Colorectal

The Constipation Manifesto

TO HEAR THE PODCAST, CLICK THE PLAYER BELOW [audio http://traffic.libsyn.com/ercast/Constipation_Manifesto_Podcast_.mp3] Direct Download Podcast Scenario 1 Patient is on narcotics and you want to prevent constipation Choice 1. Polyethylene glycol (PEG) 17g/1 glass per day. Up to 3 doses daily if needed Choice 2. PEG + fecal inotrope/stimulant. Senna first choice Choice 3. Docusate  + Senna Docusate …

The Suppository Conundrum

Conventional wisdom suggests that suppositories should be placed apex (pointy end) first. After all, don’t torpedoes go pointy end first? What about arrows? And don’t forget the fencing sabre. It would seem that the rule of pointy end first is all around us. A universal constant. In Cairo, Egypt, 1991, the dogma was challenged. KH Abd-el-Maeboud et …