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 $offset): mixed, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home/rprlib/prod72/www/includes/bootstrap.inc on line 369
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Deprecated: Return type of DrupalCacheArray::offsetUnset($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
enWhat 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: </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: </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: </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: </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: </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&utm_medium=email&utm_source=postup_jn&utm_campaign=article_alert-jama&utm_content=olf-tfl_&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: </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: </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): </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 </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 </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&utm_medium=email&utm_source=postup_jn&utm_campaign=article_alert-jama&utm_content=olf-tfl_&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: </div>
<div class="field-items">
<div class="field-item even">Kristin L. Walter</div>
</div>
</div>
Mon, 17 Aug 2026 17:21:29 +0000Mary Cervantes3047 at https://www.rpr.lib.ok.usMy 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: </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: </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: </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: </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: </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 </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 </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 +0000Rowan Hutchins2011 at https://www.rpr.lib.ok.usChronic 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: </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: </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: </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: </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: </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: </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: </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: </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: </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: </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): </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 </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 </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 (>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: </div>
<div class="field-items">
<div class="field-item even">Bharucha, AE, Wald, A</div>
</div>
</div>
Sat, 02 Nov 2019 16:29:30 +0000John Bayhi821 at https://www.rpr.lib.ok.usChronic 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: </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: </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: </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: </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: </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: </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: </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: </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): </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 </div>
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<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>
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<div class="field field-name-field-artifact-pmid-1 field-type-text field-label-inline clearfix">
<div class="field-label">PMID (1): </div>
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<div class="field-item even">31054770</div>
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<div class="field field-name-field-artifact-mesh field-type-taxonomy-term-reference field-label-above">
<div class="field-label">MeSH </div>
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<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>
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<div class="field field-name-field-artifact-editor-note field-type-text-long field-label-hidden">
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<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>
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<div class="field field-name-field-artifact-text-availability field-type-list-text field-label-hidden">
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<div class="field-item even">Commercial full text (fees may apply)</div>
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<div class="field-item even"><div class="view view-artifact-docs view-id-artifact_docs view-display-id-block view-dom-id-236c019cca31c0a36c8094f96a2f9372">
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<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>
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<div class="field field-name-body field-type-text-with-summary field-label-hidden">
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<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 (>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>
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<div class="field field-name-field-resource-author field-type-taxonomy-term-reference field-label-inline clearfix">
<div class="field-label">Author/s: </div>
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<div class="field-item even">Bharucha, Adil E., Wald, Arnold</div>
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Mon, 13 May 2019 05:00:00 +0000Tracy Ashby544 at https://www.rpr.lib.ok.us