Constipation
Uganda2023
Evidence-based management of Constipation according to Uganda Clinical Guidelines 2023
Uganda Clinical Guidelines 2023 · all from source →
General Adult
Diagnosis
1.
Clinical Features
Abdominal discomfort, small hard stools passed irregularly under strain. Can cause haemorrhoids/fissures. Alarm features: Signs of intestinal obstruction, confusion, abnormal vitals, rectal bleeding/mass, haem positive stool, weight loss, age >45 with no colon cancer screening.
Treatment
1.
No Alarm Features / Chronic
High dietary fibre, adequate fluid intake. Bisacodyl: 10 mg at night until stool is passed (Child 5-12 yrs: 5 mg suppository only). Contraindicated in acute abdomen. Oral or rectal lactulose (faster relief).
2.
Alarm Features / Severe
Refer to hospital for specialist management.
Clinical Tools