Constipation causes: Difference between revisions

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==Overview==
==Overview==
Constipation in adults may be due to side effects of [[medications]], such as [[antispasmodics]], [[anticholinergics]], [[analgesics]]; or may be associated with systemic disorders, such as[[diabetes mellitus]] and [[hypothyroidism]].  [[Idiopathic]] constipation should be considered once the secondary causes are ruled out and it may be associated with normal or slow colonic transit, dysfunction in defecation, or both. Constipation in childhood often resolves with age after proper guidance regarding [[diet]], toilet training, and toileting behaviors.
Constipation in adults may be due to side effects of [[medications]], such as [[antispasmodics]], [[anticholinergics]], [[analgesics]]; or may be associated with systemic disorders, such as [[diabetes mellitus]] and [[hypothyroidism]].  [[Idiopathic]] constipation should be considered once the secondary causes are ruled out and it may be associated with normal or slow colonic transit, dysfunction in defecation, or both. Constipation in childhood often resolves with age after proper guidance regarding [[diet]], [[toilet training]], and toileting behaviors.


==Causes==
==Causes==
===Life Threatening Causes===
===Life Threatening Causes===
Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated. These conditions include the followings:
Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated. These conditions include the followings:<ref name="pmid10631634">{{cite journal| author=Hennessey A, Robertson NP, Swingler R, Compston DA| title=Urinary, faecal and sexual dysfunction in patients with multiple sclerosis. | journal=J Neurol | year= 1999 | volume= 246 | issue= 11 | pages= 1027-32 | pmid=10631634 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10631634  }} </ref>
*[[Atropine|Atropine poisoning]]
*[[Atropine|Atropine poisoning]]
*[[Hypokalemia]]
*[[Hypokalemia]]
Line 19: Line 19:


===Common Causes===
===Common Causes===
Common causes of constipation include:<ref name="pmid9932850">{{cite journal| author=Roma E, Adamidis D, Nikolara R, Constantopoulos A, Messaritakis J| title=Diet and chronic constipation in children: the role of fiber. | journal=J Pediatr Gastroenterol Nutr | year= 1999 | volume= 28 | issue= 2 | pages= 169-74 | pmid=9932850 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9932850  }} </ref><ref>{{cite journal |author=Caldarella MP, Milano A, Laterza F, ''et al'' |title=Visceral sensitivity and symptoms in patients with constipation- or diarrhea-predominant irritable bowel syndrome (IBS): effect of a low-fat intraduodenal infusion |journal=Am. J. Gastroenterol. |volume=100 |issue=2 |pages=383–9 |year=2005 |pmid=15667496 |doi=10.1111/j.1572-0241.2005.40100.x}}</ref><ref>{{cite web|url=http://www.helpwithsmoking.com/nicotine-withdrawal.php#constipation |title=Nicotine withdrawal symptoms:Constipation |accessdate=2007-06-29 |date=2005 |publisher=helpwithsmoking.com }}</ref><ref name="pmid16566021">{{cite journal| author=Langston JW| title=The Parkinson's complex: parkinsonism is just the tip of the iceberg. | journal=Ann Neurol | year= 2006 | volume= 59 | issue= 4 | pages= 591-6 | pmid=16566021 | doi=10.1002/ana.20834 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16566021  }} </ref><ref name="pmid10353954">{{cite journal| author=Stadtler AC, Gorski PA, Brazelton TB| title=Toilet training methods, clinical interventions, and recommendations. American Academy of Pediatrics. | journal=Pediatrics | year= 1999 | volume= 103 | issue= 6 Pt 2 | pages= 1359-68 | pmid=10353954 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10353954  }} </ref>
* '''Hardening of the feces'''
* '''Hardening of the feces'''
** Improper [[mastication]]
** Improper [[mastication]]
Line 40: Line 41:
* '''Psychosomatic constipation'''
* '''Psychosomatic constipation'''
** [[Functional constipation]]
** [[Functional constipation]]
** [[Irritable bowel syndrome]]<ref>{{cite journal |author=Caldarella MP, Milano A, Laterza F, ''et al'' |title=Visceral sensitivity and symptoms in patients with constipation- or diarrhea-predominant irritable bowel syndrome (IBS): effect of a low-fat intraduodenal infusion |journal=Am. J. Gastroenterol. |volume=100 |issue=2 |pages=383–9 |year=2005 |pmid=15667496 |doi=10.1111/j.1572-0241.2005.40100.x}}</ref>
** [[Irritable bowel syndrome]]
* [[Smoking cessation]]<ref>{{cite web|url=http://www.helpwithsmoking.com/nicotine-withdrawal.php#constipation |title=Nicotine withdrawal symptoms:Constipation |accessdate=2007-06-29 |date=2005 |publisher=helpwithsmoking.com }}</ref>
* [[Smoking cessation]]
* [[Abdominal surgery]]
* [[Abdominal surgery]]
* [[Childbirth]]
* [[Childbirth]]
===Less Common Causes===
Less common causes of constipation include:<ref name="pmid12826635">{{cite journal| author=Richardson PG, Barlogie B, Berenson J, Singhal S, Jagannath S, Irwin D et al.| title=A phase 2 study of bortezomib in relapsed, refractory myeloma. | journal=N Engl J Med | year= 2003 | volume= 348 | issue= 26 | pages= 2609-17 | pmid=12826635 | doi=10.1056/NEJMoa030288 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12826635  }} </ref><ref name="pmid15188181">{{cite journal| author=Bookman ID, Redston MS, Greenberg GR| title=Successful treatment of cap polyposis with infliximab. | journal=Gastroenterology | year= 2004 | volume= 126 | issue= 7 | pages= 1868-71 | pmid=15188181 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15188181  }} </ref><ref name="pmid22357716">{{cite journal| author=Figueroa JJ, Dyck PJ, Laughlin RS, Mercado JA, Massie R, Sandroni P et al.| title=Autonomic dysfunction in chronic inflammatory demyelinating polyradiculoneuropathy. | journal=Neurology | year= 2012 | volume= 78 | issue= 10 | pages= 702-8 | pmid=22357716 | doi=10.1212/WNL.0b013e3182494d66 | pmc=PMC3306161 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22357716  }} </ref><ref name="pmid15880314">{{cite journal| author=Stanghellini V, Cogliandro RF, De Giorgio R, Barbara G, Morselli-Labate AM, Cogliandro L et al.| title=Natural history of chronic idiopathic intestinal pseudo-obstruction in adults: a single center study. | journal=Clin Gastroenterol Hepatol | year= 2005 | volume= 3 | issue= 5 | pages= 449-58 | pmid=15880314 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15880314  }} </ref><ref name="pmid21605813">{{cite journal| author=Kárpáti S| title=An exception within the group of autoimmune blistering diseases: dermatitis herpetiformis, the gluten-sensitive dermopathy. | journal=Dermatol Clin | year= 2011 | volume= 29 | issue= 3 | pages= 463-8, x | pmid=21605813 | doi=10.1016/j.det.2011.03.019 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21605813  }} </ref><ref name="pmid11074238">{{cite journal| author=Kühnel A, Gross U, Doss MO| title=Hereditary coproporphyria in Germany: clinical-biochemical studies in 53 patients. | journal=Clin Biochem | year= 2000 | volume= 33 | issue= 6 | pages= 465-73 | pmid=11074238 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11074238  }} </ref><ref name="pmid19608677">{{cite journal| author=Ritchie D, Piekarz RL, Blombery P, Karai LJ, Pittaluga S, Jaffe ES et al.| title=Reactivation of DNA viruses in association with histone deacetylase inhibitor therapy: a case series report. | journal=Haematologica | year= 2009 | volume= 94 | issue= 11 | pages= 1618-22 | pmid=19608677 | doi=10.3324/haematol.2009.008607 | pmc=PMC2770976 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19608677  }} </ref><ref name="pmid9818012">{{cite journal| author=Levi N, Schroeder TV| title=Isolated iliac artery aneurysms. | journal=Eur J Vasc Endovasc Surg | year= 1998 | volume= 16 | issue= 4 | pages= 342-4 | pmid=9818012 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9818012  }} </ref><ref name="pmid14597985">{{cite journal| author=Favier R, Jondeau K, Boutard P, Grossfeld P, Reinert P, Jones C et al.| title=Paris-Trousseau syndrome : clinical, hematological, molecular data of ten new cases. | journal=Thromb Haemost | year= 2003 | volume= 90 | issue= 5 | pages= 893-7 | pmid=14597985 | doi=10.1267/THRO03050893 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=14597985  }} </ref><ref name="pmid9443463">{{cite journal| author=O'Suilleabhain P, Low PA, Lennon VA| title=Autonomic dysfunction in the Lambert-Eaton myasthenic syndrome: serologic and clinical correlates. | journal=Neurology | year= 1998 | volume= 50 | issue= 1 | pages= 88-93 | pmid=9443463 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9443463  }} </ref><ref name="pmid8923126">{{cite journal| author=Lopez-Ibor J, Guelfi JD, Pletan Y, Tournoux A, Prost JF| title=Milnacipran and selective serotonin reuptake inhibitors in major depression. | journal=Int Clin Psychopharmacol | year= 1996 | volume= 11 Suppl 4 | issue=  | pages= 41-6 | pmid=8923126 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8923126  }} </ref><ref name="pmid1473414">{{cite journal| author=Jetmore AB, Timmcke AE, Gathright JB, Hicks TC, Ray JE, Baker JW| title=Ogilvie's syndrome: colonoscopic decompression and analysis of predisposing factors. | journal=Dis Colon Rectum | year= 1992 | volume= 35 | issue= 12 | pages= 1135-42 | pmid=1473414 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1473414  }} </ref><ref name="pmid1594338">{{cite journal| author=Partin JC, Hamill SK, Fischel JE, Partin JS| title=Painful defecation and fecal soiling in children. | journal=Pediatrics | year= 1992 | volume= 89 | issue= 6 Pt 1 | pages= 1007-9 | pmid=1594338 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1594338  }} </ref><ref name="pmid3777869">{{cite journal| author=Margulies A, Metman EH, Girard JJ, Dorval ED, Bertrand J| title=[Severe constipation indicative of pseudohypoparathyroidism and resolved after normalization of the blood calcium]. | journal=Ann Gastroenterol Hepatol (Paris) | year= 1986 | volume= 22 | issue= 5 | pages= 271-2 | pmid=3777869 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3777869  }} </ref><ref name="pmid22830463">{{cite journal| author=Euvrard S, Morelon E, Rostaing L, Goffin E, Brocard A, Tromme I et al.| title=Sirolimus and secondary skin-cancer prevention in kidney transplantation. | journal=N Engl J Med | year= 2012 | volume= 367 | issue= 4 | pages= 329-39 | pmid=22830463 | doi=10.1056/NEJMoa1204166 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22830463  }} </ref><ref name="pmid20448107">{{cite journal| author=Waage A, Gimsing P, Fayers P, Abildgaard N, Ahlberg L, Björkstrand B et al.| title=Melphalan and prednisone plus thalidomide or placebo in elderly patients with multiple myeloma. | journal=Blood | year= 2010 | volume= 116 | issue= 9 | pages= 1405-12 | pmid=20448107 | doi=10.1182/blood-2009-08-237974 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20448107  }} </ref><ref name="pmid12432430">{{cite journal| author=Sforzini C, Milani D, Fossali E, Barbato A, Grumieri G, Bianchetti MG et al.| title=Renal tract ultrasonography and calcium homeostasis in Williams-Beuren syndrome. | journal=Pediatr Nephrol | year= 2002 | volume= 17 | issue= 11 | pages= 899-902 | pmid=12432430 | doi=10.1007/s00467-002-0889-z | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12432430  }} </ref><ref name="pmid23522863">{{cite journal| author=Peeters B, Noens I, Philips EM, Kuppens S, Benninga MA| title=Autism spectrum disorders in children with functional defecation disorders. | journal=J Pediatr | year= 2013 | volume= 163 | issue= 3 | pages= 873-8 | pmid=23522863 | doi=10.1016/j.jpeds.2013.02.028 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23522863  }} </ref><ref name="pmid18998743">{{cite journal| author=Yang LP, Plosker GL| title=Desvenlafaxine extended release. | journal=CNS Drugs | year= 2008 | volume= 22 | issue= 12 | pages= 1061-9 | pmid=18998743 | doi=10.2165/0023210-200822120-00008 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18998743  }} </ref><ref name="pmid17826933">{{cite journal| author=Kikuta S, Asakage T, Nakao K, Sugasawa M, Kubota A| title=The aggravating factors of hyperammonemia related to 5-fluorouracil infusion--a report of two cases. | journal=Auris Nasus Larynx | year= 2008 | volume= 35 | issue= 2 | pages= 295-9 | pmid=17826933 | doi=10.1016/j.anl.2007.04.012 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17826933  }} </ref><ref name="pmid3540519">{{cite journal| author=Legha SS| title=Vincristine neurotoxicity. Pathophysiology and management. | journal=Med Toxicol | year= 1986 | volume= 1 | issue= 6 | pages= 421-7 | pmid=3540519 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3540519  }} </ref>
*[[Acute intermittent porphyria]]
*[[Adjustable gastric band]]
*[[Anal atresia]]
*[[Anal carcinoma]]
*[[Autism]]
*[[Autonomic neuropathy]]
*[[Bortezomib]]
*[[polyposis|Cap polyposis]]
*[[Chronic inflammatory demyelinating polyneuropathy]]
*[[Chronic intestinal pseudo-obstruction]]
*[[Dermatitis herpetiformis]]
*[[Desvanlafaxine]]
*[[Diverticulitis natural history, complications and prognosis|Diverticular stricture]],
*[[Eosinophilic gastroenteritis|Eosinophilic colitis]]
*[[Fluorouracil]]
*[[Fructose malabsorption]]
*[[Glucagonoma]]
*[[Hereditary coproporphyria]]
*[[vorinostat|Histone deacetylase inhibitors]]
*[[Iliac artery aneurysm]]
*[[bowel obstruction|Intestinal pseduoobstruction]]
*[[Janumet]] ([[sitagliptin]] and [[metformin]])
*[[Jacobsen syndrome]]
*[[Lambert-Eaton myasthenic syndrome]]
*[[Milnacipran hydrochloride]]
*[[Multiple endocrine neoplasia (MEN 2b)]]
*[[Occult spinal dysraphism sequence]]
*[[Ogilvie's syndrome]]
*[[defecation|Painful defecation]]
*[[Pseudohypoparathyroidism]]
*[[Sirolimus]]
*[[Thalidomide]]
*[[Vincristine]]
*[[Williams-Beuren syndrome]]


===Causes by Organ System===
===Causes by Organ System===
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|- bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Chemical / poisoning'''
| '''Chemical / poisoning'''
| bgcolor="Beige" | [[Atropine|Atropine poisoning]], [[lead poisoning]], [[opium|Opium poisoning]].
| bgcolor="Beige" | [[Atropine|Atropine poisoning]], [[Lead poisoning]], [[opium|Opium poisoning]].


|-
|-
Line 96: Line 133:
[[Bezafibrate]],
[[Bezafibrate]],
[[Bicalutamide]],
[[Bicalutamide]],
[[bile acid sequestrant]],
[[Bile acid sequestrant]],
[[bortezomib]],
[[Bortezomib]],
[[bromocriptine]],
[[Bromocriptine]],
[[buspirone]],
[[Buspirone]],
[[Busulfan]],
[[Busulfan]],
[[butabarbital]],
[[Butabarbital]],
[[Butorphanol]],
[[Butorphanol]],
[[Calcitriol]],
[[Calcitriol]],
Line 224: Line 261:
[[Interferon beta-1b]],
[[Interferon beta-1b]],
[[Ipratropium]],
[[Ipratropium]],
[[Irinotecan]] hydrochloride,
[[Irinotecan|Irinotecan hydrochloride]],
[[Iron supplements]],
[[Iron supplements]],
[[Isocarboxazid]],
[[Isocarboxazid]],
Line 406: Line 443:
[[Vinblastine]],
[[Vinblastine]],
[[Vincristine]],
[[Vincristine]],
[[Vincristine]] sulfate liposome,
[[Vincristine|Vincristine sulfate liposome]],
[[Vindesine]],
[[Vindesine]],
[[Vinorelbine]],
[[Vinorelbine]],
Line 433: Line 470:
[[Hypothyroidism]],
[[Hypothyroidism]],
[[Multiple endocrine neoplasia]],
[[Multiple endocrine neoplasia]],
[[MEN1|Mltiple endocrine neoplasia type 1]],
[[Multiple endocrine neoplasia type 1]], [[Multiple endocrine neoplasia type 2]],  
[[Myxedema]],
[[Myxedema]],
[[Panhypopituitarism]],
[[Panhypopituitarism]],
Line 443: Line 480:
|- bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
| '''Environmental'''
| '''Environmental'''
| bgcolor="Beige" | Cow’s milk intolerance
| bgcolor="Beige" | [[Milk intolerance|Cow’s milk intolerance]]
|-
|-
|- bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
Line 480: Line 517:
[[Megarectum]],
[[Megarectum]],
[[Ogilvie's syndrome]],
[[Ogilvie's syndrome]],
Painful [[Defecation]],
[[Defecation|Painful defecation]],
[[Paralytic ileus]],
[[Paralytic ileus]],
[[Pelvic masses]],
[[Pelvic masses]],
Pelvic [[neoplasm|tumors]],
[[Pelvic masses|Pelvic tumors]],
[[Perianal abscess]],
[[Perianal abscess]],
[[Proctitis]],
[[Proctitis]],
Line 584: Line 621:
| '''Nutritional / Metabolic'''
| '''Nutritional / Metabolic'''
| bgcolor="Beige" |  
| bgcolor="Beige" |  
Cow’s milk intolerance,
[[Milk intolerance|Cow’s milk intolerance]],
[[Food intolerance]],
[[Food intolerance]],
[[Hypercalcemia]],
[[Hypercalcemia]],
Line 638: Line 675:
| '''Rheum / Immune / Allergy'''
| '''Rheum / Immune / Allergy'''
| bgcolor="Beige" |  
| bgcolor="Beige" |  
[[Amyotrophic lateral sclerosis]], [[Ankylosing spondylitis]], [[Chronic inflammatory demyelinating polyneuropathy]], Cow’s milk intolerance, [[Food intolerance]], [[Guillain-Barre syndrome]], [[Lambert-Eaton myasthenic syndrome]], [[Rett syndrome]], [[Scleroderma]].
[[Amyotrophic lateral sclerosis]], [[Ankylosing spondylitis]], [[Chronic inflammatory demyelinating polyneuropathy]], [[Milk intolerance|Cow’s milk intolerance]], [[Food intolerance]], [[Guillain-Barre syndrome]], [[Lambert-Eaton myasthenic syndrome]], [[Rett syndrome]], [[Scleroderma]].
|-
|-
|- bgcolor="LightSteelBlue"
|- bgcolor="LightSteelBlue"
Line 668: Line 705:


===Causes in Alphabetical Order===
===Causes in Alphabetical Order===
{{MultiCol}}
{{columns-list|
*[[5-HT3 antagonist]]
*[[5-HT3 antagonist]]
*[[5-Hydroxytryptophan]]
*[[5-Hydroxytryptophan]]
Line 702: Line 739:
*[[Atropine]]
*[[Atropine]]
*[[Auranofin]]
*[[Auranofin]]
*[[Autism]]<ref name="pmid23522863">{{cite journal| author=Peeters B, Noens I, Philips EM, Kuppens S, Benninga MA| title=Autism spectrum disorders in children with functional defecation disorders. | journal=J Pediatr | year= 2013 | volume= 163 | issue= 3 | pages= 873-8 | pmid=23522863 | doi=10.1016/j.jpeds.2013.02.028 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23522863  }} </ref>
*[[Autism]]
*[[Autonomic neuropathy]]
*[[Autonomic neuropathy]]
*[[Barium sulfate]]
*[[Barium sulfate]]
Line 717: Line 754:
*[[Bismuth subsalicylate]]
*[[Bismuth subsalicylate]]
*[[Blastocystosis]]
*[[Blastocystosis]]
*[[Bortezomib]]<ref name="pmid12826635">{{cite journal| author=Richardson PG, Barlogie B, Berenson J, Singhal S, Jagannath S, Irwin D et al.| title=A phase 2 study of bortezomib in relapsed, refractory myeloma. | journal=N Engl J Med | year= 2003 | volume= 348 | issue= 26 | pages= 2609-17 | pmid=12826635 | doi=10.1056/NEJMoa030288 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12826635  }} </ref>
*[[Bortezomib]]
*[[Botulism]]
*[[Botulism]]
*[[Bowel obstruction]]
*[[Bowel obstruction]]
Line 729: Line 766:
*[[Calcitriol]]
*[[Calcitriol]]
*[[Calcium carbonate]]
*[[Calcium carbonate]]
*[[polyposis|Cap polyposis]]<ref name="pmid15188181">{{cite journal| author=Bookman ID, Redston MS, Greenberg GR| title=Successful treatment of cap polyposis with infliximab. | journal=Gastroenterology | year= 2004 | volume= 126 | issue= 7 | pages= 1868-71 | pmid=15188181 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15188181  }} </ref>
*[[polyposis|Cap polyposis]]
*[[Capecitabine]]
*[[Capecitabine]]
*[[Carbamazepine]]
*[[Carbamazepine]]
Line 748: Line 785:
*[[Cholestyramine]]
*[[Cholestyramine]]
*[[Chronic amebiasis]]
*[[Chronic amebiasis]]
*[[Chronic inflammatory demyelinating polyneuropathy]]<ref name="pmid22357716">{{cite journal| author=Figueroa JJ, Dyck PJ, Laughlin RS, Mercado JA, Massie R, Sandroni P et al.| title=Autonomic dysfunction in chronic inflammatory demyelinating polyradiculoneuropathy. | journal=Neurology | year= 2012 | volume= 78 | issue= 10 | pages= 702-8 | pmid=22357716 | doi=10.1212/WNL.0b013e3182494d66 | pmc=PMC3306161 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22357716  }} </ref>
*[[Chronic inflammatory demyelinating polyneuropathy]]
*[[Chronic intestinal pseudo-obstruction]]<ref name="pmid15880314">{{cite journal| author=Stanghellini V, Cogliandro RF, De Giorgio R, Barbara G, Morselli-Labate AM, Cogliandro L et al.| title=Natural history of chronic idiopathic intestinal pseudo-obstruction in adults: a single center study. | journal=Clin Gastroenterol Hepatol | year= 2005 | volume= 3 | issue= 5 | pages= 449-58 | pmid=15880314 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15880314  }} </ref>
*[[Chronic intestinal pseudo-obstruction]]
*[[Cidofovir]]
*[[Cidofovir]]
*[[Cilansetron]]
*[[Cilansetron]]
Line 774: Line 811:
*[[Cornelia de Lange Syndrome]]
*[[Cornelia de Lange Syndrome]]
*[[enema|Corrosive enema]]
*[[enema|Corrosive enema]]
*[[milk allergy|Cow’s milk intolerance]]
*[[Milk intolerance|Cow’s milk intolerance]]
*[[Crohn's disease]]
*[[Crohn's disease]]
*[[Cyclizine]]
*[[Cyclizine]]
Line 784: Line 821:
*[[Darunavir]]
*[[Darunavir]]
*[[Dehydration]]
*[[Dehydration]]
*[[Dermatitis herpetiformis]]<ref name="pmid21605813">{{cite journal| author=Kárpáti S| title=An exception within the group of autoimmune blistering diseases: dermatitis herpetiformis, the gluten-sensitive dermopathy. | journal=Dermatol Clin | year= 2011 | volume= 29 | issue= 3 | pages= 463-8, x | pmid=21605813 | doi=10.1016/j.det.2011.03.019 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21605813  }} </ref>
*[[Dermatitis herpetiformis]]
*[[Desipramine]]
*[[Desipramine]]
*[[Desvenlafaxine]]<ref name="pmid18998743">{{cite journal| author=Yang LP, Plosker GL| title=Desvenlafaxine extended release. | journal=CNS Drugs | year= 2008 | volume= 22 | issue= 12 | pages= 1061-9 | pmid=18998743 | doi=10.2165/0023210-200822120-00008 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18998743  }} </ref>
*[[Desvenlafaxine]]
*[[Dextroamphetamine]]
*[[Dextroamphetamine]]
*[[Dextropropoxyphene]]
*[[Dextropropoxyphene]]
Line 804: Line 841:
*[[Disopyramide]]
*[[Disopyramide]]
*[[Diuretic]]
*[[Diuretic]]
*[[Diverticulitis natural history, complications and prognosis|Diverticular stricture]],
*[[Diverticulitis natural history, complications and prognosis|Diverticular stricture]]
*[[Diverticulosis]]
*[[Diverticulosis]]
*[[Dolasetron]]
*[[Dolasetron]]
Line 837: Line 874:
*[[Ferrous sulfate]]
*[[Ferrous sulfate]]
*[[Fludarabine phosphate]]
*[[Fludarabine phosphate]]
*[[Fluorouracil]]<ref name="pmid17826933">{{cite journal| author=Kikuta S, Asakage T, Nakao K, Sugasawa M, Kubota A| title=The aggravating factors of hyperammonemia related to 5-fluorouracil infusion--a report of two cases. | journal=Auris Nasus Larynx | year= 2008 | volume= 35 | issue= 2 | pages= 295-9 | pmid=17826933 | doi=10.1016/j.anl.2007.04.012 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17826933  }} </ref>
*[[Fluorouracil]]
{{col-break|width=33%}}
 
*[[Fluoxetine]]
*[[Fluoxetine]]
*[[Fluphenazine]]
*[[Fluphenazine]]
Line 868: Line 903:
*[[Haloperidol]]
*[[Haloperidol]]
*[[Hashimoto's thyroiditis]]
*[[Hashimoto's thyroiditis]]
*[[Hereditary coproporphyria]]<ref name="pmid11074238">{{cite journal| author=Kühnel A, Gross U, Doss MO| title=Hereditary coproporphyria in Germany: clinical-biochemical studies in 53 patients. | journal=Clin Biochem | year= 2000 | volume= 33 | issue= 6 | pages= 465-73 | pmid=11074238 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11074238  }} </ref>
*[[Hereditary coproporphyria]]
*[[Hernia]]
*[[Hernia]]
*[[Heroin]]
*[[Heroin]]
*[[Hexamethonium]]
*[[Hexamethonium]]
*[[Hirschsprung's disease]]
*[[Hirschsprung's disease]]
*[[vorinostat|Histone deacetylase inhibitors]]<ref name="pmid19608677">{{cite journal| author=Ritchie D, Piekarz RL, Blombery P, Karai LJ, Pittaluga S, Jaffe ES et al.| title=Reactivation of DNA viruses in association with histone deacetylase inhibitor therapy: a case series report. | journal=Haematologica | year= 2009 | volume= 94 | issue= 11 | pages= 1618-22 | pmid=19608677 | doi=10.3324/haematol.2009.008607 | pmc=PMC2770976 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19608677  }} </ref>
*[[vorinostat|Histone deacetylase inhibitors]]
*[[Hookworm]]
*[[Hookworm]]
*[[Hydralazine]]
*[[Hydralazine]]
Line 889: Line 924:
*[[Idiopathic]]
*[[Idiopathic]]
*[[Ileus]]
*[[Ileus]]
*[[Iliac artery aneurysm]]<ref name="pmid9818012">{{cite journal| author=Levi N, Schroeder TV| title=Isolated iliac artery aneurysms. | journal=Eur J Vasc Endovasc Surg | year= 1998 | volume= 16 | issue= 4 | pages= 342-4 | pmid=9818012 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9818012  }} </ref>
*[[Iliac artery aneurysm]]
*[[Imatinib]]
*[[Imatinib]]
*[[Imipramine]]
*[[Imipramine]]
Line 904: Line 939:
*[[Intussusception]]
*[[Intussusception]]
*[[Ipratropium]]
*[[Ipratropium]]
*[[Irinotecan hydrochloride]]
*[[Irinotecan|Irinotecan hydrochloride]]
*[[Iron deficiency anemia]]
*[[Iron deficiency anemia]]
*[[Iron supplements]]
*[[Iron supplements]]
Line 913: Line 948:
*[[Itraconazole]]
*[[Itraconazole]]
*[[Janumet]] ([[sitagliptin]] and [[metformin]])
*[[Janumet]] ([[sitagliptin]] and [[metformin]])
*[[Jacobsen syndrome]]<ref name="pmid14597985">{{cite journal| author=Favier R, Jondeau K, Boutard P, Grossfeld P, Reinert P, Jones C et al.| title=Paris-Trousseau syndrome : clinical, hematological, molecular data of ten new cases. | journal=Thromb Haemost | year= 2003 | volume= 90 | issue= 5 | pages= 893-7 | pmid=14597985 | doi=10.1267/THRO03050893 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=14597985  }} </ref>
*[[Jacobsen syndrome]]
*[[Kaolin]]
*[[Kaolin]]
*[[Pectin]]
*[[Pectin]]
Line 919: Line 954:
*[[Ketorolac]]
*[[Ketorolac]]
*[[Lacidipine]]
*[[Lacidipine]]
*[[Dietary fiber|Lack of fiber]]<ref name="pmid9932850">{{cite journal| author=Roma E, Adamidis D, Nikolara R, Constantopoulos A, Messaritakis J| title=Diet and chronic constipation in children: the role of fiber. | journal=J Pediatr Gastroenterol Nutr | year= 1999 | volume= 28 | issue= 2 | pages= 169-74 | pmid=9932850 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9932850  }} </ref>
*[[Dietary fiber|Lack of fiber]]
*[[Lambert-Eaton myasthenic syndrome]]<ref name="pmid9443463">{{cite journal| author=O'Suilleabhain P, Low PA, Lennon VA| title=Autonomic dysfunction in the Lambert-Eaton myasthenic syndrome: serologic and clinical correlates. | journal=Neurology | year= 1998 | volume= 50 | issue= 1 | pages= 88-93 | pmid=9443463 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9443463  }} </ref>
*[[Lambert-Eaton myasthenic syndrome]]
*[[Lamivudine]]
*[[Lamivudine]]
*[[Lamotrigine]]
*[[Lamotrigine]]
Line 968: Line 1,003:
*[[Mifepristone]]
*[[Mifepristone]]
*[[Milk-alkali syndrome]]
*[[Milk-alkali syndrome]]
*[[Milnacipran hydrochloride]]<ref name="pmid8923126">{{cite journal| author=Lopez-Ibor J, Guelfi JD, Pletan Y, Tournoux A, Prost JF| title=Milnacipran and selective serotonin reuptake inhibitors in major depression. | journal=Int Clin Psychopharmacol | year= 1996 | volume= 11 Suppl 4 | issue=  | pages= 41-6 | pmid=8923126 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8923126  }} </ref>
*[[Milnacipran hydrochloride]]
*[[Misoprostol]]
*[[Misoprostol]]
*[[Modafinil]]
*[[Modafinil]]
Line 974: Line 1,009:
*[[Motofen]]
*[[Motofen]]
*[[Multiple endocrine neoplasia (MEN 2b)]]
*[[Multiple endocrine neoplasia (MEN 2b)]]
*[[Multiple sclerosis]]<ref name="pmid10631634">{{cite journal| author=Hennessey A, Robertson NP, Swingler R, Compston DA| title=Urinary, faecal and sexual dysfunction in patients with multiple sclerosis. | journal=J Neurol | year= 1999 | volume= 246 | issue= 11 | pages= 1027-32 | pmid=10631634 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10631634  }} </ref>
*[[Multiple sclerosis]]
*[[Muscular dystrophies]]
*[[Muscular dystrophies]]
*[[Mycophenolate]]
*[[Mycophenolate]]
Line 993: Line 1,028:
*[[Nortriptyline]]
*[[Nortriptyline]]
*[[Occult spinal dysraphism sequence]]
*[[Occult spinal dysraphism sequence]]
*[[Ogilvie's syndrome]]<ref name="pmid1473414">{{cite journal| author=Jetmore AB, Timmcke AE, Gathright JB, Hicks TC, Ray JE, Baker JW| title=Ogilvie's syndrome: colonoscopic decompression and analysis of predisposing factors. | journal=Dis Colon Rectum | year= 1992 | volume= 35 | issue= 12 | pages= 1135-42 | pmid=1473414 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1473414  }} </ref>
*[[Ogilvie's syndrome]]
*[[Olanzapine]]
*[[Olanzapine]]
*[[Omeprazole]]
*[[Omeprazole]]
Line 1,007: Line 1,042:
*[[Oxybutynin]]
*[[Oxybutynin]]
*[[Oxycodone]]
*[[Oxycodone]]
*[[defecation|Painful defecation]]<ref name="pmid1594338">{{cite journal| author=Partin JC, Hamill SK, Fischel JE, Partin JS| title=Painful defecation and fecal soiling in children. | journal=Pediatrics | year= 1992 | volume= 89 | issue= 6 Pt 1 | pages= 1007-9 | pmid=1594338 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=1594338  }} </ref>
*[[defecation|Painful defecation]]
*[[Palonosetron]]
*[[Palonosetron]]
*[[Pamidronate]]
*[[Pamidronate]]
{{col-break|width=33%}}
*[[Pancrelipase]]
*[[Pancrelipase]]
*[[Panhypopituitarism]]
*[[Panhypopituitarism]]
*[[Papaverine]]
*[[Papaverine]]
*[[Paralytic ileus]]
*[[Paralytic ileus]]
*[[Parkinson disease]]<ref name="pmid16566021">{{cite journal| author=Langston JW| title=The Parkinson's complex: parkinsonism is just the tip of the iceberg. | journal=Ann Neurol | year= 2006 | volume= 59 | issue= 4 | pages= 591-6 | pmid=16566021 | doi=10.1002/ana.20834 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16566021  }} </ref>
*[[Parkinson disease]]
*[[Paroxetine]]
*[[Paroxetine]]
*[[Peginterferon alfa-2b]]
*[[Peginterferon alfa-2b]]
Line 1,060: Line 1,094:
*[[Prune belly syndrome]]
*[[Prune belly syndrome]]
*[[Pseudocyesis]]
*[[Pseudocyesis]]
*[[Pseudohypoparathyroidism]]<ref name="pmid3777869">{{cite journal| author=Margulies A, Metman EH, Girard JJ, Dorval ED, Bertrand J| title=[Severe constipation indicative of pseudohypoparathyroidism and resolved after normalization of the blood calcium]. | journal=Ann Gastroenterol Hepatol (Paris) | year= 1986 | volume= 22 | issue= 5 | pages= 271-2 | pmid=3777869 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3777869  }} </ref>
*[[Pseudohypoparathyroidism]]
*[[Quetiapine]]
*[[Quetiapine]]
*[[Rabeprazole]]
*[[Rabeprazole]]
Line 1,091: Line 1,125:
*[[Simethicone]]
*[[Simethicone]]
*[[Simvastatin]]
*[[Simvastatin]]
*[[Sirolimus]]<ref name="pmid22830463">{{cite journal| author=Euvrard S, Morelon E, Rostaing L, Goffin E, Brocard A, Tromme I et al.| title=Sirolimus and secondary skin-cancer prevention in kidney transplantation. | journal=N Engl J Med | year= 2012 | volume= 367 | issue= 4 | pages= 329-39 | pmid=22830463 | doi=10.1056/NEJMoa1204166 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22830463  }} </ref>
*[[Sirolimus]]
*[[Sitaxsentan]]
*[[Sitaxsentan]]
*[[Smoking cessation]]
*[[Smoking cessation]]
Line 1,123: Line 1,157:
*[[Teriparatide]]
*[[Teriparatide]]
*[[Tethered spinal cord syndrome]]
*[[Tethered spinal cord syndrome]]
*[[Thalidomide]]<ref name="pmid20448107">{{cite journal| author=Waage A, Gimsing P, Fayers P, Abildgaard N, Ahlberg L, Björkstrand B et al.| title=Melphalan and prednisone plus thalidomide or placebo in elderly patients with multiple myeloma. | journal=Blood | year= 2010 | volume= 116 | issue= 9 | pages= 1405-12 | pmid=20448107 | doi=10.1182/blood-2009-08-237974 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20448107  }} </ref>
*[[Thalidomide]]
*[[Thioridazine hydrochloride]]
*[[Thioridazine hydrochloride]]
*[[Thiothixene]]
*[[Thiothixene]]
Line 1,130: Line 1,164:
*[[Tinidazole]]
*[[Tinidazole]]
*[[Tiotropium]]
*[[Tiotropium]]
*[[Toilet training|Toilet training issues]]<ref name="pmid10353954">{{cite journal| author=Stadtler AC, Gorski PA, Brazelton TB| title=Toilet training methods, clinical interventions, and recommendations. American Academy of Pediatrics. | journal=Pediatrics | year= 1999 | volume= 103 | issue= 6 Pt 2 | pages= 1359-68 | pmid=10353954 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10353954  }} </ref>
*[[Toilet training|Toilet training issues]]
*[[Tolterodine]]
*[[Tolterodine]]
*[[Topiramate]]
*[[Topiramate]]
Line 1,161: Line 1,195:
*[[Viloxazine]]
*[[Viloxazine]]
*[[Vinblastine]]
*[[Vinblastine]]
*[[Vincristine]]<ref name="pmid3540519">{{cite journal| author=Legha SS| title=Vincristine neurotoxicity. Pathophysiology and management. | journal=Med Toxicol | year= 1986 | volume= 1 | issue= 6 | pages= 421-7 | pmid=3540519 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3540519  }} </ref>
*[[Vincristine]]
*[[Vindesine]]
*[[Vindesine]]
*[[Vinorelbine]]
*[[Vinorelbine]]
Line 1,170: Line 1,204:
*[[Vorinostat]]
*[[Vorinostat]]
*[[Wandering spleen]]
*[[Wandering spleen]]
*[[Williams-Beuren syndrome]]<ref name="pmid12432430">{{cite journal| author=Sforzini C, Milani D, Fossali E, Barbato A, Grumieri G, Bianchetti MG et al.| title=Renal tract ultrasonography and calcium homeostasis in Williams-Beuren syndrome. | journal=Pediatr Nephrol | year= 2002 | volume= 17 | issue= 11 | pages= 899-902 | pmid=12432430 | doi=10.1007/s00467-002-0889-z | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12432430  }} </ref>
*[[Williams-Beuren syndrome]]
*[[Zaleplon]]
*[[Zaleplon]]
*[[Zidovudine]]
*[[Zidovudine]]
Line 1,179: Line 1,213:
*[[Zonisamide]]
*[[Zonisamide]]
*[[Zotepine]]
*[[Zotepine]]
{{EndMultiCol}}
}}


==References==
==References==
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[[Category:Gastroenterology]]
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Latest revision as of 21:07, 29 July 2020

Constipation Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Constipation from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Abdominal X Ray

CT

MRI

Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

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Case #1

Constipation On the Web

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Risk calculators and risk factors for Constipation

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mugilan Poongkunran M.B.B.S [2], Eiman Ghaffarpasand, M.D. [3]

Overview

Constipation in adults may be due to side effects of medications, such as antispasmodics, anticholinergics, analgesics; or may be associated with systemic disorders, such as diabetes mellitus and hypothyroidism. Idiopathic constipation should be considered once the secondary causes are ruled out and it may be associated with normal or slow colonic transit, dysfunction in defecation, or both. Constipation in childhood often resolves with age after proper guidance regarding diet, toilet training, and toileting behaviors.

Causes

Life Threatening Causes

Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated. These conditions include the followings:[1]

Common Causes

Common causes of constipation include:[2][3][4][5][6]

Less Common Causes

Less common causes of constipation include:[7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27]

Causes by Organ System

Cardiovascular Iliac artery aneurysm, Superior mesenteric artery occlusion.
Chemical / poisoning Atropine poisoning, Lead poisoning, Opium poisoning.
Dermatologic Dermatitis herpetiformis.
Drug Side Effect

5-HT3 antagonist, 5-hydroxytryptophan, Acamprosate, Acebutolol, Acetaminophen, Aldesleukin, Alendronate, Alfentanil, Alfuzosin, Alosetron, Alprazolam, Aluminium hydroxide, Amiodarone, Amitriptyline, Amlodipine, Amobarbital, Anagrelide, Anastrozole, Aprepitant, Aripiprazole, Atorvastatin, Atovaquone, Atropine, Auranofin, Axitinib, Azacitidine Barium sulfate, Basiliximab, Benzatropine, Benzonatate, Bepridil, Beta blockers, Bezafibrate, Bicalutamide, Bile acid sequestrant, Bortezomib, Bromocriptine, Buspirone, Busulfan, Butabarbital, Butorphanol, Calcitriol, Calcium carbonate, Capecitabine, Caspofungin acetate, Carbamazepine, Carbidopa, Carboplatin, Carfilzomib, Carteolol, Cerivastatin, Cetuximab, Chlordiazepoxide, Chloropyramine, Chlorpromazine, Chlorpropamide, Cholestyramine, Cidofovir, Cimetidine, Cisapride, Citalopram, Cladribine, Clobazam, Clofarabine, Clomipramine, Clonazepam, Clonidine, Clorazepate, Clozapine, Codeine, Colesevelam, Colestipol, Colofac, Crizotinib, Cyclizine, Cyclobenzaprine, Cytarabine liposome Daptomycin, Darbepoetin alfa, Darifenacin, Darunavir, Desipramine, Desvenlafaxine, Dextroamphetamine, Dextropropoxyphene, Diacetyldihydromorphine, Diazepam, Dicyclomine, Diethylcathinone, Diflunisal, Dihydroetorphine, Diltiazem, Dimenhydrinate, Diphenhydramine, Disopyramide, Diuretic, Dolasetron, Dolasetron, Doripenem, Dosulepin hydrochloride, Doxepin, Droperidol, Duloxetine, Efavirenz, Enfuvirtide, Enzalutamide, Epoetin alfa, Eribulin, Esomeprazole, Estazolam, Estradiol, Ethcathinone, Ethosuximide, Ethylmorphine, Etodolac, Etoposide, Everolimus, Famotidine, Felbamate, Felodipine, Fenofibrate, Fenoprofen, Fentanyl, Ferrous sulfate, Fesoterodine, Fludarabine phosphate, Fluorouracil, Fluoxetine, Fluphenazine, Flurazepam, Flurbiprofen, Fluvoxamine, Fulvestrant, Furosemide, Gabapentin, Ganciclovir, Gatifloxacin, Gemcitabine, Gemfibrozil, Glipizide, Glycopyrrolate, Granisetron, Guanethidine, Guanfacine, H2 antagonist, Haloperidol, Hexamethonium, Histone deacetylase inhibitors, Hydralazine, Hydrocodone, Hydrocodone bitartrate and Homatropine methylbromide, Hydroxyurea, Hydroxyzine, Hyoscyamine, Hydrochlorothiazide, Ibandronate, Imatinib, Imipramine, Indomethacin, Insulin lispro, Interferon beta-1b, Ipratropium, Irinotecan hydrochloride, Iron supplements, Isocarboxazid, Isradipine, Itraconazole, Ivermectin, Kaolin, Ketorolac tromethamine, Lacidipine, Lamivudine, Lamotrigine, Lansoprazole, Lanthanum, Leflunomide, Lenalidomide, Letrozole, Leuprolide, Levalbuterol, Levetiracetam, Levodopa, Levomethadyl, Levorphanol, Linezolid, Lofepramine, Lomotil, Lorcaserin, Loperamide, Loprazolam, Lorazepam, Lovastatin, Lovaza, Loxapine, Magaldrate, Mebendazole, Meclizine, Meclofenamate, Mefenamic acid, Meperidine, Meropenem, Mesalamine, Mesna, Mesoridazine, Metformin, Methadone, Methsuximide, Methyprylon, Metoprolol, Mifepristone, Milnacipran hydrochloride, Misoprostol, Modafinil, Morphine, Motofen, Nabumetone, Naproxen sodium, Nateglinide, Nefazodone, Netupitant and palonosetron, Nicardipine, Nifedipine, Nilotinib, Nilutamide, Nimodipine, Nisoldipine, Nizatidine, Nortriptyline, Olanzapine, Omeprazole, Ondansetron, Oxaliplatin, Oxazepam, Oxcarbazepine, Oxybutynin, Oxycodone, Palonosetron, Pamidronate, Pancrelipase, Paroxetine, Peginterferon alfa-2b, Pemetrexed, Pentamidine Isethionate, Pergolide, Perphenazine, Pethidine, Phenelzine, Phentermine, Phenytoin, Pholcodine, Pimozide, Piperacillin sodium, Piroxicam, Posaconazole, Pramipexole, Prazepam, Prazosin, Prednisolone, Pregabalin, Procarbazine, Prochlorperazine, Procyclidine, Progesterone, Promethazine, Propafenone, Propantheline, Propoxyphene, Propranolol, Protriptyline, Quetiapine, Rabeprazole, Ranitidine, Ranolazine, Rasagiline, Rasburicase, Reboxetine, Repaglinide, Ribavirin, Rilmenidine, Risperidone, Rivastigmine, Ropinirole, Rosuvastatin, Sacrosidase, Saquinavir, Scopolamine, Scopolamine, Secobarbital, Selegiline, Sertraline, Sevelamer, Sibutramine, Siltuximab, Simethicone, Simvastatin, Sirolimus, Sitaxsentan, Sorafenib, Sotalol, Sucralfate, Sufentanil, Sulindac, Sunitinib, Suxamethonium chloride, Tacrolimus, Tamoxifen, Tapentadol, Tegaserod, Temazepam, Temozolomide, Terazosin, Teriparatide, Tetraferric tricitrate decahydrate, Thalidomide, Thioridazine hydrochloride, Thiothixene, Tianeptine, Tiludronate, Tinidazole, Tiotropium, Tolterodine, Tolmetin, Topiramate, Topotecan, Trametinib dimethyl sulfoxide, Tranylcypromine, Tretinoin, Triazolam, Triclofos, Trifluoperazine, Trihexyphenidyl, Trimethadione, Trimipramine, Tropisetron, Trospium, Valganciclovir hydrochloride, Valproic acid, Venlafaxine, Verapamil, Vicodin, Vigabatrin, Viloxazine, Vinblastine, Vincristine, Vincristine sulfate liposome, Vindesine, Vinorelbine, Vorinostat, Zaleplon, Zidovudine, Zileuton, Ziprasidone, Zoledronic acid, Zolpidem, Zonisamide, Zotepine.

Ear Nose Throat No underlying causes
Endocrine

Conn's syndrome, Diabetes mellitus, Glucagonoma, Hashimoto's thyroiditis, Hyperparathyroidism, Hypothyroidism, Multiple endocrine neoplasia, Multiple endocrine neoplasia type 1, Multiple endocrine neoplasia type 2, Myxedema, Panhypopituitarism, Parathyroid adenoma, Pheochromocytoma, Primary parathyroid hyperplasia, Pseudohypoparathyroidism.

Environmental Cow’s milk intolerance
Gastroenterologic

Anal atresia, Anal carcinoma, Ascites, bowel adhesion, Bowel obstruction, cap polyposis, Celiac disease, Chronic amebiasis, Colectomy, Colonic stricture, Colorectal cancer, Congenital malformation, Corrosive enemas, Crohn's disease, Diverticular stricture, Diverticulitis, Enterocele, Eosinophilic colitis, Extrinsic compression, Gastroptosis, Hernia, Hirschsprung's disease, Ileus, Imperforate anus, Inflammatory bowel disease, Intraabdominal/pelvic tumors, Intussusception, Irritable bowel syndrome, Ischemic colitis, Megacolon, Megarectum, Ogilvie's syndrome, Painful defecation, Paralytic ileus, Pelvic masses, Pelvic tumors, Perianal abscess, Proctitis, Rectal cancer, Rectal prolapse, Rectal ulcer, Rectocele, Ulcerative colitis, Visceral myopathies, Volvulus, Wandering spleen.

Genetic

Batten disease, Berdon syndrome, Cerebral palsy, Cornelia de Lange syndrome, Cystic fibrosis, Down syndrome, Gastroschisis, Hereditary coproporphyria, Hereditary internal anal sphincter myopathy, Megacolon, Megarectum, Prune belly syndrome.

Hematologic

Acute intermittent porphyria, Amyloidosis, Hereditary coproporphyria, Iron deficiency anemia.

Iatrogenic

Adjustable gastric band, Colectomy, painful defecation, Peritoneal dialysis, Postoperative complications, Postoperative ileus, Toilet training issues, Upper gastrointestinal series.

Infectious Disease

Blastocystosis, Botulism, Chagas disease, Chronic amebiasis, Hookworm, Lassa fever, Lymphogranuloma venereum, Syphilis, Tuberculosis, Typhoid fever, Opisthorchis infection, Polio.

Musculoskeletal / Ortho Ankylosing spondylitis, Guillain-Barre syndrome, Lambert-Eaton myasthenic syndrome, Muscular dystrophy, Osteitis fibrosa cystica, Paraplegia, Spinal cord injury, Spinal cord tumor.
Neurologic

Amyotrophic lateral sclerosis, Autonomic neuropathy, Cerebral palsy, Chagas disease, Chronic inflammatory demyelinating polyneuropathy, Diabetes mellitus, Guillain-Barre syndrome, Hirschsprung's disease, Intestinal neuronal dysplasia, Lambert-Eaton myasthenic syndrome, Meningocele, Multiple sclerosis, Muscular dystrophy, Neurofibromatosis, Occult spinal dysraphism sequence, Paraplegia, Parkinson's disease, Progressive supranuclear palsy, Pseduoobstruction, Scleroderma, Spina bifida, Spinal cord injury, Spinal cord lesions, Static encephalopathy, Tabes dorsalis, Tethered spinal cord syndrome.

Nutritional / Metabolic

Cow’s milk intolerance, Food intolerance, Hypercalcemia, Hypervitaminosis D, Hypokalemia, Iron deficiency anemia, Ketogenic diet, Lack of fiber, Low residue diet, Milk-alkali syndrome, Severe dehydration, Starvation.

Obstetric/Gynecologic Childbirth, Complication of pregnancy, Extremely low birth weight, Ovarian cancer, Rectovaginal or bowel endometriosis, Uterine fibroid.
Oncologic Colorectal cancer, Intraabdominal/pelvic tumors, Multiple endocrine neoplasia (MEN 2b), Neuroblastoma, Ovarian cancer, Parathyroid adenoma, Rectal carcinoma, Renal cell carcinoma, Sacrococcygeal teratoma, Spinal cord tumor, Stomach cancer, Uterine fibroid.
Opthalmologic No underlying causes
Overdose / Toxicity Acamprosate, Amiodarone, Atropine, Carboplatin, Fentanyl, Phenytoin, Hypervitaminosis D, Haloperidol.
Psychiatric

Anorexia nervosa, Autism, Bipolar disorder, Eating disorder, Emotional stress, Major depression, Obsessive compulsive disorder, Pseudocyesis, Psychosis.

Pulmonary Cystic fibrosis.
Renal / Electrolyte Hypercalcemia, Hypokalemia, Renal cell carcinoma, Severe dehydration, Uremia.
Rheum / Immune / Allergy

Amyotrophic lateral sclerosis, Ankylosing spondylitis, Chronic inflammatory demyelinating polyneuropathy, Cow’s milk intolerance, Food intolerance, Guillain-Barre syndrome, Lambert-Eaton myasthenic syndrome, Rett syndrome, Scleroderma.

Sexual Tabes dorsalis.
Trauma Spinal cord injury.
Urologic Urogenital neoplasm.
Miscellaneous

Dietary pattern change, Dieting, Extended bed rest, Functional constipation, Idiopathic, Normal aging, Smoking cessation, SSRI discontinuation syndrome, Travel constipation.

Causes in Alphabetical Order

References

  1. ↑ Hennessey A, Robertson NP, Swingler R, Compston DA (1999). "Urinary, faecal and sexual dysfunction in patients with multiple sclerosis". J Neurol. 246 (11): 1027–32. PMID 10631634.
  2. ↑ Roma E, Adamidis D, Nikolara R, Constantopoulos A, Messaritakis J (1999). "Diet and chronic constipation in children: the role of fiber". J Pediatr Gastroenterol Nutr. 28 (2): 169–74. PMID 9932850.
  3. ↑ Caldarella MP, Milano A, Laterza F; et al. (2005). "Visceral sensitivity and symptoms in patients with constipation- or diarrhea-predominant irritable bowel syndrome (IBS): effect of a low-fat intraduodenal infusion". Am. J. Gastroenterol. 100 (2): 383–9. doi:10.1111/j.1572-0241.2005.40100.x. PMID 15667496.
  4. ↑ "Nicotine withdrawal symptoms:Constipation". helpwithsmoking.com. 2005. Retrieved 2007-06-29.
  5. ↑ Langston JW (2006). "The Parkinson's complex: parkinsonism is just the tip of the iceberg". Ann Neurol. 59 (4): 591–6. doi:10.1002/ana.20834. PMID 16566021.
  6. ↑ Stadtler AC, Gorski PA, Brazelton TB (1999). "Toilet training methods, clinical interventions, and recommendations. American Academy of Pediatrics". Pediatrics. 103 (6 Pt 2): 1359–68. PMID 10353954.
  7. ↑ Richardson PG, Barlogie B, Berenson J, Singhal S, Jagannath S, Irwin D; et al. (2003). "A phase 2 study of bortezomib in relapsed, refractory myeloma". N Engl J Med. 348 (26): 2609–17. doi:10.1056/NEJMoa030288. PMID 12826635.
  8. ↑ Bookman ID, Redston MS, Greenberg GR (2004). "Successful treatment of cap polyposis with infliximab". Gastroenterology. 126 (7): 1868–71. PMID 15188181.
  9. ↑ Figueroa JJ, Dyck PJ, Laughlin RS, Mercado JA, Massie R, Sandroni P; et al. (2012). "Autonomic dysfunction in chronic inflammatory demyelinating polyradiculoneuropathy". Neurology. 78 (10): 702–8. doi:10.1212/WNL.0b013e3182494d66. PMC 3306161. PMID 22357716.
  10. ↑ Stanghellini V, Cogliandro RF, De Giorgio R, Barbara G, Morselli-Labate AM, Cogliandro L; et al. (2005). "Natural history of chronic idiopathic intestinal pseudo-obstruction in adults: a single center study". Clin Gastroenterol Hepatol. 3 (5): 449–58. PMID 15880314.
  11. ↑ Kárpáti S (2011). "An exception within the group of autoimmune blistering diseases: dermatitis herpetiformis, the gluten-sensitive dermopathy". Dermatol Clin. 29 (3): 463–8, x. doi:10.1016/j.det.2011.03.019. PMID 21605813.
  12. ↑ Kühnel A, Gross U, Doss MO (2000). "Hereditary coproporphyria in Germany: clinical-biochemical studies in 53 patients". Clin Biochem. 33 (6): 465–73. PMID 11074238.
  13. ↑ Ritchie D, Piekarz RL, Blombery P, Karai LJ, Pittaluga S, Jaffe ES; et al. (2009). "Reactivation of DNA viruses in association with histone deacetylase inhibitor therapy: a case series report". Haematologica. 94 (11): 1618–22. doi:10.3324/haematol.2009.008607. PMC 2770976. PMID 19608677.
  14. ↑ Levi N, Schroeder TV (1998). "Isolated iliac artery aneurysms". Eur J Vasc Endovasc Surg. 16 (4): 342–4. PMID 9818012.
  15. ↑ Favier R, Jondeau K, Boutard P, Grossfeld P, Reinert P, Jones C; et al. (2003). "Paris-Trousseau syndrome : clinical, hematological, molecular data of ten new cases". Thromb Haemost. 90 (5): 893–7. doi:10.1267/THRO03050893. PMID 14597985.
  16. ↑ O'Suilleabhain P, Low PA, Lennon VA (1998). "Autonomic dysfunction in the Lambert-Eaton myasthenic syndrome: serologic and clinical correlates". Neurology. 50 (1): 88–93. PMID 9443463.
  17. ↑ Lopez-Ibor J, Guelfi JD, Pletan Y, Tournoux A, Prost JF (1996). "Milnacipran and selective serotonin reuptake inhibitors in major depression". Int Clin Psychopharmacol. 11 Suppl 4: 41–6. PMID 8923126.
  18. ↑ Jetmore AB, Timmcke AE, Gathright JB, Hicks TC, Ray JE, Baker JW (1992). "Ogilvie's syndrome: colonoscopic decompression and analysis of predisposing factors". Dis Colon Rectum. 35 (12): 1135–42. PMID 1473414.
  19. ↑ Partin JC, Hamill SK, Fischel JE, Partin JS (1992). "Painful defecation and fecal soiling in children". Pediatrics. 89 (6 Pt 1): 1007–9. PMID 1594338.
  20. ↑ Margulies A, Metman EH, Girard JJ, Dorval ED, Bertrand J (1986). "[Severe constipation indicative of pseudohypoparathyroidism and resolved after normalization of the blood calcium]". Ann Gastroenterol Hepatol (Paris). 22 (5): 271–2. PMID 3777869.
  21. ↑ Euvrard S, Morelon E, Rostaing L, Goffin E, Brocard A, Tromme I; et al. (2012). "Sirolimus and secondary skin-cancer prevention in kidney transplantation". N Engl J Med. 367 (4): 329–39. doi:10.1056/NEJMoa1204166. PMID 22830463.
  22. ↑ Waage A, Gimsing P, Fayers P, Abildgaard N, Ahlberg L, Björkstrand B; et al. (2010). "Melphalan and prednisone plus thalidomide or placebo in elderly patients with multiple myeloma". Blood. 116 (9): 1405–12. doi:10.1182/blood-2009-08-237974. PMID 20448107.
  23. ↑ Sforzini C, Milani D, Fossali E, Barbato A, Grumieri G, Bianchetti MG; et al. (2002). "Renal tract ultrasonography and calcium homeostasis in Williams-Beuren syndrome". Pediatr Nephrol. 17 (11): 899–902. doi:10.1007/s00467-002-0889-z. PMID 12432430.
  24. ↑ Peeters B, Noens I, Philips EM, Kuppens S, Benninga MA (2013). "Autism spectrum disorders in children with functional defecation disorders". J Pediatr. 163 (3): 873–8. doi:10.1016/j.jpeds.2013.02.028. PMID 23522863.
  25. ↑ Yang LP, Plosker GL (2008). "Desvenlafaxine extended release". CNS Drugs. 22 (12): 1061–9. doi:10.2165/0023210-200822120-00008. PMID 18998743.
  26. ↑ Kikuta S, Asakage T, Nakao K, Sugasawa M, Kubota A (2008). "The aggravating factors of hyperammonemia related to 5-fluorouracil infusion--a report of two cases". Auris Nasus Larynx. 35 (2): 295–9. doi:10.1016/j.anl.2007.04.012. PMID 17826933.
  27. ↑ Legha SS (1986). "Vincristine neurotoxicity. Pathophysiology and management". Med Toxicol. 1 (6): 421–7. PMID 3540519.

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