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Constipation - Management
When should I refer an adult with constipation?
- Refer for suspected cancer if 'red flags' are present.
- Consider surgical referral when there is pain and bleeding on defecation (e.g. from an anal fissure) that is severe or does not respond to treatment for constipation.
- Refer for assessment by a specialist with an interest in constipation when:
- An underlying cause is suspected.
- Treatment is unsuccessful.
- Management may require further tests.
- Assessment is required prior to referral for other interventions (such as psychology, psychiatry).
- Consider referral to a Continence Service (when available) if faecal incontinence is a problem.
- Consider dietetics referral for more detailed support of diet.
In depth
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