Page 58 - Community pharmcy practice E-book 2025
P. 58

01/11/2025, 22:08                                Medication Errors & Constipation Management

                 7. Asking about times of meals

8. Checking current medication use
Whenever establishing treatment algorithm, determining the cause of referrals and

red flag is crucial to obtain effective treatment whether treatment will include

modification in dietary habit or drug intervention.

Non-Pharmacologic Therapy

Diet (increase fibers): The daily diet should contain approximately 25 to 50 g
 fiber

Fluid intake: Patients should drink at least 8 glasses of non-caffeinated fluids
 daily (including soup, juices and/or water). Liquids that contain caffeine, such as
 coffee and cola drinks will worsen symptoms by causing dehydration.

  Exercise: Increases muscle tone & promotes motility

Bowel training: To increase regularity (i.e., allowing regular and adequate time
 for defecation)

Pharmacologic Therapy

Ideal Laxative Characteristics

   Non-irritant
   Non-toxic
    Act only on descending and sigmoid colon
   Produces a normally formed stool within few hours, after which normal bowel
    activity resumes

Laxatives Classification                         Saline or osmotic
                                                 Stimulant
  Bulk-forming laxatives                         Lubricant
  Emollient (Stool softener)

                                                                                              57
   53   54   55   56   57   58   59   60   61   62   63