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JAMA Insights
Clinical Update
November 4, 2019

Update on the Management of Constipation

Author Affiliations
  • 1School of Medicine and Public Health, Division of Gastroenterology and Hepatology, University of Wisconsin-Madison, Madison
JAMA. Published online November 4, 2019. doi:https://doi.org/10.1001/jama.2019.16029

Chronic constipation is very common. The most recent estimate of clinician visits attributable to constipation were from 2001 to 2004 and reported more than 8 million clinician visits in the United States, with most occurring in adult primary care settings (33%) followed by pediatric (21%) and gastroenterologist (14%) offices.1 These encounters result in large expenditures for nonprescription laxatives and other bowel movement aids, such as enemas and suppositories.