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</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</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</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</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</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</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</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</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</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</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</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</p> Signup and view all the answers

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

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

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

    <p>Hypokalemia</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</p> Signup and view all the answers

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

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

    Which gastrointestinal issue is NOT treated with prucalopride?

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

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

    <p>Haematochezia</p> Signup and view all the answers

    What is the recommended dosage range of bisacodyl for adults?

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

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

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

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

    <p>Hypoglycemia</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</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</p> Signup and view all the answers

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

    <p>Ileus</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</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</p> Signup and view all the answers

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