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PATHOPHYSIOLOGY

PATHOPHYSIOLOGY. Low fiber and sedentary lifestyle Metabolic and endocrine disturbances Mechanical obstruction Drug use Psychiatric disease & psychosocial distress Neurologic impairment Inhibition of rectal defecation reflex. History symptoms diet and exercise Physical exam skin

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PATHOPHYSIOLOGY

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  1. PATHOPHYSIOLOGY • Low fiber and sedentary lifestyle • Metabolic and endocrine disturbances • Mechanical obstruction • Drug use • Psychiatric disease & psychosocial distress • Neurologic impairment • Inhibition of rectal defecation reflex

  2. History symptoms diet and exercise Physical exam skin abdomen rectal neurologic Lab X-rays R/O metabolic disorders R/O anemia in elderly WORK-UP

  3. MANAGEMENT • Reassure • Education • Improve diet and exercise • Bulking agents or laxatives • Enemas for impaction • Time for defecation • Prevention

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