Deprecated: Return type of DrupalCacheArray::offsetExists($offset) should either be compatible with ArrayAccess::offsetExists(mixed $offset): bool, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/rprlib/prod72/www/includes/bootstrap.inc on line 362

Deprecated: Return type of DrupalCacheArray::offsetGet($offset) should either be compatible with ArrayAccess::offsetGet(mixed $offset): mixed, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/rprlib/prod72/www/includes/bootstrap.inc on line 369

Deprecated: Return type of DrupalCacheArray::offsetSet($offset, $value) should either be compatible with ArrayAccess::offsetSet(mixed $offset, mixed $value): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/rprlib/prod72/www/includes/bootstrap.inc on line 381

Deprecated: Return type of DrupalCacheArray::offsetUnset($offset) should either be compatible with ArrayAccess::offsetUnset(mixed $offset): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/rprlib/prod72/www/includes/bootstrap.inc on line 388
constipation https://www.rpr.lib.ok.us/taxonomy/term/2189/all en What Is Celiac Disease? https://www.rpr.lib.ok.us/resource/what-celiac-disease <div class="field field-name-field-artifact-uploaded-date field-type-datetime field-label-inline clearfix"> <div class="field-label">Date Added:&nbsp;</div> <div class="field-items"> <div class="field-item even"><span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2026-08-17T00:00:00-05:00">August 17, 2026</span></div> </div> </div> <div class="field field-name-field-artifact-journal field-type-text field-label-inline clearfix"> <div class="field-label">Journal/Publication:&nbsp;</div> <div class="field-items"> <div class="field-item even">JAMA Patient Page</div> </div> </div> <div class="field field-name-field-artifact-publisher field-type-text field-label-inline clearfix"> <div class="field-label">Publisher:&nbsp;</div> <div class="field-items"> <div class="field-item even">JAMA</div> </div> </div> <div class="field field-name-field-artifact-published-date field-type-datetime field-label-inline clearfix"> <div class="field-label">Publication Date:&nbsp;</div> <div class="field-items"> <div class="field-item even"><span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2026-08-12T00:00:00-05:00">August 12, 2026</span></div> </div> </div> <div class="field field-name-field-artifact-url field-type-link-field field-label-inline clearfix"> <div class="field-label">URL:&nbsp;</div> <div class="field-items"> <div class="field-item even"><a href="https://jamanetwork.com/journals/jama/fullarticle/2852740?guestAccessKey=1703bf82-62d1-4429-b845-32c8a358bd38&amp;utm_medium=email&amp;utm_source=postup_jn&amp;utm_campaign=article_alert-jama&amp;utm_content=olf-tfl_&amp;utm_term=081226" target="_blank">What Is Celiac Disease?</a></div> </div> </div> <div class="field field-name-field-artifact-type field-type-taxonomy-term-reference field-label-inline clearfix"> <div class="field-label">Type:&nbsp;</div> <div class="field-items"> <div class="field-item even">Patient Education Materials</div> </div> </div> <div class="field field-name-field-artifact-format field-type-taxonomy-term-reference field-label-inline clearfix"> <div class="field-label">Format:&nbsp;</div> <div class="field-items"> <div class="field-item even">Article</div> </div> </div> <div class="field field-name-field-artifact-doi-1 field-type-text field-label-inline clearfix"> <div class="field-label">DOI (1):&nbsp;</div> <div class="field-items"> <div class="field-item even">10.1001/jama.2026.13079</div> </div> </div> <div class="field field-name-field-artifact-keywords field-type-taxonomy-term-reference field-label-above"> <div class="field-label">Keywords&nbsp;</div> <div class="field-items"> <div class="field-item even"><a href="/tags/celiac-disease" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">celiac disease</a></div> <div class="field-item odd"><a href="/tags/patient-education" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">patient education</a></div> <div class="field-item even"><a href="/tags/health-education" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">health education</a></div> </div> </div> <div class="field field-name-field-artifact-mesh field-type-taxonomy-term-reference field-label-above"> <div class="field-label">MeSH&nbsp;</div> <div class="field-items"> <div class="field-item even"><a href="/mesh/celiac-disease" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">celiac disease</a></div> <div class="field-item odd"><a href="/mesh/diet" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">diet</a></div> <div class="field-item even"><a href="/mesh/diet-gluten-free" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Diet, gluten-free</a></div> <div class="field-item odd"><a href="/mesh/genetic-markers" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Genetic Markers</a></div> <div class="field-item even"><a href="/mesh/triticum" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Triticum</a></div> <div class="field-item odd"><a href="/mesh/constipation" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">constipation</a></div> <div class="field-item even"><a href="/mesh/weight-loss" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">weight loss</a></div> <div class="field-item odd"><a href="/mesh/diarrhea" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">diarrhea</a></div> <div class="field-item even"><a href="/mesh/nutrients" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Nutrients</a></div> <div class="field-item odd"><a href="/mesh/headache" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">headache</a></div> <div class="field-item even"><a href="/mesh/fatigue" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">fatigue</a></div> <div class="field-item odd"><a href="/mesh/glutens" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">glutens</a></div> </div> </div> <div class="field field-name-field-artifact-editor-note field-type-text-long field-label-hidden"> <div class="field-items"> <div class="field-item even"><p>Information for patients about celiac disease. James W. Mold, MD, MPH</p> </div> </div> </div> <div class="field field-name-field-artifact-text-availability field-type-list-text field-label-hidden"> <div class="field-items"> <div class="field-item even">Free full text</div> </div> </div> <div class="field field-name-field-artifact-document-content field-type-entityreference field-label-hidden"> <div class="field-items"> <div class="field-item even"><div class="view view-artifact-docs view-id-artifact_docs view-display-id-block view-dom-id-5c2956e01e386d664ef318fff4a0a2d0"> <div class="view-content"> <div class="views-row views-row-1 views-row-odd views-row-first views-row-last"> <a href="https://jamanetwork.com/journals/jama/fullarticle/2852740?guestAccessKey=1703bf82-62d1-4429-b845-32c8a358bd38&amp;utm_medium=email&amp;utm_source=postup_jn&amp;utm_campaign=article_alert-jama&amp;utm_content=olf-tfl_&amp;utm_term=081226" class="btn btn-primary" target="_blank">View</a> </div> </div> </div></div> </div> </div> <div class="field field-name-body field-type-text-with-summary field-label-hidden"> <div class="field-items"> <div class="field-item even" property="content:encoded"><p>Celiac disease is a chronic autoimmune disease caused by consumption of gluten in people with specific genetic markers. Celiac disease affects about 1% of people worldwide and people can start having symptoms at any age. Individuals at increased risk include those with a first-degree relative who has celiac disease and those with autoimmune diseases (eg, type 1 diabetes or Hashimoto thyroiditis) and certain chromosomal conditions (Down syndrome, Turner syndrome, or Williams syndrome).</p> </div> </div> </div> <div class="field field-name-field-resource-author field-type-taxonomy-term-reference field-label-inline clearfix"> <div class="field-label">Author/s:&nbsp;</div> <div class="field-items"> <div class="field-item even">Kristin L. Walter</div> </div> </div> Mon, 17 Aug 2026 17:21:29 +0000 Mary Cervantes 3047 at https://www.rpr.lib.ok.us My Constipation Action Plan https://www.rpr.lib.ok.us/resource/my-constipation-action-plan <div class="field field-name-field-artifact-uploaded-date field-type-datetime field-label-inline clearfix"> <div class="field-label">Date Added:&nbsp;</div> <div class="field-items"> <div class="field-item even"><span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2023-03-19T00:00:00-05:00">March 19, 2023</span></div> </div> </div> <div class="field field-name-field-artifact-publisher field-type-text field-label-inline clearfix"> <div class="field-label">Publisher:&nbsp;</div> <div class="field-items"> <div class="field-item even">Uniformed Services University</div> </div> </div> <div class="field field-name-field-artifact-published-date field-type-datetime field-label-inline clearfix"> <div class="field-label">Publication Date:&nbsp;</div> <div class="field-items"> <div class="field-item even"><span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2023-01-17T00:00:00-06:00">January 17, 2023</span></div> </div> </div> <div class="field field-name-field-artifact-url field-type-link-field field-label-inline clearfix"> <div class="field-label">URL:&nbsp;</div> <div class="field-items"> <div class="field-item even"><a href="https://www.jpeds.com/cms/10.1016/j.jpeds.2020.10.001/attachment/bce2b36a-c043-427a-90c0-431802d1e81d/mmc6.pdf" target="_blank">My Constipation Action Plan</a></div> </div> </div> <div class="field field-name-field-artifact-type field-type-taxonomy-term-reference field-label-inline clearfix"> <div class="field-label">Type:&nbsp;</div> <div class="field-items"> <div class="field-item even">Patient Education Materials</div> </div> </div> <div class="field field-name-field-artifact-keywords field-type-taxonomy-term-reference field-label-above"> <div class="field-label">Keywords&nbsp;</div> <div class="field-items"> <div class="field-item even"><a href="/tags/children" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">children</a></div> <div class="field-item odd"><a href="/tags/action-plan" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">action plan</a></div> <div class="field-item even"><a href="/tags/handout" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">handout</a></div> </div> </div> <div class="field field-name-field-artifact-mesh field-type-taxonomy-term-reference field-label-above"> <div class="field-label">MeSH&nbsp;</div> <div class="field-items"> <div class="field-item even"><a href="/mesh/pediatrics" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">pediatrics</a></div> <div class="field-item odd"><a href="/mesh/constipation" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">constipation</a></div> <div class="field-item even"><a href="/mesh/parents" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Parents</a></div> </div> </div> <div class="field field-name-field-artifact-editor-note field-type-text-long field-label-hidden"> <div class="field-items"> <div class="field-item even"><p>An action plan for parents of children with chronic functional constipation developed by the Uniformed Services University. James W. Mold, MD, MPH</p> </div> </div> </div> <div class="field field-name-field-artifact-text-availability field-type-list-text field-label-hidden"> <div class="field-items"> <div class="field-item even">Free full text</div> </div> </div> <div class="field field-name-field-artifact-document-content field-type-entityreference field-label-hidden"> <div class="field-items"> <div class="field-item even"><div class="view view-artifact-docs view-id-artifact_docs view-display-id-block view-dom-id-257ce96bcfb1afc2dbc447d9bd14de88"> <div class="view-content"> <div class="views-row views-row-1 views-row-odd views-row-first views-row-last"> </div> </div> </div></div> </div> </div> <div class="field field-name-body field-type-text-with-summary field-label-hidden"> <div class="field-items"> <div class="field-item even" property="content:encoded"><p>An action plan for parents of children with chronic functional constipation developed by the Uniformed Services University.</p> </div> </div> </div> Sun, 19 Mar 2023 05:00:00 +0000 Rowan Hutchins 2011 at https://www.rpr.lib.ok.us Chronic Constipation https://www.rpr.lib.ok.us/resource/chronic-constipation-0 <div class="field field-name-field-artifact-uploaded-date field-type-datetime field-label-inline clearfix"> <div class="field-label">Date Added:&nbsp;</div> <div class="field-items"> <div class="field-item even"><span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2019-11-02T00:00:00-05:00">November 2, 2019</span></div> </div> </div> <div class="field field-name-field-artifact-journal field-type-text field-label-inline clearfix"> <div class="field-label">Journal/Publication:&nbsp;</div> <div class="field-items"> <div class="field-item even">Mayo Clinic Proceedings</div> </div> </div> <div class="field field-name-field-artifact-publisher field-type-text field-label-inline clearfix"> <div class="field-label">Publisher:&nbsp;</div> <div class="field-items"> <div class="field-item even">Mayo Foundation for Medical Education and Research</div> </div> </div> <div class="field field-name-field-artifact-published-date field-type-datetime field-label-inline clearfix"> <div class="field-label">Publication Date:&nbsp;</div> <div class="field-items"> <div class="field-item even"><span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2019-11-01T00:00:00-05:00">November 1, 2019</span></div> </div> </div> <div class="field field-name-field-artifact-issue field-type-text field-label-inline clearfix"> <div class="field-label">Issue:&nbsp;</div> <div class="field-items"> <div class="field-item even">11</div> </div> </div> <div class="field field-name-field-artifact-volume field-type-text field-label-inline clearfix"> <div class="field-label">Volume:&nbsp;</div> <div class="field-items"> <div class="field-item even">94</div> </div> </div> <div class="field field-name-field-artifact-pages field-type-text field-label-inline clearfix"> <div class="field-label">Pages:&nbsp;</div> <div class="field-items"> <div class="field-item even">2340-2357</div> </div> </div> <div class="field field-name-field-artifact-url field-type-link-field field-label-inline clearfix"> <div class="field-label">URL:&nbsp;</div> <div class="field-items"> <div class="field-item even"><a href="https://doi.org/10.1016/j.mayocp.2019.01.031" target="_blank">Chronic Constipation</a></div> </div> </div> <div class="field field-name-field-artifact-type field-type-taxonomy-term-reference field-label-inline clearfix"> <div class="field-label">Type:&nbsp;</div> <div class="field-items"> <div class="field-item even">Meta-analyses, Reviews, and Guidelines</div> </div> </div> <div class="field field-name-field-artifact-format field-type-taxonomy-term-reference field-label-inline clearfix"> <div class="field-label">Format:&nbsp;</div> <div class="field-items"> <div class="field-item even">Article</div> </div> </div> <div class="field field-name-field-artifact-doi-1 field-type-text field-label-inline clearfix"> <div class="field-label">DOI (1):&nbsp;</div> <div class="field-items"> <div class="field-item even">10.1016/j.mayocp.2019.01.031</div> </div> </div> <div class="field field-name-field-artifact-keywords field-type-taxonomy-term-reference field-label-above"> <div class="field-label">Keywords&nbsp;</div> <div class="field-items"> <div class="field-item even"><a href="/tags/chronic-constipation" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">chronic constipation</a></div> <div class="field-item odd"><a href="/tags/constipation" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">constipation</a></div> <div class="field-item even"><a href="/tags/laxatives" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">laxatives</a></div> <div class="field-item odd"><a href="/tags/opiod-induced-consitpation" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">opiod-induced consitpation</a></div> </div> </div> <div class="field field-name-field-artifact-mesh field-type-taxonomy-term-reference field-label-above"> <div class="field-label">MeSH&nbsp;</div> <div class="field-items"> <div class="field-item even"><a href="/mesh/humans" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Humans</a></div> <div class="field-item odd"><a href="/mesh/laxatives" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">laxatives</a></div> <div class="field-item even"><a href="/mesh/constipation" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">constipation</a></div> <div class="field-item odd"><a href="/mesh/physicians-primary-care" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">physicians, primary care</a></div> <div class="field-item even"><a href="/mesh/health-expenditures" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Health Expenditures</a></div> <div class="field-item odd"><a href="/mesh/gastroenterologists" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">gastroenterologists</a></div> <div class="field-item even"><a href="/mesh/narcotic-antagonists" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">narcotic antagonists</a></div> <div class="field-item odd"><a href="/mesh/analgesics-opioid" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">analgesics, opioid</a></div> <div class="field-item even"><a href="/mesh/colonic-diseases" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">colonic diseases</a></div> <div class="field-item odd"><a href="/mesh/biofeedback-psychology" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Biofeedback, Psychology</a></div> <div class="field-item even"><a href="/mesh/opiate-alkaloids" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Opiate Alkaloids</a></div> </div> </div> <div class="field field-name-field-artifact-editor-note field-type-text-long field-label-hidden"> <div class="field-items"> <div class="field-item even"><p>This is a comprehensive review of the causes, evaluation, and treatment of chronic constipation.  James W. Mold, MD, MPH</p> </div> </div> </div> <div class="field field-name-field-artifact-text-availability field-type-list-text field-label-hidden"> <div class="field-items"> <div class="field-item even">Commercial full text (fees may apply)</div> </div> </div> <div class="field field-name-field-artifact-document-content field-type-entityreference field-label-hidden"> <div class="field-items"> <div class="field-item even"><div class="view view-artifact-docs view-id-artifact_docs view-display-id-block view-dom-id-99c7d46aee8c9d9ba1e4440db89b8e40"> <div class="view-content"> <div class="views-row views-row-1 views-row-odd views-row-first views-row-last"> <a href="https://doi.org/10.1016/j.mayocp.2019.01.031" class="btn btn-primary" target="_blank">View</a> </div> </div> </div></div> </div> </div> <div class="field field-name-body field-type-text-with-summary field-label-hidden"> <div class="field-items"> <div class="field-item even" property="content:encoded"><p>Constipation is a common symptom that may be primary (idiopathic or functional) or associated with a number of disorders or medications. Although most constipation is self-managed by patients, 22% seek health care, mostly to primary care physicians (&gt;50%) and gastroenterologists (14%), resulting in large expenditures for diagnostic testing and treatments. There is strong evidence that stimulant and osmotic laxatives, intestinal secretagogues, and peripherally restricted μ-opiate antagonists are effective and safe; the lattermost drugs are a major advance for managing opioid-induced constipation. Constipation that is refractory to available laxatives should be evaluated for defecatory disorders and slow-transit constipation using studies of anorectal function and colonic transit. Defecatory disorders are often responsive to biofeedback therapies, whereas slow-transit constipation may require surgical intervention in selected patients. Both efficacy and cost should guide the choice of treatment for functional constipation and opiate-induced constipation. Currently, no studies have compared inexpensive laxatives with newer drugs that work by other mechanisms.</p> </div> </div> </div> <div class="field field-name-field-resource-author field-type-taxonomy-term-reference field-label-inline clearfix"> <div class="field-label">Author/s:&nbsp;</div> <div class="field-items"> <div class="field-item even">Bharucha, AE, Wald, A</div> </div> </div> Sat, 02 Nov 2019 16:29:30 +0000 John Bayhi 821 at https://www.rpr.lib.ok.us Chronic Constipation https://www.rpr.lib.ok.us/resource/chronic-constipation <div class="field field-name-field-artifact-uploaded-date field-type-datetime field-label-inline clearfix"> <div class="field-label">Date Added:&nbsp;</div> <div class="field-items"> <div class="field-item even"><span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2019-05-13T00:00:00-05:00">May 13, 2019</span></div> </div> </div> <div class="field field-name-field-artifact-journal field-type-text field-label-inline clearfix"> <div class="field-label">Journal/Publication:&nbsp;</div> <div class="field-items"> <div class="field-item even">Mayo Clinic Proceedings</div> </div> </div> <div class="field field-name-field-artifact-publisher field-type-text field-label-inline clearfix"> <div class="field-label">Publisher:&nbsp;</div> <div class="field-items"> <div class="field-item even">Elsevier Inc.</div> </div> </div> <div class="field field-name-field-artifact-published-date field-type-datetime field-label-inline clearfix"> <div class="field-label">Publication Date:&nbsp;</div> <div class="field-items"> <div class="field-item even"><span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2019-04-28T00:00:00-05:00">April 28, 2019</span></div> </div> </div> <div class="field field-name-field-artifact-url field-type-link-field field-label-inline clearfix"> <div class="field-label">URL:&nbsp;</div> <div class="field-items"> <div class="field-item even"><a href="https://www.ncbi.nlm.nih.gov/pubmed/?term=10.1016/j.mayocp.2019.01.031" target="_blank">Chronic Constipation</a></div> </div> </div> <div class="field field-name-field-artifact-type field-type-taxonomy-term-reference field-label-inline clearfix"> <div class="field-label">Type:&nbsp;</div> <div class="field-items"> <div class="field-item even">Meta-analyses, Reviews, and Guidelines</div> </div> </div> <div class="field field-name-field-artifact-cme-credits field-type-text field-label-inline clearfix"> <div class="field-label">CME Credits:&nbsp;</div> <div class="field-items"> <div class="field-item even">1</div> </div> </div> <div class="field field-name-field-artifact-format field-type-taxonomy-term-reference field-label-inline clearfix"> <div class="field-label">Format:&nbsp;</div> <div class="field-items"> <div class="field-item even">Article</div> </div> </div> <div class="field field-name-field-artifact-doi-1 field-type-text field-label-inline clearfix"> <div class="field-label">DOI (1):&nbsp;</div> <div class="field-items"> <div class="field-item even">10.1016/j.mayocp.2019.01.031</div> </div> </div> <div class="field field-name-field-artifact-keywords field-type-taxonomy-term-reference field-label-above"> <div class="field-label">Keywords&nbsp;</div> <div class="field-items"> <div class="field-item even"><a href="/tags/chronic-constipation" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">chronic constipation</a></div> <div class="field-item odd"><a href="/tags/primary-care" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">primary care</a></div> </div> </div> <div class="field field-name-field-artifact-pmid-1 field-type-text field-label-inline clearfix"> <div class="field-label">PMID (1):&nbsp;</div> <div class="field-items"> <div class="field-item even">31054770</div> </div> </div> <div class="field field-name-field-artifact-mesh field-type-taxonomy-term-reference field-label-above"> <div class="field-label">MeSH&nbsp;</div> <div class="field-items"> <div class="field-item even"><a href="/mesh/constipation" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">constipation</a></div> <div class="field-item odd"><a href="/mesh/colonic-diseases" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">colonic diseases</a></div> <div class="field-item even"><a href="/mesh/physicians-primary-care" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">physicians, primary care</a></div> <div class="field-item odd"><a href="/mesh/laxatives" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">laxatives</a></div> <div class="field-item even"><a href="/mesh/gastroenterologists" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">gastroenterologists</a></div> </div> </div> <div class="field field-name-field-artifact-editor-note field-type-text-long field-label-hidden"> <div class="field-items"> <div class="field-item even"><p>This is a comprehensive review of the diagnosis and management of chronic constipation from the Mayo Clinic. One hour of Category 1 CME credit is available for reading it and taking the online test.   James W. Mold, MD, MPH</p> </div> </div> </div> <div class="field field-name-field-artifact-text-availability field-type-list-text field-label-hidden"> <div class="field-items"> <div class="field-item even">Commercial full text (fees may apply)</div> </div> </div> <div class="field field-name-field-artifact-document-content field-type-entityreference field-label-hidden"> <div class="field-items"> <div class="field-item even"><div class="view view-artifact-docs view-id-artifact_docs view-display-id-block view-dom-id-236c019cca31c0a36c8094f96a2f9372"> <div class="view-content"> <div class="views-row views-row-1 views-row-odd views-row-first views-row-last"> <a href="https://www.mayoclinicproceedings.org/article/S0025-6196(19)30123-5/abstract" class="btn btn-primary" target="_blank">View</a> </div> </div> </div></div> </div> </div> <div class="field field-name-body field-type-text-with-summary field-label-hidden"> <div class="field-items"> <div class="field-item even" property="content:encoded"><p>Constipation is a common symptom that may be primary (idiopathic or functional) or associated with a number of disorders or medications. Although most constipation is self-managed by patients, 22% seek health care, mostly to primary care physicians (&gt;50%) and gastroenterologists (14%), resulting in large expenditures for diagnostic testing and treatments. There is strong evidence that stimulant and osmotic laxatives, intestinal secretagogues, and peripherally restricted μ-opiate antagonists are effective and safe; the lattermost drugs are a major advance for managing opioid-induced constipation. Constipation that is refractory to available laxatives should be evaluated for defecatory disorders and slow-transit constipation using studies of anorectal function and colonic transit. Defecatory disorders are often responsive to biofeedback therapies, whereas slow-transit constipation may require surgical intervention in selected patients. Both efficacy and cost should guide the choice of treatment for functional constipation and opiate-induced constipation. Currently, no studies have compared inexpensive laxatives with newer drugs that work by other mechanisms.</p> </div> </div> </div> <div class="field field-name-field-resource-author field-type-taxonomy-term-reference field-label-inline clearfix"> <div class="field-label">Author/s:&nbsp;</div> <div class="field-items"> <div class="field-item even">Bharucha, Adil E., Wald, Arnold</div> </div> </div> Mon, 13 May 2019 05:00:00 +0000 Tracy Ashby 544 at https://www.rpr.lib.ok.us