Constipation - causes

Acute constipation often indicates an organic disesease:

• • Mechanical bowel obstruction

  • Adynamic ileus from trauma or peritoneal irritation.

  • Chronic constipation requires 12 weeks:

  • Irritable bowel disease

  • Hirshsprung's disease

  • Oglivie's synd.

  • Hyperglycemia

  • Hypercalcemia

  • Hypokalemia

  • Systemic sclerosis

  • Hypothyroidism

  • DM

  • Pregnancy

  • Pelvic floor dysfunction

  • Depression

  • Eating d/o

  • Opiates, anticholinergics, 5-HT3 antagonists

  • Chagas disease

Analgesics Anticholinergics Antihistamines Antispasmodics Antidepressants Antipsychotics Cation-containing agents Iron supplements Aluminum (antacids, sucralfate) Neurally active agents Opiates Antihypertensives Ganglionic blockers Vinca alkaloids Calcium channel blockers 5HT3 antagonists

Ogilvies syndrome associations:

Trauma, especially fractures.

Obstetrical surgery, especially involving spinal anesthesia Pelvic, abdominal, or cardiothoracic surgery Major orthopedic surgery Severe medical illness, such as pneumonia, myocardial infarction, or heart failure Neurologic conditions Retroperitoneal pathology, such as malignancy or hemorrhage One of the above plus metabolic imbalance or medication administration (eg, narcotics, phenothiazines, calcium channel blockers, alpha-2-adrenergic agonists, epidural analgesics)