Management of Constipation in Hospitalized Patients

Constipation is frequently encountered in hospital settings and can have potentially serious consequences yet often underrecognized undertreated. Opioid-induced constipation a common cause of hospitalized patients. Opioids induce through agonistic effects on enteric µ-opioid receptors. This review aims to provide insight the identification management inpatient settings, with particular focus opioid-induced constipation. assessment should be routinely initiated at admission facilitated by thorough symptom assessments; relevant patient history, including recent medication use; physical examination; tools developed evaluate impact Management begin ensuring adequate hydration electrolyte balance encouraging mobilization. Other treatments may include laxatives, enemas, intestinal secretagogues, peripherally acting receptor antagonists, manual disimpaction. Surgical intervention required for some patients as salvage therapy severe, refractory cases.