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Betty Peterson presents to the primary health care provider's office for a follow-up appointment. Her chief complaint today is hard stools and straining to have a bowel movement. Her current medications include amitriptyline (Elavil) 25 mg bedtime for mood, ferrous sulfate (Feosol) 325 mg TID for fatigue, and lisinopril/HCTZ (Prinzide) 20/25 mg daily for high blood pressure

1. Which of Ms. Peterson's medications may be contributing to the constipation?

2. What nonpharmacologic steps can Ms. Peterson take to relieve constipation?

1 Answer

1 vote

Final answer:

Amitriptyline and ferrous sulfate, among Betty Peterson's current medications, may contribute to her constipation. To relieve constipation, she can increase soluble fiber intake, drink more water, and be physically active.

Step-by-step explanation:

Betty Peterson presents to her healthcare provider with constipation, which might be a side effect of some of her current medications. Firstly, amitriptyline (Elavil), a medication used for mood disorders, is known to have anticholinergic effects that can cause constipation. Secondly, ferrous sulfate (Feosol) is an iron supplement taken for fatigue and can also lead to constipation as a common side effect. Lisinopril/HCTZ (Prinzide), used for high blood pressure, is less likely to cause constipation.

To alleviate constipation, Ms. Peterson can take several nonpharmacologic steps such as increasing her intake of soluble fiber, staying hydrating by drinking more water, and engaging in regular physical activity to promote bowel movements. In addition, she can also consider timing her bowel movements to take advantage of the natural reflexes that occur after eating.

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