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Dying for a pooJune Rogers MBESpecialist Nurse
Bladder and Bowel UKwww.bbuk.co.uk
Helpline: 0161 607 8219
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This talk is about constipation
• Lots of people have a problem with constipation
• Constipation can make you feel very ill
• If not treated people may have to go to hospital
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Some people have died because of constipation
• Two people with learning disabilities died in hospital in Surrey as a result of untreated constipation in 2018.
• Constipation is not a problem that can be ignored
Elvis Presley died of chronic constipation
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What is constipation?
• Constipation is when it is difficult to do a poo
• Less than 3 poos a week could indicate constipation
• However the consistency of the poo is important as well
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What causes Constipation?
• Not drinking or eating enough fruit and vegetables
• Lack of exercise
• Side effect of some medications
• Not going to the toilet regularly
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Correct way to sit on the toilet
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Why are people with a learning difficulty more at risk?
• Constipation not treated appropriately in childhood
• Overtime the bowel becomes overstretched (acquired mega colon/rectum)
• Poor muscle tone• Difficulties in communication• Lack of understanding and awareness• Reluctance to use the toilet
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Prevention is better than cure!
• Identify those at risk• Encourage fruit and
vegetables• Ensure at least 6 drinks per
day• Encourage exercise• Encourage toileting after
meals• Anyone felt to be at risk of
constipation should have an individual care plan
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If you think someone is constipated• You need to speak to someone about it
• They will need to see the doctor
• The doctor will prescribe some medication
• It is important to keep taking the medication until the doctor tells you to stop
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More Information
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Sources of information
• https://www.gov.uk/government/publications/constipation-and-people-with-learning-disabilities/constipation-making-reasonable-adjustments
• https://www.england.nhs.uk/wp-content/uploads/2019/05/constipation-resources-families-carers-stage-31-web.pdf
• https://www.england.nhs.uk/wp-content/uploads/2019/05/constipation-resources-hcp-31-web.pdf
• https://www.bbuk.org.uk/adults/adults-resources/
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Thank you Any questions?