A Primary Care Approach to Constipation in Adults with Intellectual and Developmental Disabilities | Zendy

Reshmi Mathew | Zendy; Barrett Attarha | Zendy; Govind Kallumkal | Zendy; Morgan P. Cribbin | Zendy; Christopher Izzo | Zendy; Linda Edwards | Zendy; Rafik Jacob | Zendy

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A Primary Care Approach to Constipation in Adults with Intellectual and Developmental Disabilities

Author(s) -

Reshmi Mathew,

Barrett Attarha,

Govind Kallumkal,

Morgan P. Cribbin,

Christopher Izzo,

Linda Edwards,

Rafik Jacob

Publication year - 2021

Publication title -

advances in medicine

Language(s) - English

Resource type - Journals

eISSN - 2356-6752

pISSN - 2314-758X

DOI - 10.1155/2021/3248052

Subject(s) - constipation , fecal impaction , medicine , functional constipation , perforation , population , intellectual disability , adverse effect , pediatrics , intensive care medicine , psychiatry , environmental health , materials science , punching , metallurgy

Constipation is a condition that is very prevalent and is reported in up to 40 percent of individuals with intellectual and developmental disabilities (IDD). Constipation in this patient population is most commonly secondary to neuromuscular abnormalities, immobility, suboptimal diet, and medication side effects. History taking is frequently limited in adults with IDD due to communication barriers, often leading to a missed diagnosis of constipation. Inadequately treated constipation may lead to adverse effects including behavioral disturbances, fecal impaction, intestinal obstruction, and even death from intestinal perforation and sepsis. As a result, a high index of suspicion must exist for this patient population. Treatment in these patients requires an individualized approach, to reduce the constipation and its associated health complications.

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