CONSTIPATION AND FECAL INCONTINENCE IN THE ELDERLY POPULATION

Objective: To describe the assessment and management of constipation a nd fecal incontinence in elderly patients. Design: We reviewed pertine nt publications in the recent medical literature and outlined effectiv e management strategies for constipation and fecal incontinence in the geriatric population, Results: Constipation can be classified into tw o syndromes-functional constipation and rectosigmoid outlet delay, Eva luation consists of elicitation of a detailed history, directed physic al examination, and selected laboratory tests, Management involves non pharmacologic (such as exercise and fiber) and pharmacologic measures, Fecal incontinence in elderly patients can be due to stool impaction, medications, dementia, or neuromuscular dysfunction. Management optio ns include modification of contributing disorders, pharmacologic thera py, and behavioral techniques. Conclusion: Constipation and fecal inco ntinence are common and often debilitating conditions in elderly patie nts, Management should be highly individualized and dependent on cause , coexisting morbidities, and cognitive status.