Treatment of constipation and different laxative requirements in palliative medicine
Beck, D.; Kettler, D.
Zeitschrift für Arztliche Fortbildung und Qualitatssicherung 94(7): 563-567
2000
ISSN/ISBN: 1431-7621 PMID: 11048340 Document Number: 7972
The significance of constipation with its variety of possible complications is often underestimated in the context of the tumour patient's complaints although difficulties in stool management are more common in patients with advanced cancer than in those with other terminal diseases. Without treatment constipated patients will suffer from nausea and emesesis and will possibly develop small bowel paralysis. About half of all patients admitted to specialist palliative care units report constipation, but about 75% of the patients will require laxatives. Unlike for pain, no generally accepted and widely disseminated management guidelines are available. Effective prophylaxis and cause-based therapy do improve the alimentary condition and can help to prevent the transition to ileus situations. Effective symptom management presupposes exact knowledge of the pharmacokinetics.
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