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Posted: September 20th, 2022
R.H. is a 74-year-old black woman
R.H. is a 74-year-old black woman, who presents to the household apply clinic for a scheduled appointment. She complains of feeling bloated and constipated for the previous month, some-times going a complete week with just one bowel motion. Till this episode, she has been very common all of her life, having a bowel motion on daily basis or each different day. She stories straining more often than not and it typically takes her 10 minutes at a minimal to provoke a bowel motion. Stools have been extraordinarily exhausting. She denies ache throughout straining. A current colonoscopy was detrimental for tumors or different lesions. She has not but taken any medicines to offer aid for her constipation. Moreover, she stories frequent heartburn (three–four instances every week), most frequently occur-ring quickly after retiring to mattress. She makes use of three pillows to maintain herself in a extra upright place throughout sleep. On a pal’s recommendation, she bought a package deal of over-the-counter aluminum hydroxide tablets to Help relieve the heartburn. She has had some enchancment since she started taking the medication. She stories utilizing naproxen as wanted for arthritic ache her fingers and knees. She states that her fingers and knees are extraordinarily stiff when she rises within the morning. As a result of her arthritis has been getting worse, she has stopped taking her every day walks and now will get little or no train.
Case Examine Questions
1. In your individual phrases outline constipation and identify the danger elements that may result in develop constipation. Checklist suggestions you’ll give to a affected person who is affected by constipation. You would possibly use a earlier expertise you might need.
2. Based mostly on the medical manifestations on R.H. case research, identify and clarify indicators and signs introduced which are suitable with the constipation analysis. Complement your record with indicators and signs not current on the case research.
three. Typically as an affiliate analysis and a complication, sufferers with constipation may have anemia. Would you contemplate that risk based mostly on the knowledge supplied on the case research?
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