipation is both subjective and objective. It is characterised by symptoms such as pain or discomfort, straining, hard lumpy stools and a sense of incomplete bowel evacuation. Haemorrhoids, pain at the episiotomy site, effects of pregnancy hormones and hematinics used in pregnancy can increase the risk (...) of postpartum constipation. Although a high fibre diet and increased fluid intake is encouraged to assist defecation in the puerperium, pain-relieving drugs and laxatives are common drugs of choice to alleviate constipation. However, the effectiveness and safety of laxatives on the nursing mother need to be ascertained.To evaluate the effectiveness of interventions for treating postpartum constipation.We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (28 March 2014), the metaRegister

2014 Cochrane

11. Easing the strain: put your feet up for constipation

themselves over-the-counter bulk forming laxatives if they have chronic constipation. If you are already bunged up, you don’t need any more volume. Pregnancy, childbirth and bowels Pregnancy is particularly challenging because the growing uterus squashes the colon and the hormonal changes make it sluggish. Many pregnant women are prescribed iron supplements which increase the risk of constipation. Fear of post-delivery pain from tear or episiotomy sites can cause anxiety around bowel movements (...) Easing the strain: put your feet up for constipation Easing the strain: put your feet up for constipation - Evidently Cochrane Search and hit Go By February 24, 2016 // In this guest blog, pelvic physiotherapist and comedian Elaine Miller tells us what we need to know to avoid constipation and when the going gets tough. This is the third blog in our new series Evidence for Everyday Health Choices. Constipation is a miserable condition which can worsen co-morbidities like low back pain, muscle

2016 Evidently Cochrane

12. Sacral nerve stimulation for faecal incontinence and constipation: a European consensus statement

, voted 21. Agree/strongly agree 21. Agreement 100%. Evidence grade 2−. Recommendation D.) SNS and pregnancy There is no evidence of any detrimental effect of SNS during pregnancy , , but for reasons of caution: It is recommended that any functioning SNS implanted pulse generator (IPG) should be switched off as soon as the patient is aware that she is pregnant. (Abstained 0, voted 22. Agree/strongly agree 18. Agreement 82%. Evidence grade 3. Recommendation D.) SNS should not be started during (...) Sacral nerve stimulation for faecal incontinence and constipation: a European consensus statement Sacral nerve stimulation for faecal incontinence and constipation: a European consensus statement - Maeda - 2015 - Colorectal Disease - Wiley Online Library By continuing to browse this site, you agree to its use of cookies as described in our . Search within Search term Search term Consensus Statement Free Access Sacral nerve stimulation for faecal incontinence and constipation: a European

2015 Palliative Care Evidence Review Service (PaCERS)

13. Treatments for Constipation

://www.ncbi.nlm.nih.gov/pmc/articles/PMC2907601 PubMed: PM21718572 Mueller-Lissner SA, Wald A. Constipation in adults. Clin Evid (Online). 2010;2010. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3217654 PubMed: PM21418672 Tabbers MM, Boluyt N, Berger MY, Benninga MA. Constipation in children. Clin Evid (Online). 2010;2010. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2907595 PubMed: PM21718570 Vazquez JC. Constipation, haemorrhoids, and heartburn in pregnancy. Clin Evid (Online (...) Treatments for Constipation TITLE: Treatments for Constipation: A Review of Systematic Reviews DATE: 17 November 2014 CONTEXT AND POLICY ISSUES Constipation has many definitions and is often described differently depending on the population queried. Physicians may define constipation as a reduction in the frequency of bowel movements to fewer than three times per week while patients identify more with the symptoms associated with constipation such as difficulty passing stool, hard stool

2014 Canadian Agency for Drugs and Technologies in Health - Rapid Review

14. The Effect of CSP01 on Chronic Idiopathic Constipation and Irritable Bowel Syndrome With Constipation

The Effect of CSP01 on Chronic Idiopathic Constipation and Irritable Bowel Syndrome With Constipation The Effect of CSP01 on Chronic Idiopathic Constipation and Irritable Bowel Syndrome With Constipation - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please (...) remove one or more studies before adding more. The Effect of CSP01 on Chronic Idiopathic Constipation and Irritable Bowel Syndrome With Constipation The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT03054506 Recruitment Status : Completed First Posted : February 15, 2017 Last Update Posted : March 6

2017 Clinical Trials

15. Bacterial vaginosis in pregnancy and risk of spontaneous preterm delivery

The objective of this guideline is to evaluate bacterial vaginosis in pregnancy concerning • Different treatments for prevention of preterm delivery. • Screening of pregnant women with low as well as high risk of sPTD. • Stratification into gestational ages below and above 16 weeks. • Diagnostic methods. Key words Bacterial vaginosis, vaginal pH, pH-glove, vaginal discharge, Nugent score, Amsel score, Gardnerella vaginalis, Mobiluncus species, preterm delivery, preterm birth, GRADE, clindamycin (...) , clindamycin might be used for treatment of symp- toms). • This recommendation addresses both treatment with metronidazole and clindamycin. • This recommendation addresses all gestational ages of pregnancy. Treatment with probiotics ??: We suggest against treatment of BV-positive pregnant women with probiotics in order reducing the risk of sPTD. • This recommendation addresses both women at low and high risk of sPTD. • This recommendation addresses asymptomatic as well as symptomatic women

2019 Nordic Federation of Societies of Obstetrics and Gynecology

16. Substance use disorders in pregnancy: clinical, ethical, and research imperatives of the opioid epidemic Full Text available with Trip Pro

on OUD in particular; to draft preliminary recommendations regarding screening, pain management, and medication-assisted therapy (MAT) for OUD during pregnancy; and to delineate research gaps. Epidemiology of opioid use in pregnancy Epidemiologic evidence that was presented at the workshop demonstrated that rates of substance use in pregnancy have increased significantly in the past decade and that rates of OUD in pregnant and postpartum women have increased in parallel: • One study reported (...) that 21.6% of pregnant women enrolled in Medicaid receive a prescription for opioids. x 1 Desai, R.J., Hernandez-Diaz, S., Bateman, B.T., and Huybrechts, K.F. Increase in prescription opioid use during pregnancy among Medicaid-enrolled women. Obstet Gynecol . 2014 ; 123 : 997–1002 • From 2000–2009, antepartum maternal opiate use increased from 1.19 (95% confidence interval (CI), 1.01–1.35) to 5.63 (95% CI, 4.40–6.71) per 1000 hospital births per year. x 2 Patrick, S.W., Schumacher, R.E., Benneyworth

2019 Society for Maternal-Fetal Medicine

17. UK guidelines on the management of iron deficiency in pregnancy Full Text available with Trip Pro

is required for fetal growth and development (Scholl, ), as well as for increased maternal erythropoiesis (Bothwell, ; Fisher & Nemeth, ). The current Hb thresholds defining anaemia in pregnancy are based on historical normal values derived from non‐pregnant populations, which are not clearly linked to clinical outcomes and there is ongoing debate as to the applicability of these values (Pasricha et al , ). The WHO is reviewing the evidence relating to the Hb below which anaemia should be defined (WHO (...) period are recognised as a critical period where there is rapid brain development, high neural plasticity and high nutritional requirement (Gluckman & Hanson, ; Georgieff et al , ). Animal studies show maternal iron deficiency late in pregnancy is associated with neurodevelopmental impairment. Observational studies in pregnant women have found that iron deficiency anaemia late in pregnancy is associated with premature birth and low Apgar score (<5 at 1 min) (Lone et al , ), and impaired motor

2019 British Committee for Standards in Haematology

18. Pregnancy and Postpartum Bowel Changes: Constipation and Fecal Incontinence. (Abstract)

Pregnancy and Postpartum Bowel Changes: Constipation and Fecal Incontinence. Pregnancy and the postpartum period are often associated with many gastrointestinal complaints, including nausea, vomiting, and heartburn; however, the most troublesome complaints in some women are defecatory disorders such as constipation and fecal incontinence, especially postpartum. These disorders are often multifactorial in etiology, and many studies have looked to see what risk factors lead to these complications (...) . This review discusses the current knowledge of pelvic floor and anorectal physiology, especially during pregnancy, and reviews the current literature on causes and treatments of postpartum bowel symptoms of constipation and fecal incontinence.

2015 American Journal of Gastroenterology

19. Methylnaltrexone vs Naloxegol in the Treatment of Opioid-Induced Constipation

Eligible for Study: 18 Years and older (Adult, Older Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: No Criteria Inclusion Criteria: Complaint of opioid-induced constipation refractory to other therapy (enemas, laxatives, stool softeners) Age≥18y/o Not pregnant or lactating (negative urinary pregnancy test) No contraindication to Methylnaltrexone or Naloxegol Exclusion Criteria: Age<18y/o Pregnancy or lactation Contraindication to Methylnaltrexone or Naloxegol Assigned NPO Small bowel (...) Methylnaltrexone vs Naloxegol in the Treatment of Opioid-Induced Constipation Methylnaltrexone vs Naloxegol in the Treatment of Opioid-Induced Constipation - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more

2018 Clinical Trials

20. Blood Glucose Response After Oral Intake of Lactulose in Mildly Constipated Patients With Diabetes Mellitus Type 2

Blood Glucose Response After Oral Intake of Lactulose in Mildly Constipated Patients With Diabetes Mellitus Type 2 Blood Glucose Response After Oral Intake of Lactulose in Mildly Constipated Patients With Diabetes Mellitus Type 2 - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number (...) of saved studies (100). Please remove one or more studies before adding more. Blood Glucose Response After Oral Intake of Lactulose in Mildly Constipated Patients With Diabetes Mellitus Type 2 The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT03666546 Recruitment Status : Active, not recruiting First

2018 Clinical Trials

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