Constipation affects about 15–20% of the population in the UK. It tends to cause problems at the extremes of age and women are more commonly affected than men. Constipation is associated with irritable bowel syndrome (IBS) in 59%, pelvic floor dysfunction in 29% and slow transit in 13%. Many people manage their constipation themselves with diet or over-the-counter medication. This article aims to provide a strategy for GPs to manage those with more severe symptoms who present to general practice.
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