Constipation is a common gastrointestinal motility disorder that is often chronic, negatively affects patients' daily lives, and is associated with high healthcare costs. There is a considerable range of treatment modalities available for patients with constipation; however, the clinical evidence supporting their use varies widely. Nonpharmacologic modalities, such as increased exercise or flui...

OBJECTIVE To estimate the incidence and predicting factors associated with falls among older inpatients. METHODS Prospective cohort study conducted in clinical units of three hospitals in Cuiaba, MT, Midwestern Brazil, from March to August 2013. In this study, 221 inpatients aged 60 or over were followed until hospital discharge, death, or fall. The method of incidence density was used to calcu...

In 2013, an estimated 207 million opioid prescriptions were dispensed by retail pharmacies in the U.S. (https://www.drugabuse. gov/about-nida/legislative-activities/testimony-to-congress/2016/ americas-addiction-to-opioids-heroin-prescription-drug-abuse). While opioids are highly efficacious for the treatment of acute and chronic pain, they may cause a number of significant side effects. One of...

To cite: Ricciuti B, Leone MC, Metro G. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2015212404 DESCRIPTION In June 2015, an 83-year-old man presented to the emergency department of Santa Maria della Misericordia Hospital in Perugia, Italy, with abdominal pain, bloating, worsening of chronic constipation and rectal bleeding. The physical examination at our depa...

M e t h o d s Design: Randomized placebo-controlled trial. Allocation: Unclear allocation concealment.* Blinding: Blinded (unclear which groups were blinded).* Follow-up period: 6 months. Setting: 50 centers in the United States. Patients: 306 patients with chronic constipation over the past 3 months (< 3 satisfactory stools per wk without laxative use and ≥ 1 of the following Rome criteria: st...

OBJECTIVE Pheochromocytomas (PHs) and sympathetic paragangliomas (PGs) are tumors that produce catecholamines, predisposing patients to cardiovascular disease and gastrointestinal effects such as constipation. OBJECTIVES i) determine the prevalence of constipation, its risk factors, and its impact on survival; ii) identify whether a systematic combination of fiber, water, and laxatives was ef...

AIM to determine the use of drugs by demented and non-demented elderly people in a population, by dementia status and type, age, sex and accommodation type. METHOD data were obtained from the Kungsholmen project, a longitudinal community study of people over 75 in Stockholm, Sweden. RESULTS 85% used at least one medicinal drug, and of these 12% were demented. Mean numbers of drugs used were...

BACKGROUND Although constipation can be a chronic and severe problem, it is largely treated empirically. Evidence for the efficacy of some of the older laxatives from well-designed trials is limited. Patients often report high levels of dissatisfaction with their treatment, which is attributed to a lack of efficacy or unpleasant side-effects. Management guidelines and recommendations are limite...

OBJECTIVE The purpose of the present study is to document the frequency of three eating disorder-related behaviors (binge eating; self-induced vomiting; and use of laxatives, diuretics, and diet pills) among a multi-ethnic community sample. METHOD A questionnaire was administered to 1225 Hispanic, Asian, black, and white women and men. Participants responded to items (based on DSM-IV diagnost...

PURPOSE To examine what pain and adjuvant medication is prescribed in palliative care patients at home in The Netherlands. METHODS In a nationwide, representative, prospective study in general practice in The Netherlands, prescribed medication was registered in 95 general practices with a listed population of 374 070 patients. The GPs identified those who received palliative care in a retrosp...