Rehabilitation for Chronic Constipation: Integrative Approaches to Diagnosis and Treatment
<b>Background:</b> Chronic constipation is a well-recognized complication which is caused by hard and/or infrequent defecation. According to estimates, constipation presents as a chronic illness affecting 16% of adults globally, who deal with insufficient bowel movements that cause disco...
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MDPI AG
2025-01-01
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| Series: | Gastrointestinal Disorders |
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| Online Access: | https://www.mdpi.com/2624-5647/7/1/11 |
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| author | Luana Alexandrescu Ionut Eduard Iordache Alina Mihaela Stanigut Laura Maria Condur Doina Ecaterina Tofolean Razvan Catalin Popescu Andreea Nelson Twakor Eugen Dumitru Andrei Dumitru Cristina Tocia Alexandra Herlo Ionut Tiberiu Tofolean |
| author_facet | Luana Alexandrescu Ionut Eduard Iordache Alina Mihaela Stanigut Laura Maria Condur Doina Ecaterina Tofolean Razvan Catalin Popescu Andreea Nelson Twakor Eugen Dumitru Andrei Dumitru Cristina Tocia Alexandra Herlo Ionut Tiberiu Tofolean |
| author_sort | Luana Alexandrescu |
| collection | DOAJ |
| description | <b>Background:</b> Chronic constipation is a well-recognized complication which is caused by hard and/or infrequent defecation. According to estimates, constipation presents as a chronic illness affecting 16% of adults globally, who deal with insufficient bowel movements that cause discomfort, bloating, or a sensation of incomplete bowel. <b>Objectives:</b> This review looks at the many local and systemic factors that contribute to the pathogenesis of the causative, including dietary habits, genetic factors, colon function and absorption, social and economic factors, lifestyle, and biological and drug factors. <b>Results:</b> Appropriate diagnostic and management modalities are the cornerstone in the management of patients with chronic constipation. However, there are still controversies regarding the timing of these diagnostic and management approaches. This condition is common and reduces the quality of life of patients and represents a burden on any healthcare system. In clinical practice, it remains problematic, as physicians are most of the time indecisive on which therapy to administer and at what time. <b>Conclusions:</b> Constipation management is a new topic that was introduced over a decade ago and the purpose of this study is to shed some light onto the practice, problems and modern day techniques that can be used to treat constipation in patients, primarily through behavioural, conservative, medical, and surgical means. Additionally, this particular management is to be used in conjunction with an algorithm designed to enhance and support clinical practice. |
| format | Article |
| id | doaj-art-cd6ea3aac0fe486a92dd9cfe54480399 |
| institution | OA Journals |
| issn | 2624-5647 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Gastrointestinal Disorders |
| spelling | doaj-art-cd6ea3aac0fe486a92dd9cfe544803992025-08-20T02:11:14ZengMDPI AGGastrointestinal Disorders2624-56472025-01-01711110.3390/gidisord7010011Rehabilitation for Chronic Constipation: Integrative Approaches to Diagnosis and TreatmentLuana Alexandrescu0Ionut Eduard Iordache1Alina Mihaela Stanigut2Laura Maria Condur3Doina Ecaterina Tofolean4Razvan Catalin Popescu5Andreea Nelson Twakor6Eugen Dumitru7Andrei Dumitru8Cristina Tocia9Alexandra Herlo10Ionut Tiberiu Tofolean11Gastroenterology Department, “Sf. Apostol Andrei” Emergency County Hospital, 145 Tomis Blvd., 900591 Constanta, RomaniaDepartment of General Surgery, “Sf. Apostol Andrei” Emergency County Hospital, 145 Tomis Blvd., 900591 Constanta, RomaniaMedicine Faculty, “Ovidius” University of Constanta, 1 Universitatii Street, 900470 Constanta, RomaniaMedicine Faculty, “Ovidius” University of Constanta, 1 Universitatii Street, 900470 Constanta, RomaniaMedicine Faculty, “Ovidius” University of Constanta, 1 Universitatii Street, 900470 Constanta, RomaniaDepartment of General Surgery, “Sf. Apostol Andrei” Emergency County Hospital, 145 Tomis Blvd., 900591 Constanta, RomaniaInternal Medicine Department, “Sf. Apostol Andrei” Emergency County Hospital, 145 Tomis Blvd., 900591 Constanta, RomaniaGastroenterology Department, “Sf. Apostol Andrei” Emergency County Hospital, 145 Tomis Blvd., 900591 Constanta, RomaniaGastroenterology Department, “Sf. Apostol Andrei” Emergency County Hospital, 145 Tomis Blvd., 900591 Constanta, RomaniaGastroenterology Department, “Sf. Apostol Andrei” Emergency County Hospital, 145 Tomis Blvd., 900591 Constanta, RomaniaDepartment XIII, Discipline of Infectious Diseases, “Victor Babes” University of Medicine and Pharmacy Timisoara, 2 Eftimie Murgu Square, 300041 Timisoara, RomaniaGastroenterology Department, “Sf. Apostol Andrei” Emergency County Hospital, 145 Tomis Blvd., 900591 Constanta, Romania<b>Background:</b> Chronic constipation is a well-recognized complication which is caused by hard and/or infrequent defecation. According to estimates, constipation presents as a chronic illness affecting 16% of adults globally, who deal with insufficient bowel movements that cause discomfort, bloating, or a sensation of incomplete bowel. <b>Objectives:</b> This review looks at the many local and systemic factors that contribute to the pathogenesis of the causative, including dietary habits, genetic factors, colon function and absorption, social and economic factors, lifestyle, and biological and drug factors. <b>Results:</b> Appropriate diagnostic and management modalities are the cornerstone in the management of patients with chronic constipation. However, there are still controversies regarding the timing of these diagnostic and management approaches. This condition is common and reduces the quality of life of patients and represents a burden on any healthcare system. In clinical practice, it remains problematic, as physicians are most of the time indecisive on which therapy to administer and at what time. <b>Conclusions:</b> Constipation management is a new topic that was introduced over a decade ago and the purpose of this study is to shed some light onto the practice, problems and modern day techniques that can be used to treat constipation in patients, primarily through behavioural, conservative, medical, and surgical means. Additionally, this particular management is to be used in conjunction with an algorithm designed to enhance and support clinical practice.https://www.mdpi.com/2624-5647/7/1/11chronic constipationrehabilitation therapydyssynergic defecationbiofeedback treatmentopioid-induced constipationpelvic floor dysfunction |
| spellingShingle | Luana Alexandrescu Ionut Eduard Iordache Alina Mihaela Stanigut Laura Maria Condur Doina Ecaterina Tofolean Razvan Catalin Popescu Andreea Nelson Twakor Eugen Dumitru Andrei Dumitru Cristina Tocia Alexandra Herlo Ionut Tiberiu Tofolean Rehabilitation for Chronic Constipation: Integrative Approaches to Diagnosis and Treatment Gastrointestinal Disorders chronic constipation rehabilitation therapy dyssynergic defecation biofeedback treatment opioid-induced constipation pelvic floor dysfunction |
| title | Rehabilitation for Chronic Constipation: Integrative Approaches to Diagnosis and Treatment |
| title_full | Rehabilitation for Chronic Constipation: Integrative Approaches to Diagnosis and Treatment |
| title_fullStr | Rehabilitation for Chronic Constipation: Integrative Approaches to Diagnosis and Treatment |
| title_full_unstemmed | Rehabilitation for Chronic Constipation: Integrative Approaches to Diagnosis and Treatment |
| title_short | Rehabilitation for Chronic Constipation: Integrative Approaches to Diagnosis and Treatment |
| title_sort | rehabilitation for chronic constipation integrative approaches to diagnosis and treatment |
| topic | chronic constipation rehabilitation therapy dyssynergic defecation biofeedback treatment opioid-induced constipation pelvic floor dysfunction |
| url | https://www.mdpi.com/2624-5647/7/1/11 |
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