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Constipation: a Parent's Guide
CONSTIPATION: A PARENT’S GUIDE Twenty Questions About Constipation: Answers to Guide Parents and Professionals Constipation is the abnormally delayed or infrequent passage of hard stools. Most children, and many adults, too, become constipated from time to time. Often, the duration is short; occasionally it persists for months, even years. Although constipation can be uncomfortable, may create worry, and sometimes seem serious, fortunately it does not have long-term, troubling effects in most healthy children. This Booklet is designed to help you deal with childhood constipation by answering several questions and outlining management instructions for you to follow. Questions answered are: 1. What are the normal 11. What can we learn from patterns of bowel physical exam results? movements at 12. What is our treatment different ages? program for constipation? 2. What makes up bowel 13. How is the colon movements and how do cleaned out? they travel? 14. How are stools softened? 3. What is constipation? 15. Why is trying to have 4. When is constipation most bowel movements twice likely to occur? a day so important? 5. Why does constipation 16. What are the expected persist in some children? results of the treatment 6. Why would a child hold program? back stool and what 17. What do we do if the happens then? cleansing regimen is 7. How can proper toilet not successful? training help? 18. What is the long-term 8. Why would stool back up program for children in the colon? prone to constipation? 9. Why do some children 19. Does a special diet help have soiling accidents? resolve constipation? 10. -
Ferring Pharmaceuticals Inc. Page 1 of 13 HIGHLIGHTS OF
HIGHLIGHTS OF PRESCRIBING INFORMATION ---------------------DOSAGE FORMS AND STRENGTHS---------------------- CLENPIQ oral solution: Each bottle contains 10 mg of sodium picosulfate, These highlights do not include all the information needed to use ® 3.5 g of magnesium oxide, and 12 g of anhydrous citric acid in 160 mL of CLENPIQ safely and effectively. See full prescribing information for solution (3) CLENPIQ. -------------------------------CONTRAINDICATIONS------------------------------ ® • Patients with severe reduced renal impairment (creatinine clearance less CLENPIQ (sodium picosulfate, magnesium oxide, and anhydrous citric than 30 mL/minute) (4, 5.3, 8.6) acid) oral solution • Gastrointestinal (GI) obstruction or ileus (4) Initial U.S. Approval: 2012 • Bowel perforation (4) • ----------------------------RECENT MAJOR CHANGES-------------------------- Toxic colitis or toxic megacolon (4) Indications and Usage (1) 08/2019 • Gastric retention (4) Dosage and Administration (2.1) 10/2019 • Hypersensitivity to any of the ingredients in CLENPIQ (4) Dosage and Administration (2.2) 08/2019, 10/2019 Dosage and Administration, Day-Before Dosage Regimen (2.3) -----------------------WARNINGS AND PRECAUTIONS------------------------ Removed 10/2019 • Risk of fluid and electrolyte abnormalities, arrhythmia, seizures, and renal Warnings and Precautions (5.1) 08/2019 impairment: Encourage adequate hydration, assess concurrent medications, and consider laboratory assessments prior to and after use. (5.1, 5.2, 5.3, 5.4, ----------------------------INDICATIONS AND USAGE--------------------------- 7.1) CLENPIQ® is a combination of sodium picosulfate, a stimulant laxative, and • Use in patients with renal impairment or taking concomitant medications magnesium oxide and anhydrous citric acid, which form magnesium citrate, that affect renal function: Use caution, ensure adequate hydration, and an osmotic laxative, indicated for cleansing of the colon as a preparation for consider testing. -
Laxatives for the Management of Constipation in People Receiving Palliative Care (Review)
View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by UCL Discovery Laxatives for the management of constipation in people receiving palliative care (Review) Candy B, Jones L, Larkin PJ, Vickerstaff V, Tookman A, Stone P This is a reprint of a Cochrane review, prepared and maintained by The Cochrane Collaboration and published in The Cochrane Library 2015, Issue 5 http://www.thecochranelibrary.com Laxatives for the management of constipation in people receiving palliative care (Review) Copyright © 2015 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. TABLE OF CONTENTS HEADER....................................... 1 ABSTRACT ...................................... 1 PLAINLANGUAGESUMMARY . 2 BACKGROUND .................................... 2 OBJECTIVES ..................................... 4 METHODS ...................................... 4 RESULTS....................................... 7 Figure1. ..................................... 8 Figure2. ..................................... 9 Figure3. ..................................... 10 DISCUSSION ..................................... 13 AUTHORS’CONCLUSIONS . 14 ACKNOWLEDGEMENTS . 14 REFERENCES ..................................... 15 CHARACTERISTICSOFSTUDIES . 17 DATAANDANALYSES. 26 ADDITIONALTABLES. 26 APPENDICES ..................................... 28 WHAT’SNEW..................................... 35 HISTORY....................................... 35 CONTRIBUTIONSOFAUTHORS . 36 DECLARATIONSOFINTEREST . 36 SOURCESOFSUPPORT . 36 DIFFERENCES -
In Wadi Allaqi, Egypt
ENVIRONMENTAL VALUATION AND MANAGEMENT OF PLANTS IN WADI ALLAQI, EGYPT FINAL REPORT IDRC OQ w W1.44 Trent University AUGUST 1998 ENVIRONMENTAL VALUATION AND-MANAGEMENT OF PLANTS IN WADI ALLAQI, EGYPT Final report Editors: Belal, A.E. , B. Leith, J. Solway and 1. Springuel Submitted To INTERNATIONAL DEVELOPMENT RESEARCH CENTRE (IDRC) CANADA File: 95-100"1/02 127-01 UNIT OF ENVIRONMENTAL STUDIES AND DEVELOPMENT, SOUTH VALLEY UNIVERSITY, ASWAN, EGYPT A-RC hf v 5 91, 5 7 By Acknowledgements The Project team of both South Valley and Trent Universities wish to thank the International Development Research Center (IDRC) Ottawa, Canada, for supporting the project with funding and for visiting the site. We also thank the staff of the IDRC Cairo Office for their assistance. This report is based upon the knowledge, hard work, and support of many people and institutions. We thank the British Council for the support they have provided in training many members of the team and UNESCO for providing support for the Allaqi project and Biosphere Reserve. We appreciate the good working relationship that we have developed with the Egyptian Environment Affairs Agency. Dr. M. Kassas of Cairo University has provided valuable intellectual direction for the project. We thank C. Fararldi who has assisted the project in numerous ways and Gordon Dickinson for writing notes on establishing the visitor center in Wadi Allaqi We wish to thank the research offices of Trent University and South Valley University. We are deeply grateful to the residents of Wadi Allaqi for their help and continued support and patience towards our project. -
Sennosides Determination of Ethiopian Senna Alexandrina Mill
s Chemis ct try u d & o R Abdo, Nat Prod Chem Res 2017, 5:7 r P e s l e Natural Products Chemistry & a DOI: 10.4172/2329-6836.1000293 r a r u t c h a N Research ISSN: 2329-6836 Research Article Open Access Sennosides Determination of Ethiopian Senna alexandrina Mill Accessions Bekri Melka Abdo* Natural Product Research Laboratory, Wondo Genet Agricultural Research Center, Shashemene, Ethiopia *Corresponding author: Bekri Melka Abdo, Natural Product Research Laboratory, Wondo Genet Agricultural Research Center, Shashemene, Ethiopia, Tel: +251911810857; E-mail: [email protected] Received: September 15, 2017; Accepted: September 20, 2017; Published: September 26, 2017 Copyright: © 2017 Abdo BM. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Abstract Senna alexandrina leaves and pods have been used in herbal medicine since ancient times. The pods and leaves extracts of this plant contains anthraquinone glycosides that have a significant laxative effect. In this study the leaf, pod and flowers of Senna alexandrina were collected from potential areas of Ethiopia and determined their sennosides content (hydroxyanthracene glycosides) calculated as sennoside B via spectrophotometric method. Medicinal Herbal tea preparation also standardized based on sennoside concentration. As a summary, the yields of total sennoside being to be appeared 1.08-1.76% in the leaf, 1.43-2.62% in the pod and 0.08-0.15% in the flower parts of Senna alexandrina, located at different areas of Ethiopia with two types of Var. -
Mothers, Markets and Medicine Hanna Lindh
Mothers, markets and medicine The role of traditional herbal medicine in primary women and child health care in the Dar es Salaam region, Tanzania Hanna Lindh Degree project in biology, Bachelor of science, 2015 Examensarbete i biologi 15 hp till kandidatexamen, 2015 Biology Education Centre, Uppsala University Supervisors: Sarina Veldman and Hugo de Boer 1 Abstract Traditional medicine is still the most common primary healthcare used in Tanzania, especially among women. The ethnobotanical studies performed in Tanzania have not explored women’s traditional medicine, with the result that we do not know that much about it, including if women’s usage of medicinal plants create a threat against the medicinal flora’s biodiversity or not. Field studies consisting of interviews and collections of medicinal plants were carried out in the Dar es Salaam region in Tanzania before identifying the collected specimens by DNA barcoding, literature and morphology in Uppsala, Sweden. The 33 informants belonged to 15 different ethnic groups and 79% of them had migrated to Dar es Salaam. A total of 249 plant species were mentioned for women’s healthcare and 140 for children’s healthcare. The medicinal plants frequently reported as used for women’s health and childcare during structured interviews and free-listing exercises were Senna occidentalis/ Cassia abbreviata, Zanthoxylum sp., Clausena anisata, Acalypha ornata and Ximenia sp. The most salient uses of medicinal plants by women were during pregnancy, childbirth, menstruation, to induce abortion, and for cleansing infants and treating convulsions in children. Most of the fresh specimens were collected from disturbance vegetation. The informants having most interview answers in common were the market vendors, healers and herbalists and they were the only informants that mentioned species listed as vulnerable on the IUCN Red List of Threatened Species. -
Characteristics of the Stem-Leaf Transitional Zone in Some Species of Caesalpinioideae (Leguminosae)
Turk J Bot 31 (2007) 297-310 © TÜB‹TAK Research Article Characteristics of the Stem-Leaf Transitional Zone in Some Species of Caesalpinioideae (Leguminosae) Abdel Samai Moustafa SHAHEEN Botany Department, Aswan Faculty of Science, South Valley University - EGYPT Received: 14.02.2006 Accepted: 15.02.2007 Abstract: The vascular supply of the proximal, middle, and distal parts of the petiole were studied in 11 caesalpinioid species with the aim of documenting any changes in vascular anatomy that occurred within and between the petioles. The characters that proved to be taxonomically useful include vascular trace shape, pericyclic fibre forms, number of abaxial and adaxial vascular bundles, number and relative position of secondary vascular bundles, accessory vascular bundle status, the tendency of abaxial vascular bundles to divide, distribution of sclerenchyma, distribution of cluster crystals, and type of petiole trichomes. There is variation between studied species in the number of abaxial, adaxial, and secondary bundles, as seen in transection of the petiole. There are also differences between leaf trace structure of the proximal, middle, and distal regions of the petioles within each examined species. Senna italica Mill. and Bauhinia variegata L. show an abnormality in their leaf trace structure, having accessory bundles (concentric bundles) in the core of the trace. This study supports the moving of Ceratonia L. from the tribe Cassieae to the tribe Detarieae. Most of the characters give valuable taxonomic evidence reliable for delimiting the species investigated (especially between Cassia L. and Senna (Cav.) H.S.Irwin & Barneby) at the generic and specific levels, as well as their phylogenetic relationships. -
Checklist of Plants Used As Blood Glucose Level Regulators and Phytochemical Screening of Five Selected Leguminous Species
ISSN 2521 – 0408 Available Online at www.aextj.com Agricultural Extension Journal 2019; 3(1):38-57 RESEARCH ARTICLE Checklist of Plants Used as Blood Glucose Level Regulators and Phytochemical Screening of Five Selected Leguminous Species Reham Abdo Ibrahim, Alawia Abdalla Elawad, Ahmed Mahgoub Hamad Department of Agronomy and Horticulture, Faculty of Agricultural, Technology and Fish Sciences, Al Neelain University, Khartoum, Sudan Received: 25-10-2018; Revised: 25-11-2018; Accepted: 10-02-2019 ABSTRACT In the first part of this study, literature survey of plants recorded to regulate glucose level in blood was carried out. Result of this part includes their chemical constitutes and use in the different body disorders other than diabetes. 48 plants species are collected from the available literature and presented in the form of a checklist. The second part of this work is a qualitative phytochemical screening of seeds selected from the family Fabaceae, namely: Bauhinia rufescens, Senna alexandrina, Cicer arietinum, Lupinus albus, and Trigonella foenum-graecum. The studied plants are extracted in petroleum ether, water, and ethanol and different phytochemicals are detected in the extract. Alkaloids are present in all plants in the different extract, but their concentration is high in T. foenum-graecum and B. rufescens. Glycosides are highly detected in S. alexandrina and L. albus. Flavonoid is highly detected in B. rufescens, Senna and C. arietinum, and L. albus. Phenolic compound is not detected in all extract of the five plants. Saponin is observed in all plant put highly detected in L. albus. Tannin detected in Senna alexandrina. Resins are observed in plants but highly detected in C. -
Assessment Report on Ricinus Communis L., Oleum Final
2 February 2016 EMA/HMPC/572973/2014 Committee on Herbal Medicinal Products (HMPC) Assessment report on Ricinus communis L., oleum Final Based on Article 10a of Directive 2001/83/EC as amended (well-established use) Herbal substance(s) (binomial scientific name Ricinus communis L., oleum (castor oil) of the plant, including plant part) Herbal preparation Fatty oil obtained from seeds of Ricinus communis L. by cold expression Pharmaceutical forms Herbal preparation in liquid or solid dosage forms for oral use Rapporteur C. Purdel Peer-reviewer B. Kroes 30 Churchill Place ● Canary Wharf ● London E14 5EU ● United Kingdom Telephone +44 (0)20 3660 6000 Facsimile +44 (0)20 3660 5555 Send a question via our website www.ema.europa.eu/contact An agency of the European Union © European Medicines Agency, 2016. Reproduction is authorised provided the source is acknowledged. Table of contents Table of contents ................................................................................................................... 2 1. Introduction ....................................................................................................................... 4 1.1. Description of the herbal substance(s), herbal preparation(s) or combinations thereof .. 4 1.2. Search and assessment methodology ..................................................................... 6 2. Data on medicinal use ........................................................................................................ 6 2.1. Information about products on the market ............................................................. -
Chronic Constipation: an Evidence-Based Review
J Am Board Fam Med: first published as 10.3122/jabfm.2011.04.100272 on 7 July 2011. Downloaded from CLINICAL REVIEW Chronic Constipation: An Evidence-Based Review Lawrence Leung, MBBChir, FRACGP, FRCGP, Taylor Riutta, MD, Jyoti Kotecha, MPA, MRSC, and Walter Rosser MD, MRCGP, FCFP Background: Chronic constipation is a common condition seen in family practice among the elderly and women. There is no consensus regarding its exact definition, and it may be interpreted differently by physicians and patients. Physicians prescribe various treatments, and patients often adopt different over-the-counter remedies. Chronic constipation is either caused by slow colonic transit or pelvic floor dysfunction, and treatment differs accordingly. Methods: To update our knowledge of chronic constipation and its etiology and best-evidence treat- ment, information was synthesized from articles published in PubMed, EMBASE, and Cochrane Database of Systematic Reviews. Levels of evidence and recommendations were made according to the Strength of Recommendation taxonomy. Results: The standard advice of increasing dietary fibers, fluids, and exercise for relieving chronic constipation will only benefit patients with true deficiency. Biofeedback works best for constipation caused by pelvic floor dysfunction. Pharmacological agents increase bulk or water content in the bowel lumen or aim to stimulate bowel movements. Novel classes of compounds have emerged for treating chronic constipation, with promising clinical trial data. Finally, the link between senna abuse and colon cancer remains unsupported. Conclusions: Chronic constipation should be managed according to its etiology and guided by the best evidence-based treatment.(J Am Board Fam Med 2011;24:436–451.) copyright. Keywords: Chronic Constipation, Clinical Review, Evidence-Based Medicine, Family Medicine, Gastrointestinal Problems, Systematic Review The word “constipation” has varied meanings for was established in 1991 by Drossman et al, primar- different individuals. -
ACR Manual on Contrast Media
ACR Manual On Contrast Media 2021 ACR Committee on Drugs and Contrast Media Preface 2 ACR Manual on Contrast Media 2021 ACR Committee on Drugs and Contrast Media © Copyright 2021 American College of Radiology ISBN: 978-1-55903-012-0 TABLE OF CONTENTS Topic Page 1. Preface 1 2. Version History 2 3. Introduction 4 4. Patient Selection and Preparation Strategies Before Contrast 5 Medium Administration 5. Fasting Prior to Intravascular Contrast Media Administration 14 6. Safe Injection of Contrast Media 15 7. Extravasation of Contrast Media 18 8. Allergic-Like And Physiologic Reactions to Intravascular 22 Iodinated Contrast Media 9. Contrast Media Warming 29 10. Contrast-Associated Acute Kidney Injury and Contrast 33 Induced Acute Kidney Injury in Adults 11. Metformin 45 12. Contrast Media in Children 48 13. Gastrointestinal (GI) Contrast Media in Adults: Indications and 57 Guidelines 14. ACR–ASNR Position Statement On the Use of Gadolinium 78 Contrast Agents 15. Adverse Reactions To Gadolinium-Based Contrast Media 79 16. Nephrogenic Systemic Fibrosis (NSF) 83 17. Ultrasound Contrast Media 92 18. Treatment of Contrast Reactions 95 19. Administration of Contrast Media to Pregnant or Potentially 97 Pregnant Patients 20. Administration of Contrast Media to Women Who are Breast- 101 Feeding Table 1 – Categories Of Acute Reactions 103 Table 2 – Treatment Of Acute Reactions To Contrast Media In 105 Children Table 3 – Management Of Acute Reactions To Contrast Media In 114 Adults Table 4 – Equipment For Contrast Reaction Kits In Radiology 122 Appendix A – Contrast Media Specifications 124 PREFACE This edition of the ACR Manual on Contrast Media replaces all earlier editions. -
And Dietary Measures Literature Review on the Effect of Laxative Treatment
Downloaded from adc.bmj.com on 28 August 2008 Currently recommended treatments of childhood constipation are not evidence based. A systematic literature review on the effect of laxative treatment and dietary measures Maaike A. M. Pijpers, Merit Tabbers, Marc A. Benninga and Marjolein Y. Berger Arch. Dis. Child. published online 19 Aug 2008; doi:10.1136/adc.2007.127233 Updated information and services can be found at: http://adc.bmj.com/cgi/content/abstract/adc.2007.127233v1 These include: Rapid responses You can respond to this article at: http://adc.bmj.com/cgi/eletter-submit/adc.2007.127233v1 Email alerting Receive free email alerts when new articles cite this article - sign up in the box at the service top right corner of the article Notes Online First contains unedited articles in manuscript form that have been peer reviewed and accepted for publication but have not yet appeared in the paper journal (edited, typeset versions may be posted when available prior to final publication). Online First articles are citable and establish publication priority; they are indexed by PubMed from initial publication. Citations to Online First articles must include the digital object identifier (DOIs) and date of initial publication. To order reprints of this article go to: http://journals.bmj.com/cgi/reprintform To subscribe to Archives of Disease in Childhood go to: http://journals.bmj.com/subscriptions/ Downloaded from adc.bmj.com on 28 August 2008 ADC Online First, published on August 19, 2008 as 10.1136/adc.2007.127233 Currently recommended treatments of childhood constipation are not evidence based. A systematic literature review on the effect of laxative treatment and dietary measures.