Constipation in the elderly can have particular presentations and added causes

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Gastroenterology

Constipation in the elderly can have particular presentations and added causes

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Melanosis coli
Melanosis coli – the effect of long-term use of stimulant laxatives. This mucosal accumulation of pigment is not known to cause any harm but is a marker of excess use

Constipation affects 16 per cent of adults and 33 per cent of those over 60 years. It has a significant impact on quality of life, work productivity and healthcare resource usage. Auckland gastroenterologist Alan Fraser discusses patient management for this common problem

Idiopathic, slow colon­ic transit is the main cause of constipation in adults. Key points A history of symp­toms and medication use, stool fr