constipation
Let an agent explain constipation and its forms, relay causes, evaluation and management from clinical references in general terms, route people with persistent or alarming symptoms to clinicians, and distinguish constipation from bowel obstruction, irritable bowel syndrome and normal variation in bowel habit.
Research draft, second pass
A second pass drafted this model: the structure a model of this thing needs, and what is known about it in the world. The line under this one says how the second half was obtained - researched against sources, or recalled without web access, in which case nothing here was read anywhere and every claim is a lead to verify. Unreviewed either way.
written by Claude from model knowledge without web access - no source was read, every claim is a lead to verify
Researched by: Claude
Purpose and description
Let an agent explain constipation and its forms, relay causes, evaluation and management from clinical references in general terms, route people with persistent or alarming symptoms to clinicians, and distinguish constipation from bowel obstruction, irritable bowel syndrome and normal variation in bowel habit.
A bowel condition of infrequent, hard or difficult stools, with forms including outlet dysfunction constipation and dyschezia, faecal impaction, travellers constipation and constipation in children, sometimes accompanied by rectal tenesmus, caused by diet, inactivity, medicines, functional disorders and, less often, structural or systemic disease; most cases respond to fibre, fluids and laxatives, but persistent or alarming symptoms need medical assessment.
What it is for: Not applicable; a symptom and condition.
It can be explain forms and causes; relay evaluation and management; route to clinicians; distinguish related conditions.
Distinguishing features
Common symptom
Many causes
Functional and structural forms
Alarm features
What it looks like
Not a visible object; a bowel symptom.
Physical character
prevalence: about 15 percent - adults, estimates
Rome criteria: Rome IV note - functional constipation
Bristol stool types: 1-2 note - hard stools
How it is recognised
Infrequent, hard or difficult stools
Outlet dysfunction, dyschezia, faecal impaction, travellers constipation, constipation in children, tenesmus
Bowel obstruction is a mechanical block; IBS alternates; bowel habit varies widely
Related models
is a kind of - in registry terms
is a kind of - in registry terms
is contrasted with - a mechanical block
is treated with - among other measures
In practice
Families and kinds
functional and slow-transit constipation
outlet dysfunction constipation and dyschezia
faecal impaction
travellers constipation
constipation in children
secondary constipation from medicines and disease
Identifiers
ICD-10 K59.0 constipation
MeSH D003248 Constipation
Standards and regulation
Clinical guidelines for constipation in adults and children
Over-the-counter laxative regulations
Failure modes and hazards
Missing alarm features such as bleeding or weight loss
Agents giving personal medical advice
Laxative misuse
Also called
Where this came from
wikidata · CC0 1.0
Also registered as vr.tr.constipation
Drafted structure
Bundle to layer to finding to question, as the second pass will find it: 4 bundles · 8 layers · 8 findings · 16 questions.
Understand What constipation is.
Clinical.
Definition
Definition and forms.
Definition
Definition.
- What is constipation, and how do outlet dysfunction, impaction, travellers and childhood forms differ? definition
- Is the user describing persistent or alarming symptoms of their own, which need a clinician? boundary
Causes
Causes.
Causes
Causes.
- What causes constipation, from diet and medicines to functional and structural disorders? provenance
- Which entry fits the specific cause? action
Care Evaluation and management.
Clinical.
Evaluation
Evaluation.
Evaluation
Evaluation.
- How is constipation evaluated, and what are the alarm features that need investigation? provenance
- Which references are standard? provenance
Management
Management.
Management
Management.
- What do guidelines recommend, from fibre and fluids to laxatives and pelvic floor therapy, in general terms? provenance
- Which sources are cited? provenance
Groups Special groups.
Clinical.
Children
Children.
Children
Children.
- How is constipation in children recognised and managed, as guidelines state? provenance
- Which entry fits paediatric gastroenterology? action
Older
Older adults and impaction.
Older
Older.
- Why are older adults prone to impaction, and how is it treated, in general terms? provenance
- Which entry fits faecal impaction? action
Context Prevention and context.
Context.
Prevention
Prevention.
Prevention
Prevention.
- How do diet, activity and routine help prevent constipation, including when travelling? action
- Which entry fits dietary fibre? action
History
History.
History
History.
- How have attitudes and remedies for constipation changed over history? provenance
- Which entry fits the history of medicine? action
What the second pass must settle
- Should faecal impaction and constipation in children be separate primary entries?
- How should clinical references be linked?
- The registry entry has merged aliases naming forms and a symptom; should they be split off?