Nonpharmacologic Treatment of Chronic Constipation.

Myeongsook Seo, June Hwa Bae
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Abstract

Functional constipation is a common clinical diagnosis that affects approximately 14% of the world's population. Non-pharmacological therapies often represent the initial steps in management and may include lifestyle adjustments or changes such as physical activity and diet. Pharmacological options have been used when the non-pharmacological approach has been ineffective. Biofeedback therapy, surgery, sacral nerve stimulation, botulinum toxin injection, and vibrating capsules can be considered in scenarios where the laxatives are ineffective. Biofeedback therapy is highly effective and safe in treating dyssynergic defecation, which affects more than half of patients with chronic constipation. This paper overviews non-pharmacological therapies for functional constipation.

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慢性便秘的非药物治疗。
功能性便秘是一种常见的临床诊断,影响着全球约 14% 的人口。非药物疗法通常是治疗的第一步,可能包括生活方式的调整或改变,如体育锻炼和饮食。当非药物疗法无效时,可采用药物疗法。在泻药无效的情况下,可以考虑生物反馈疗法、手术、骶神经刺激、肉毒杆菌毒素注射和振动胶囊。生物反馈疗法在治疗排便障碍方面非常有效且安全,半数以上的慢性便秘患者都受到这种疗法的影响。本文概述了治疗功能性便秘的非药物疗法。
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