Constipation

Constipation is a common problem in day-to-day practice. As there are wide variations in normal bowel habits, there is no standard definition. Altered colonic transit and disorders of the anorectal mechanism are the essential abnormalities in patients who experience this symptom. While there are sev eral organic causes, functional disorders are by far the commonest cause of constipation. Clinical assessment should include a careful history, elicit ing information on lifestyle, diet and personality. Extensive investigation s are seldom warranted. Reassurance and long term treatment with a wide ran ge of laxatives provide symptomatic relief.