Effectiveness of senna in treating chronic constipation in geriatric patients presenting to the emergency department: a randomized, double-blind, multicenter study

dc.authorid0000-0003-3292-6273
dc.authorid0000-0002-4302-1093
dc.authorid0000-0001-8635-1562
dc.authorid0000-0002-6158-0286
dc.authorid0000-0002-9593-3705
dc.contributor.authorSanalp Menekşe, Tuğba
dc.contributor.authorSarıtaş, Ayhan
dc.contributor.authorGüçlü Utlu, Sibel
dc.contributor.authorAkan, Ayşe Şule
dc.contributor.authorTekin, Erdal
dc.contributor.authorErgin, Mustafa
dc.date.accessioned2024-11-14T06:59:53Z
dc.date.available2024-11-14T06:59:53Z
dc.date.issued2024
dc.departmentTıp Fakültesi
dc.description.abstractChronic constipation is prevalent in the geriatric population. Undiagnosed and untreated constipation can lead to complications and decreased health-related quality of life. The aim of this study was to compare the therapeutic effectiveness of senna alone with a combination of bisacodyl and senna in patients diagnosed with chronic constipation. Materials and Method: This prospective, multicenter, double-blind, randomized controlled trial included patients aged 65 years and older who presented to the emergency department with chronic constipation, diagnosed according to the Rome IV criteria, between July and October 2023. Patients were randomly assigned to either the senna group (20 mg sennoside B) or the senna + bisacodyl group (3 mg sennoside B + 5 mg bisacodyl). Participants took the drugs twice daily for 28 days. The Constipation Scoring System and Patient Assessment of Constipation Quality of Life scores were calculated before and after treatment for each patient. Results: The study included 105 patients, with 54 in the senna group and 51 in the senna + bisacodyl group. There was a statistically higher need for dose reduction because of drug side effects in the senna + bisacodyl group compared with the senna group (p=0.026). Following treatment, the senna group had a higher score on the Constipation Scoring System and Patient Assessment of Constipation Quality of Life compared with the senna + bisacodyl group, and the difference was statistically significant (p<0.001, p=0.012). Conclusion: In geriatric patients, short-term treatment of chronic constipation with senna is more effective than senna+bisacodyl regarding constipation severity and quality of life.
dc.identifier.doi10.29400/tjgeri.2024.405
dc.identifier.endpage330en_US
dc.identifier.issn1304-2947
dc.identifier.issue3en_US
dc.identifier.scopusqualityQ4
dc.identifier.startpage319en_US
dc.identifier.urihttps:/dx.doi.org/10.29400/tjgeri.2024.405
dc.identifier.urihttps://hdl.handle.net/20.500.12451/12635
dc.identifier.volume27en_US
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherTurkish Geriatrics Society
dc.relation.ispartofTurkish Geriatrics Society
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectAged
dc.subjectBisacodyl
dc.subjectConstipation
dc.subjectQuality of Life
dc.subjectSennosides
dc.titleEffectiveness of senna in treating chronic constipation in geriatric patients presenting to the emergency department: a randomized, double-blind, multicenter study
dc.typeArticle

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