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Chronic constipation in frailty — DGM MCQ

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ModerateContinenceChronic constipation in frailtyDGM

An 80-year-old woman in a care home has recurrent constipation despite senna. She eats little fibre, drinks poorly and takes codeine for knee pain. Abdomen is soft and rectal examination shows no impaction. What is the most appropriate management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Review codeine and introduce regular osmotic laxative with hydration plan

Constipation management should address constipating medicines, hydration and appropriate laxatives; macrogol is commonly used when stimulant laxative alone is insufficient. Colonoscopy is not first-line without alarm features. Opioid-induced constipation is common and should be anticipated rather than treated reactively.

Reference: NICE CKS Constipation; BNF