Chronic Idiopathic Constipation
Publication Date: May 18, 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
...eatment...
...iber
...tion 1In adults with CIC, the panel suggests...
...tic laxatives...
...tion 2In adults with CIC, the panel rec...
...mmendation 3In adults with CIC, the panel...
...dation 4In adults with CIC who fai...
...lant laxatives...
...ion 5In adults with CIC, the panel recom...
...on 6In adults with CIC, the panel suggests the use...
...ecretagogues...
...dation 7In adults with CIC who do not respon...
...on 8In adults with CIC who do not respond to OT...
...In adults with CIC who do not respond to OT...
...erotonin type 4 (5-HT4) Ag...
...tion 10In adults with CIC who do not respo...
...tation considerations are based on the collec...
...erview of Interventions for the Pha...