Chronic Idiopathic Constipation
Publication Date: May 19, 2023
Key Points
Key Points
- Chronic idiopathic constipation (CIC) is a common clinical diagnosis that affects approximately 8%–12% of the US population.
- Nonpharmacological therapies often represent the initial steps in management and may include dietary recommendations (such as increased fluid intake and increased dietary fiber) and behavioral changes (such as exercise). Pharmacological treatment may include the use of over-the-counter (OTC) or prescription medications, such as polyethylene glycol (PEG), secretagogues, or prokinetic agents.
- A significant proportion of patients with CIC are not satisfied with their treatment and may use multiple OTC medications, followed by prescription medications before they have improvement in their symptoms.
Treatment
...Treatment...
...Fiber...
...commendation 1In adults with CIC, the pane...
...Osmoti...
...tion 2In adults with CIC, the panel recommends...
...endation 3In adults with CIC, the panel...
...endation 4In adults with CIC who fail...
...Stimulant la...
...on 5In adults with CIC, the panel recommends th...
...6In adults with CIC, the panel suggests...
...Secretagogues...
...ommendation 7In adults with CIC who do not...
...tion 8In adults with CIC who do not respond...
...In adults with CIC who do not respond to OTC agent...
...Serot...
...tion 10In adults with CIC who do not re...
a The implementation considerations a...
Table 1. Overview of Interventions for th...