Obstipation in the adult

EBM Guidelines
Nov 6, 2024 • Latest change Mar 12, 2026
Perttu Arkkila and Jukka Koffert

Table of contents

Extract

  • Rule out acute intestinal occlusion (total obstipation, pain, vomiting, swelling of the abdomen).
  • Refer patients with suspected organic disease for further investigations (pain, bloody stools, change in bowel habits, systemic symptoms, chronic obstipation in a young person).
  • Idenfity overflow diarrhoea as a symptom of obstipation.
  • Identify drugs as a cause of obstipation.
  • Start prophylactic medication for obstipation in patients who receive strong opioids for pain.
  • Give written instructions.

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Adult, Bowel movement, Bowel movements, Bulk laxatives, Chronic constipation, Clysma, Constipation, Defecation, Enema, Gastroenterology, Hard stools, Hirschsprung disease, Internal medicine, K59.0, Laxatives, Macrogol, Obstipation, Osmotic laxatives, Polyethylene glycol, Stool frequency, Surgery