Understanding Constipation
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Questions and Answers

What is a key characteristic of constipation?

  • Infrequent stools (correct)
  • Complete defecation
  • Easy stool passage
  • Frequent stools

Why is urgent investigation needed for new-onset constipation in patients over 50 years of age?

  • Due to the risk of malignancy (correct)
  • To prevent dehydration
  • To increase dietary fiber
  • To reduce bloating

What is a recommended approach for managing constipation?

  • Increasing fluid intake (correct)
  • Reducing dietary fiber intake
  • Avoiding fruits and vegetables
  • Limiting exercise

What may using excessive laxatives lead to?

<p>Hypokalaemia (C)</p> Signup and view all the answers

Why is it important to ensure that the patient is truly constipated before prescribing laxatives?

<p>To prevent unnecessary medication use (A)</p> Signup and view all the answers

What type of diet should be recommended for managing constipation?

<p>Balanced diet with whole grains and fruits (B)</p> Signup and view all the answers

What is the primary purpose of using sodium acid phosphate with sodium bicarbonate?

<p>To evacuate bowels before diagnostic procedures (B)</p> Signup and view all the answers

Why is it advised against using sodium picosulfate during the first trimester of pregnancy?

<p>Manufacturer's advice (C)</p> Signup and view all the answers

What is the recommended daily dosage of sodium picosulfate for adults aged 11-17 years?

<p>5-10 mg (C)</p> Signup and view all the answers

Which medication can be used for treating opioid-induced constipation in adults with dosages of 200 micrograms once daily?

<p>Naldemedine (D)</p> Signup and view all the answers

What side effect is specifically mentioned as a result of prolonged or excessive use of sodium picosulfate?

<p>Hypokalemia (A)</p> Signup and view all the answers

How should methylnaltrexone bromide be taken for adults with opioid-induced constipation?

<p>12 mg once daily if required (B)</p> Signup and view all the answers

What is the recommended dose of MOVICOL® Ready to Take Sachets for chronic constipation in children aged 12-17 years?

<p>1-3 sachets daily (B)</p> Signup and view all the answers

What is the maintenance dose of MOVICOL® Ready to Take Sachets for children aged 12-17 years after disimpaction?

<p>1-2 sachets daily (D)</p> Signup and view all the answers

What patient group should avoid directly mixing macrogol-based laxatives with starch-based thickeners according to the MHRA/CHM advice in April 2021?

<p>Patients with dysphagia (B)</p> Signup and view all the answers

What are the contra-indications for using 'paediatric' sachets for faecal impaction?

<p>Impaired cardiovascular function (C)</p> Signup and view all the answers

What is the dosage regimen for VISTAPREP® ORAL POWDER in adults before colonoscopy?

<p>3 litres reconstituted solution taken over 4 hours (C)</p> Signup and view all the answers

What is a common side effect of Fleet® Phospho-soda?

<p>Hypokalemia (D)</p> Signup and view all the answers

When should solid food intake be stopped before starting Fleet® Phospho-soda treatment?

<p>&gt; 6 hours before (C)</p> Signup and view all the answers

What is the recommended initial dose of prucalopride for elderly individuals?

<p>1 mg once daily (B)</p> Signup and view all the answers

Which gastrointestinal issue is NOT treated with prucalopride?

<p>Heart failure (D)</p> Signup and view all the answers

What should patients or carers do if the reconstituted solution of oral powder is not consumed immediately?

<p>Refrigerate and discard if unused after 48 hours (A)</p> Signup and view all the answers

What is the recommended dosage of Senna for children aged 1-11 months?

<p>1 g as required (C)</p> Signup and view all the answers

Which of the following side effects is described as 'uncommon' for bisacodyl?

<p>Haematochezia (A)</p> Signup and view all the answers

What is the recommended dosage range of bisacodyl for adults?

<p>10-30 mg per day (D)</p> Signup and view all the answers

Which of the following statements about Senna is correct?

<p>Senna is a stimulant laxative that stimulates peristalsis, increasing the motility of the large intestine after metabolism of sennosides in the gut. (A)</p> Signup and view all the answers

What is the recommended dosage range of bisacodyl for children aged 4-17 years?

<p>10-20 mg per day (D)</p> Signup and view all the answers

Which of the following statements about Arachis oil is correct?

<p>Arachis oil is used to soften impacted feces, with dosages ranging from 12.5 mg to 120 mg for oral administration. (A)</p> Signup and view all the answers

What is the recommended dosage range of Senna for children aged 12-17 years?

<p>4 g as required (C)</p> Signup and view all the answers

Which of the following statements about the side effects of bisacodyl is correct?

<p>All of the above. (D)</p> Signup and view all the answers

What is the recommended dosage range of Arachis oil for oral administration?

<p>12.5 mg to 120 mg (D)</p> Signup and view all the answers

Which of the following statements about the use of stimulant laxatives is correct?

<p>Excessive use of stimulant laxatives can cause diarrhea and related effects such as hypokalemia. (D)</p> Signup and view all the answers

Which of the following statements about the MHRA's new measures for stimulant laxatives is correct?

<p>The MHRA has introduced new pack size restrictions and revised recommended ages for use of stimulant laxatives. (D)</p> Signup and view all the answers

Which of the following is NOT a type of laxative mentioned in the text?

<p>Emollient laxatives (C)</p> Signup and view all the answers

For treating chronic constipation in children, what is the recommended approach?

<p>A bulk-forming laxative, ensuring good hydration (C)</p> Signup and view all the answers

Which of the following is NOT a recommended dietary modification for constipation in children?

<p>Consuming processed bran (B)</p> Signup and view all the answers

If prucalopride is not effective after 4 weeks for treating constipation, what should be done?

<p>Re-examine the patient and reconsider continuing treatment (D)</p> Signup and view all the answers

What is a potential side effect of macrogol 3350, a laxative used for chronic constipation?

<p>Hypoglycemia (D)</p> Signup and view all the answers

Which of the following is a contra-indication for the use of lactulose, an oral laxative?

<p>Galactosemia (A)</p> Signup and view all the answers

What is the recommended dosage of sterculia for adults?

<p>1-2 heaped spoonfuls once or twice a day (B)</p> Signup and view all the answers

Which of the following is a potential contra-indication for the use of macrogol 3350?

<p>Ileus (D)</p> Signup and view all the answers

What is the recommended approach if the first-line laxative therapy for constipation in children is not tolerated?

<p>Both a and b (A)</p> Signup and view all the answers

What is the recommended duration for continuing laxatives in children with chronic constipation?

<p>Several weeks after establishing a regular bowel movement pattern (D)</p> Signup and view all the answers

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