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Chapter 1: Gastrointestinal
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Inflammatory bowel disease guidance
Irritable bowel syndrome guidance
Management of constipation in adults
Management of constipation in children
Management of dyspepsia and gastro-oesophageal reflux disease
Paediatric reflux disease guidance
Infantile Colic guidance
1.1 Dyspepsia and gastro-oesophageal reflux disease
1.2 Antispasmodics and other drugs altering gut motility
1.3 Antisecretory drugs and mucosal protectants
1.4 Antimotility drugs
1.5 Chronic bowel disorders
1.6 Laxatives
1.7 Local preparations for anal and rectal disorders
1.8 Stoma care
1.9 Drugs affecting intestinal secretions
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1.6.1 Bulk-forming laxatives
First Line
Second Line
Specialist
Hospital Only
| SELF-CARE: NHS England has published guidance for various common conditions for which over the counter (OTC) items should not be routinely prescribed in primary care. One of these conditions is infrequent constipation. Many of these products are cheap to buy and are readily available OTC along with advice from pharmacies. Some self-care medicines are available from shops and supermarkets. |
Ispaghula husk
- Granules 3.5g sachet sugar free gluten free (£4.77 = 30 sachets)
Indications
Dose
- One sachet twice daily, with at least 150ml of water
Notes
- Time to effect: 2-3 days
- Useful as a first-line choice in adults when it is difficult to get enough fibre in the diet. Better tolerated than bran
- Must not be taken immediately before bed.
Adequate fluid intake is important, to prevent intestinal obstruction. This may be difficult for the frail or fluid restricted patients.
