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Forstoppelse

Forstoppelse er en av de mest utbredte plager i befolkningen. Tilstanden arter seg som treg, hard og/eller sjelden avføring. Den rammer særlig kvinner, eldre, fysisk inaktive, de med fiberfattig kost.

grovt brød,fiber,sunn.jpg
Undertrykker vi tarmens naturlige tømmingsreflekser og venter med å gå på do, får vi ikke tarmen til å "spille på lag" med oss.

Sist oppdatert:

8. nov. 2018

Innhold i artikkelen

Hva er forstoppelse?

Forstoppelse defineres som treg, hard eller sjelden avføring. Problemet er omfattende blant eldre mennesker og er tre ganger så vanlig blant kvinner som menn. 20% av befolkningen har forstoppelse og 10% bruker avføringsmidler.

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Det er ikke noe skarpt skille mellom hva som er normal og hva som er unormal avføring. Man regner at det bare er ca. 30% av oss som har helt regelmessig avføring med en daglig tømning til fast tid. Selv om det går flere dager mellom hver tømning, behøver ikke det å være unormalt. Det avgjørende er om du opplever plager og ubehag på grunn av treg, hard eller sjelden avføring.

Vil du vite mer

Dette dokumentet er basert på det profesjonelle dokumentet Forstoppelse hos voksne . Referanselisten for dette dokumentet vises nedenfor

  1. Mounsey A, Raleigh M, Wilson A. Management of constipation in older adults. Am Fam Physician. 2015 Sep 15;92(6):500-504.
  2. Drossman DA, Dumitrascu DL. Rome III: New standard for functional gastrointestinal disorders. J Gastrointestin Liver Dis 2006; 15: 237-41. PubMed
  3. Jamshed N, Lee Z-E. Diagnostic approach to chronic constipation in adults. Am Fam Physician 2011; 84: 299-306. American Family Physician
  4. Higgins PD, Johanson JF. Epidemiology of constipation in North America: a systematic review. Am J Gastroenterol. 2004 Apr;99(4):750-9. PubMed
  5. Suares NC, Ford AC. Prevalence of, and risk factors for, chronic idiopathic constipation in the community: systematic review and meta-analysis. Am J Gastroenterol. 2011 Sep;106(9):1582-91. PubMed
  6. Peppas G, Alexiou VG, Mourtzoukou E, et al. Epidemiology of constipation in Europe and Oceania: a systematic review. BMC Gastroenterol. 2008 Feb 12;8:5. PubMed
  7. McCrea GL, Miaskowski C, Stotts NA, Macera L, Varma MG. A review of the literature on gender and age differences in the prevalence and characteristics of constipation in North America. J Pain Symptom Manage 2009; 37: 737-45. PubMed
  8. Kamm MA. Constipation and its management. BMJ 2003; 327: 459-60. PubMed
  9. Rao SS. Constipation: evaluation and treatment of colonic and anorectal motility disorders. Gastroenterol Clin North Am 2007; 36: 687-711. PubMed
  10. Talley NJ, Jones M, Nuyts G, Dubois D. Risk factors for chronic constipation based on a general practice sample. Am J Gastroenterol 2003; 98: 1107-11. PubMed
  11. Gattuso JM, Kamm MA. Clinical features of idiopathic megarectum and idiopathic megacolon. Gut 1997;41: 93-9. Gut
  12. Ternent CA, Bastawrous AL, Morin NA, et al.; Standards Practice Task Force of the American Society of Colon and Rectal Surgeons. Practice parameters for the evaluation and management of constipation. Dis Colon Rectum 2007; 50: 2013-22. PubMed
  13. De Schryver AM, Keulemans YC, Peters HP, et al. Effects of regular physical activity on defecation pattern in middle-aged patients complaining of chronic constipation. Scand J Gastroenterol 2005; 40: 422-9. PubMed
  14. Anti M, Pignataro G, Armuzzi A, et al. Water supplementation enhances the effect of high-fiber diet on stool frequency and laxative consumption in adult patients with functional constipation. Hepatogastroenterology 1998; 45: 727-32. PubMed
  15. Liu Z, Yan S, Wu J, et al. Acupuncture for chronic severe functional constipation. Ann Intern Med 2016; 165: 761-9. pmid:27618593 PubMed
  16. Meshkinpour H, Selod S, Movahedi H, Nami N, James N, Wilson A. Effects of regular exercise in management of chronic idiopathic constipation. Dig Dis Sci 1998; 43: 2379-83. PubMed
  17. Dukas L, Willett WC, Giovannucci EL. Association between physical activity, fiber intake, and other lifestyle variables and constipation in a study of women. Am J Gastroenterol 2003; 98: 1790-6. PubMed
  18. Rao SSC, Brenner DM Efficacy and Safety of Over-the-Counter Therapies for Chronic Constipation: An Updated Systematic Review. Am J Gastroenterol. 2021. PMID: 33767108 PubMed
  19. Tramonte SM, Brand MB, Mulrow CD, Amato MG, O'Keefe ME, Ramirez G. The treatment of chronic constipation in adults. A systematic review. J Gen Intern Med 1997; 12: 15-24. PubMed
  20. Lever E, Cole J, Scott SM, et al. Systematic review: the effect of prunes on gastrointestinal function. Aliment Pharmacol Ther 2014; 40: 750-8. doi:10.1111/apt.12913 DOI
  21. Abbott R, Ayres I, Hui E, Hui K-K. Effect of perineal self-acupressure on constipation: A randomized controlled trial. J Gen Intern Med 2015; 30:434. DOI: 10.1007/s11606-014-3084-6 DOI
  22. Paré P, Fedorak RN. Systematic review of stimulant and nonstimulant laxatives for the treatment of functional constipation. Can J Gastroenterol Hepatol 2014; 28: 549-57. pmid:25390617 PubMed
  23. Lee-Robichaud H, Thomas K, Morgan J, Nelson RL. Lactulose versus Polyethylene Glycol for Chronic Constipation. Cochrane Database Syst Rev 2010; (7): CD007570. doi:10.1002/14651858.CD007570.pub2 PMID: 20614462 PubMed
  24. Ramkumar D , et al. Efficacy and safety of traditional medical therapies for chronic constipation: systematic review. Am J Gastroenterol 2005; 100: 936-71. PubMed
  25. Katelaris P, Naganathan V, Liu K, et al. Comparison of the effectiveness of polyethylene glycol with and without electrolytes in constipation: a systematic review and network meta-analysis. BMC Gastroenterol. 2016 Mar 31;16:42. pmid:27029340 PubMed
  26. DiPalma JA, Cleveland MV, McGowan J, Herrera JL. A randomized, multicenter placebo-controlled trial of polyethylene glycol laxative for chronic treatment of chronic constipation. Am J Gastroenterol 2007; 102: 1436-41. PubMed
  27. Gordon M, MacDonald JK, Parker CE, Akobeng AK, Thomas AG. Osmotic and stimulant laxatives for the management of childhood constipation. Cochrane Database of Systematic Reviews 2016, Issue 8. Art. No.: CD009118. DOI: 10.1002/14651858.CD009118.pub3. DOI
  28. Schoenfeld P, Lacy BE, Chey WD, et al. Low-Dose Linaclotide (72 mug) for Chronic Idiopathic Constipation: A 12-Week, Randomized, Double-Blind, Placebo-Controlled Trial. Am J Gastroenterol. 2017. PMID: 29091082 PubMed
  29. FDFA News release. FDAapproves Trulance for Chronic idiopathic constipation. FDA Jan. 2017. www.fda.gov
  30. Chiotakakou-Faliakou E, Kamm MA, Roy AJ, Storrie JB, Turner IC. Biofeedback provides long term benefit for patients with intractable, slow and normal transit constipation. Gut 1998;42: 517-21. Gut
  31. Bassotti G, Chistolini F, Sietchiping-Nzepa F, et al. Biofeedback for pelvic floor dysfunction in constipation. BMJ 2004; 328: 393-6. PubMed
  32. Petticrew M, Watt I, Sheldon T. Systematic review of the effectiveness of laxatives in the elderly. Health Technol Assess 1997;1:1-52. PubMed
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