Chronic constipation — CCE clinical encounter

Objectives

1. Normalise the consultation so a full bowel history becomes possible. ^[10]
2. Take structured history: frequency, Bristol type, straining, incompleteness, manual manoeuvres, medications. ^[10]
3. Screen alarm features explicitly given father's polyp history. ^[9]
4. Examine including DRE with informed consent. ^[12]
5. Prescribe the foundation (diet + osmotic) with realistic timelines and follow-up. ^{[9] [5]}