Does constipation in the elderly affect physical examinations

constipation in elderly people may affect physical examination results, especially when it comes to abdominal examination, blood biochemical indicators, and other related items. Constipation may lead to problems such as intestinal gas accumulation and fecal retention, interfere with the clarity of imaging examinations, or cause pseudo electrolyte disorders. If constipation in elderly people is not treated in a timely manner, it may affect the accuracy of abdominal palpation and imaging examinations during physical examinations. Fecal retention may cause intestinal dilation and interfere with ultrasound or X-ray observation of abdominal organs. Long term constipation may also affect the levels of metabolic products such as urea nitrogen and creatinine in the blood due to an imbalance in gut microbiota. It is recommended to improve bowel movements through dietary adjustments or short-term use of laxatives before the physical examination, but it is necessary to avoid using strong laxatives within 24 hours before the examination to avoid dehydration or electrolyte fluctuations. In rare cases, severe constipation may mask more severe intestinal lesions. If elderly people experience constipation accompanied by weight loss, rectal bleeding, or abdominal pain, they should proactively inform the doctor during the physical examination and increase colonoscopy if necessary. Patients with chronic constipation should maintain a regular daily routine three days before the physical examination, avoiding high-fat and difficult to digest diets. On the day of the physical examination, they can eat on an empty stomach but need to replenish an appropriate amount of water. The daily management of constipation in elderly people should focus on dietary fiber intake, such as oats, broccoli, etc., combined with moderate exercise to promote intestinal peristalsis. When constipation related indicators are found to be abnormal during physical examination, a comprehensive judgment should be made based on clinical symptoms, and if necessary, re examination or further specialized examination should be conducted. Long term constipation patients are advised to regularly monitor electrolytes and kidney function to prevent chronic complications.