Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
Introduo
Avaliao Clnica
Tratamento
Dieta
Atividade fsica
Reeducao de hbitos
b. Lubrificantes
c. Agentes osmticos
So substncias que seqestram a gua do sangue atravs da
mucosa do coln e da luz intestinal por osmose, fluidificando as
fezes.
Lactulona (xarope)
Lactolosum (xarope)
Consideraes finais
Com tantas opes teraputicas disponveis, a escolha do
laxativo a ser inicialmente empregado dependncia da experinca
pessoal do mdico. Ainda que no exista propriamente um
consenso sobre isso, o tratamento inicial pode ser institudo
apropriadamente, alm das medidas comportamentais, com a
prescrio de fibras (incrementadas de bolo) ou polietilenoglicol
(PEG 3350) ou tegaserode.
Summary
The main clinical aspects of intestinal constipation are
presented. The diagnosis of this very frequent disorder is based
upon the recenthy described Rome III criteria. Special attention is
required in the presence of alarm symptoms or abrupt onset in
patients with more than 50 years old because organic diseases may
be present, of which colonic cancer is the most serious. The more
important lifestyle modification is the inclusion of hingh
concentration of fibers in the diet. A comprehensive table with the
several laxative agents available in the Brasilian market is
presented. The several phamarcologic options are discussed with
the suggestion of the first approach be constituted by bulk
laxatives or polyethylene glycol (PEG 3350) or tegaserod.
Referncias Bibliogrficas
Briejer MR et al. Idiopathic constipation: too few stools and
too little knowledge. Trends Pharmacol Sci, 1999; 20(1):1-3.
Center for food safety and applied nutrition. Food and Drug
administration. Department of health and human services.
Recommendations for fiber intake in the United States. In:
Physiological effects and healthy consequences of dietary
fiber. Life Sciences Research Office, Bethesda, Maryland,
1987.