You are currently viewing Constipation Management – Mnemonic

Here is a quick mnemonic “CONSTIPATION MANAGER to remember about Constipation Management

This can be valuable for patients as well as medical doctors, nurses & students doing their clinical rounds. You can also find it very useful for med exams like USMLE, NExT Medical Step 1&2, MBBS, NEET PG, INI-CET, FMGE,MCAT & NCLEX exams

Constipation Management : How To Remember Easily ?

C – Careful history-taking: Explore the patient’s symptoms and confirm constipation.

O – Obtain dietary and medication history.

N – Note psychosocial issues and address them.

S – Perform a physical examination, including rectal examination.

T – Test for weight loss, rectal bleeding, or anemia.

I – Investigate with flexible sigmoidoscopy, barium enema, or colonoscopy.

P – Preferably, consider colonoscopy for patients aged >40 years.

A – Assess for melanosis coli and other unexpected disorders through colonic radiographs.

T – Test serum calcium, potassium, and thyroid-stimulating hormone levels.

I – Initiate bowel-training regimen if fiber alone is not sufficient.

O – Optimize evacuating techniques, such as osmotic laxatives and enemas.

N – Never strain excessively to prevent complications.

M – Monitor response to treatment and consider novel agents if needed.

A – Address severe or intractable constipation with gastroenterologist referral.

N – Note the importance of evaluating physiologic function and psychological status.

A – Aid in rational treatment choices based on evaluation results.

G – Gather further information on colonic transit and pelvic floor function.

E – Explore evacuation disorder possibility before assessing colonic transit.

R – Referral for tertiary evaluation if necessary.


Dr. Arin Nandi

Passionate About Medical Science & Helping Future Doctors Achieve Top Ranks In Medical Exams. He is professionally a dentist as well as a public health expert from JIPMER (1), (2)working in health department