Overflow diarrhea elderly
[PDF File]Chronic constipation in the elderly
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- Fecal impactation overflow diarrhea - Stercoral ulcer - Volvulus What are some of the consequences of ... In elderly with constipation, adding bran 10 g twice daily resulted in significantly shorter colonic transit times (89 vs. 126 h) compared with psyllium 6 g
[PDF File]NHS Lothian guidelines for the management of faecal ...
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from the rectum. May be accompanied by ‘overflow’ diarrhoea where loose stool leaks around the formed stool. Inform medical Check if red flag symptomsYes staff as soon as require urgent referral to a specialist. No If unsuccessful in maintaining a regular/predictable pattern, liaise with medical staff and
[PDF File]Fecal incontinence in older adults
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leakage after normal defecation). Diarrhea might contrib-ute to FI but is not necessarily present. Physical examina-tion should include an abdominal examination for masses, inspection of the perineum for breakdown and infection, testing of S2 to S4 nerve routes, anal wink testing, and digital rectal examination. Functional and cognitive limita-
[PDF File]Diarrhoea in Critical Care - Portsmouth ICU
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Constipation May cause overflow diarrhoea. Common in elderly and with use of constipating drugs such as opiates Food Allergy/Intolerance/ Malabsorption e.g. Coeliac disease, chronic pancreatitis, lactose intolerance Metabolic/Endocrine Hyperthyroidism, Diabetes, Addison’s
[PDF File]Medication Induced Constipation and Diarrhea
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pronounced in the elderly. Fecal impaction can occur which can lead to intestinal obstruction, stercoral ulceration, mental disturbances, urinary retention and overflow diarrhea. Other complications in the elderly include cerebrovascular effects of straining such as transient ischemic attacks or syncope. Chronic consti-
[PDF File]Overflow diarrhea and acute kidney injury as a ...
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an elderly male who came in with overflow diarrhea and acute kidney injury that resulted from fecal impaction that caused obstructive uropathy. He was managed with catharsis and early recognition of the condition led to a good outcome. Recognition and management of fecal impaction can be challenging especially in patients who present with diarrhea.
[PDF File]Fecal incontinence in elderly patients: Common, treatable ...
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of “idiopathic” fecal incontinence in elderly women. A careful obstetric history should be taken from all elderly women with inconti-nence, including the number of vaginal deliv-eries, use of obstetric forceps, and the delivery of high-birth-weight infants. Passive incontinence may also suggest “overflow,” caused by fecal impaction or ...
[PDF File]Clinical Evaluation of CHRONIC DIARRHEA
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History 1-Age (recent onset in elderly, IBS unlikely – celiac sprue – food allergy)2-Duration of symptoms. 3- The severity of the diarrhea: * Stool frequency is the easiest for patients to define but not necessarily correlate with stool weight
[PDF File]Approach To The Patient with Diarrhea
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– “Overflow” diarrhea – Extremely common! – Check KUB!! – Often in elderly with fecal incontinence – Think fiber. CONSTIPATION!!! General Approach • History – Is diarrhea inflammatory, watery or fatty? – Try to determine obvious associations • Foods (lactose!),
[PDF File]Acute Diarrhea in Adults
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diarrhea poses several challenges, including the han- ... VIPoma, bowel obstruction, constipation with overflow Other: Appendicitis, diverticulitis, human immunodeficiency virus infection, systemic
[PDF File]Constipation and Bowel Obstructions
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Paradoxical diarrhea (Liquid stool leaks around the fecal mass, imitating incontinence) Urinary frequency and/or urinary overflow incontinence. Abdominal distention and tenderness. Fever. Bowel Obstruction Cramping. Abdominal pain. Nausea and vomiting. No gas passing through the rectum.
STARTing and STOPPing Medications in the Elderly
STARTing and STOPPing Medications in the Elderly In the U.S., almost 40% of people age 60 years and older take at least five medications.1 Age-related physiologic changes (e.g., decreased renal function, reduced muscle mass) put the elderly at risk for adverse effects.2 Although only about 14% of the U.S. population is 65 years of age or
[PDF File]ACG Clinical Guideline: Diagnosis, Treatment, and ...
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5. The usage of balanced electrolyte rehydration over other oral rehydration options in the elderly with severe diarrhea or any traveler with cholera-like watery diarrhea is recommended. Most individuals with acute diarrhea or gastroenteritis can keep up with fl uids and salt by consumption of water, juices,
[PDF File]Evaluation and Management of Diarrhea in the ED
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the United States, diarrhea-related mortality most fre-quently occurs in the elderly. One study that reviewed national mortality data reported more than 28,000 deaths due to diarrhea over a 9-year period, with 51% of deaths occurring in persons older than 75 years.4 Despite advances in rehydration, prevention, and treat-
[PDF File]Management of Constipation in Older Adults
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overflow diarrhea, and is confirmed by rectal examination with a plain abdominal radio-graph, if needed. Nonpharmacologic Interventions. BEHAVIORAL INTERVENTIONS.
[PDF File]Chronic Diarrhea Primary Care Pathway
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Overflow Diarrhea. o A history of antecedent chronic constipation, particularly in the elderly, necessitates consideration of overflow diarrhea as a source of new onset/ poorly controlled watery stools in this context. o Plain x-ray imaging of the abdomen to identify fecal loading may be helpful to direct management
[PDF File]Acute and Chronic Diarrhea Final - Handout
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Overflow diarrhea Liquid stool flowing around hard (often impacted) stool in sigmoid colon or rectum Tenesmus Frequent urge to defecate with no or small amount of stool or mucus Acute diarrhea Duration of diarrhea is less than 2 weeks Persistent diarrhea Duration of diarrhea > 2 but < 4 weeks Chronic diarrhea Duration of diarrhea > 4 weeks
[PDF File]Fecal incontinence, an ignored and concealed problem E d i ...
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ing assessed (31). In case of overflow diarrhea the rectum should be lavaged using suppositories or enemas, and laxatives should be prescribed. In the elderly hy-gienic-dietary measures and drug therapies may help improve their status during this time of life. Biofeedback techniques attempting to strengthen the external
[PDF File]Bladder & Bowel Continence Assessment - RNAO
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Overflow UI Spurt of urine with movement Limited mobility Requires assistance with toileting ... diarrhea) - Amlodipine - Diltiazem - Felodipine - Nifedipine - Verapamil ... especially in elderly. Contributes to overflow and functional urinary incontinence. Problems with
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