Abstract:
:In this Clinical practice guide we examine the diagnostic and therapeutic management of adult patients with constipation and abdominal discomfort, at the confluence of the spectrum of irritable bowel syndrome and functional constipation. Both fall within the framework of functional intestinal disorders and have major personal, health and social impact, altering the quality of life of the patients affected. The former is a subtype of irritable bowel syndrome in which constipation and altered bowel habit predominate, often along with recurring abdominal pain, bloating and abdominal distension. Constipation is characterised by infrequent or hard-to-pass bowel movements, often accompanied by straining during defecation or the sensation of incomplete evacuation. There is no underlying organic cause in the majority of cases; it being considered a functional bowel disorder. There are many clinical and pathophysiological similarities between the two conditions, the constipation responds in a similar way to commonly used drugs, the fundamental difference being the presence or absence of pain, but not in an "all or nothing" way. The severity of these disorders depends not only on the intensity of the intestinal symptoms but also on other biopsychosocial factors: association of gastrointestinal and extraintestinal symptoms, degree of involvement, forms of perception and behaviour. Functional bowel disorders are diagnosed using the Rome criteria. This Clinical practice guide adapts to the Rome IV criteria published at the end of May 2016. The first part (96, 97, 98) examined the conceptual and pathophysiological aspects, alarm criteria, diagnostic test and referral criteria between Primary Care and Gastroenterology. This second part reviews all the available treatment alternatives (exercise, fluid ingestion, diet with soluble fibre-rich foods, fibre supplements, other dietary components, osmotic or stimulating laxatives, probiotics, antibiotics, spasmolytics, peppermint essence, prucalopride, linaclotide, lubiprostone, biofeedback, antdepressants, psychological treatment, acupuncture, enemas, sacral root neurostimulation and surgery), and practical recommendations are made for each.
journal_name
Aten Primariajournal_title
Atencion primariaauthors
Mearin F,Ciriza C,Mínguez M,Rey E,Mascort JJ,Peña E,Cañones P,Júdez J,en nombre de la SEPD, la semFYC, la SEMERGEN y la SEMG.doi
10.1016/j.aprim.2017.01.003subject
Has Abstractpub_date
2017-03-01 00:00:00pages
177-194issue
3eissn
0212-6567issn
1578-1275pii
S0212-6567(17)30131-2journal_volume
49pub_type
共识发展会议,杂志文章,实务指引abstract::An evaluation study of the quality of care was carried out in diabetic patients aged 20 years or more diagnosed since the primary health care center had been opened. 20 criteria accepted by consensus were evaluated in all be clinical records of the diabetic population. A remarkable result was the high rate of incorrec...
journal_title:Atencion primaria
pub_type: 杂志文章
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abstract:AIMS:Analyze the relation between objective health assessment (OHA) -Forced spirometry- and subjective health assessment (SHA) -quality of life- in patients with chronic obstructive pulmonary disease (COPD). Analyze the correlation between two different questionnaires to assess quality of life. DESIGN:Cross-sectional ...
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abstract:OBJECTIVE:To analyse the impact of a formative / informative intervention on the treatment of non-oncological chronic pain in Primary Care. DESIGN:Quasi-experimental study before-after, and follow-up of the patient cohort. LOCATION:64 Primary Care teams/centres (770 physicians). PARTICIPANTS:Patients≥14 years withou...
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abstract:OBJECTIVE:To evaluate, using a scheme to monitor arterial pressure in out-patients (MAPOP), how well patients were able to control their light arterial hypertension after hygienic-dietary measures had been found insufficient. DESIGN:Observational study. SITE. Urban health centre. PATIENTS:18 people suffering from lig...
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abstract:OBJECTIVE:To critically analyse the concept of nursing prescription through the study of its background and a review of the scientific literature, in order to develop an accurate conception of this nursing activity and to identify the essential elements surrounding this concept. METHOD:Application of the concept analy...
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abstract:OBJECTIVE:To assess the precision of the Sickness Certificate (SC) issued for Temporary Unfitness for Work (TUW). To measure the percentage of TUW where the diagnoses in the medical records and in the TUW Sickness Certificate do not coincide. To seek objective criteria to determine TUW. DESIGN:A descriptive, prospecti...
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abstract:OBJECTIVE:To determine the differences in the diagnosis of light arterial hypertension between using three tension measurements (over 2 or 3 weeks) or five (6 or 7 weeks). DESIGN:A descriptive, longitudinal study. SETTING:Santomera Health Centre, Murcia. PARTICIPANTS:In 245 patients initially diagnosed as suffering ...
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abstract:OBJECTIVE:To get to know the profile of use of antidepressants (AD) and tranquilizers-hypnotics (T-H) in primary care in Catalonia. DESIGN:Transversal, observational, epidemiological study of prescription-indication. LOCATION:Health centres in Catalonia, Spain. PARTICIPANTS:Included, using consecutive sampling, pati...
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abstract:OBJECTIVES:To examine the attitudes of family doctors to patients' rights and to ascertain the social and professional variables that influence these views. DESIGN:Descriptive, cross-sectional study based on a questionnaire. SETTING:Primary care, Murcia, Spain. PARTICIPANTS:Two-hundred and twenty-seven family physic...
journal_title:Atencion primaria
pub_type: 杂志文章
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更新日期:2004-05-15 00:00:00
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journal_title:Atencion primaria
pub_type: 杂志文章
doi:
更新日期:1994-09-15 00:00:00
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更新日期:1991-05-01 00:00:00
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