Eliminating the offending medicine or treating the underlying medical issue may alleviate constipation if a Constipation Treatment medication or medical condition is the reason. However even when a drug has side effects, there are some cases that call for its use. Although constipation is virtually always a side effect of opioid medication, the severity of constipation depends on the opioid being used. Fentanyl (Duragesic), according to one study, is less likely to result in constipation than oral morphine. When administering prolonged opioid therapy, a prophylactic laxative should typically be taken into account because tolerance to the constipating effects of opioids does not gradually develop.
For functional constipation, empiric therapy should be used at first if a secondary reason cannot be found. To increase bowel regularity, management should start with nonpharmacologic techniques and go on to the use of laxatives if nonpharmacologic techniques fail. If medical treatment for the Constipation Treatment is ineffective, the patient should be referred to a specialist for additional diagnostic testing. To evaluate colonic transit and anorectal function, this may entail measuring colonic transit time, anorectal manometry, defecography, or a balloon expulsion test. Surgery or biofeedback therapy may be necessary in certain circumstances.
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