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Forstoppelse hos voksne

Sist oppdatert: Sist revidert:
Sist revidert av:
Definisjon:
Defineres som avføring to eller færre ganger pr uke, unormalt mye trykking for å få tømt seg, hard og knollete avføring eller følelse av ufullstendig tømning
Forekomst:
Forekommer hos opptil 20% av befolkningen og er et stort problem blant eldre. Ca. 10% bruker avføringsmiddel
Symptomer:
Dersom slike symptomer ledsages av magesmerter, klassifiseres tilstanden som irritabel tarm av obstipasjonstype, om det ikke foreligger tegn til organisk sykdom
Funn:
Mulige funn kan være oppfylninger i abdomen, hemoroider, og avføring i rektum ved rektal eksplorasjon
Diagnostikk:
Aktuelle prøver i forhold til blod på hanske eller i avføringen, orienterende biokjemiske prøver og ev. rektoskopi
Behandling:
Foreskjellige avføringsmidler kan benyttes. Forebyggende tiltak er viktige

 

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  11. Rao SSC, Brenner DM Efficacy and Safety of Over-the-Counter Therapies for Chronic Constipation: An Updated Systematic Review. Am J Gastroenterol. 2021. PMID: 33767108 PubMed  
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  16. Ramkumar D , et al. Efficacy and safety of traditional medical therapies for chronic constipation: systematic review. Am J Gastroenterol 2005; 100: 936-71. PubMed  
  17. Katelaris P, Naganathan V, Liu K, et al. Comparison of the effectiveness of polyethylene glycol with and without electrolytes in constipation: a systematic review and network meta-analysis. BMC Gastroenterol. 2016 Mar 31;16:42. pmid:27029340 PubMed  
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  19. Gordon M, MacDonald JK, Parker CE, Akobeng AK, Thomas AG. Osmotic and stimulant laxatives for the management of childhood constipation. Cochrane Database of Systematic Reviews 2016, Issue 8. Art. No.: CD009118. DOI: 10.1002/14651858.CD009118.pub3. DOI  
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  21. FDFA News release. FDAapproves Trulance for Chronic idiopathic constipation. FDA Jan. 2017. www.fda.gov  
  • Terje Johannessen, professor i allmennmedisin, Trondheim

Tidligere fagmedarbeidere

  • Jan H. Dybdahl, overlege, Medisinsk avdeling, Regionsykehuset i Trondheim
  • Hermod Petersen, professor og overlege, Norges teknisk-naturvitenskapelige universitet og Medisinsk avdeling, Regionsykehuset i Trondheim