Which factors may warrant transfer to another facility in the treatment of constipation?

Updated: Jul 05, 2019
  • Author: Marc D Basson, MD, PhD, MBA, FACS; Chief Editor: BS Anand, MD  more...
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Answer

Generally, transfer to another facility is not required unless that there is uncertainty about the diagnosis or the underlying cause and more aggressive medical evaluation is deemed necessary. Such an eventuality might occur in patients institutionalized in nursing homes or in chronic care facilities who require medical consultations to rule out conditions that are more serious. The following factors may warrant a transfer:

  • Uncertain diagnosis

  • Evidence of intra-abdominal catastrophe

  • Acute abdominal pain

  • Fever

  • Lower gastrointestinal (GI) bleeding

  • Chills

  • Instability of vital signs

  • Absence of bowel sounds

  • Acute recent change in bowel habits

  • Unsuccessful or inadequate treatment offered at the local facility


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