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Constipation in older adult — GPhC CRA MCQ

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EasyGastro-intestinal TherapeuticsConstipation in older adultGPhC CRA

An 82-year-old woman in a care home has not opened her bowels for four days after starting co-codamol. She has abdominal discomfort but no vomiting or severe distension. Fluid intake has been low. What is the most appropriate alternative?

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Correct answer: E — Senna with review of opioid need and hydration

Opioids commonly cause constipation, and stimulant laxatives such as senna are often appropriate. Hydration, mobility, diet and review of constipating medicines should also be considered. Loperamide and codeine would worsen constipation rather than treat it.

Reference: BNF; NICE CKS