The Peripheral Vascular Dynamics of Bowel Function

Halpern, Alfred; Selman, David; Shaftel, Norman; Shaftel, Herbert E.; Kühn, P; Samuels, Saul S.; Birch, Herbert G.

doi:10.1177/000331976001100514

Cited by 6 publications

(2 citation statements)

References 23 publications

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“…Drastic purgatives have no place in modern treatment (Burgess 1958), but during the re‐establishment of regular habits aperients will often be required to supplement muscular inadequacy of the gut that may have arisen from neglect, serious illness, and in intractable and senile conditions. They will also be needed to ensure a soft stool to avoid pain from rectal and anal lesions such as fissure, inflamed piles, pruritus, and also as a precaution against straining in subjects with myocardial or arterial disease, when death may occur from alteration in vascular dynamics (Halpern et al 1959). The constipating effect of certain drugs will often require the concurrent use of a peristaltic stimulant.…”

Section: Mechanism Of Evacuationmentioning

confidence: 99%

A Re‐educative Regimen for Chronic (functional) Constipation

Abrahams¹

1964

Int J Clinical Practice

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Section: Mechanism Of Evacuationmentioning

confidence: 99%

A Re‐educative Regimen for Chronic (functional) Constipation

Abrahams¹

1964

Int J Clinical Practice

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“…The cardinal risks of geriatric constipation include sudden circulatory changes on straining at stool, particularly when a bed pan is used (1–4). The threat of sudden death due to these stresses is greatest in the presence of serious organic heart disease (3, 4) which is so common in older persons.…”

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confidence: 99%

Regulation of Bowel Function by a Laxative/Stool Softener Preparation in Aged Nursing Home Patients

Maddi

1979

J American Geriatrics Society

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A 12-week program for 42 chronically constipated patients in a nursing home involved a graduated dosage regimen of standardized senna concentrate with dioctyl sodium sulfosuccinate (Senokot-S Tablets), a high-fiber diet, and an increased fluid intake. The program achieved a satisfactory pattern of bowel evacuation in 36 (86 percent) of these patients. This pattern, as observed during a 4-week follow-up period while therapy was continued, was characterized by absence of fecal impactions, regular comfortable bowel movements of appropriate consistency, minimal or no straining at stool, and minimal or no resort to enemas. In the initial 2-week control period, none of the 42 patients had responded adequately to only dietary modification and increased hydration. Six additional patients whose response to the control regimen was equivocal, also appeared to benefit from the medication program. Two of these were able to discontinue the laxative tablets completely by the end of the 12-week test period. None of the 48 patients who completed the course experienced any adverse effects related to this rehabilitative program.

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Use and Abuse of Cathartics

Moriarty¹,

Dawson²

1984

Pharmacology of Intestinal Permeation II

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The Peripheral Vascular Dynamics of Bowel Function

Cited by 6 publications

References 23 publications

A Re‐educative Regimen for Chronic (functional) Constipation

A Re‐educative Regimen for Chronic (functional) Constipation

Regulation of Bowel Function by a Laxative/Stool Softener Preparation in Aged Nursing Home Patients

Use and Abuse of Cathartics

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