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management. Non-Pharmacologic. Pharmacologic. Stool-Bulking Agents. Antispasmodics. Inhibits the gastrocolic reflex Provides temporary relief for symptoms such as painful cramps related to intestinal spasm
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Antispasmodics • Inhibits the gastrocolic reflex • Provides temporary relief for symptoms such as painful cramps related to intestinal spasm • Given 30 min before meals so that effective blood levels are achieved shortly before the anticipated onset of pain • Most anticholinergics contain natural belladonna alkaloids • may cause xerostomia, urinary hesitancy and retention, blurred vision, and drowsiness • Use with caution in elderly • dicyclomine (synthetic anticholinergics) – less effect on mucous membrane secretions and produce fewer undesirable side effects