Treatment of these patients is typically dependent on a case-to-case basis as the overall patient presentation has to be considered. If the patient presents in an acutely ill state with possible sepsis or shock, they will need adequate IV fluid hydration with possible broad-spectrum antibiotics. Additionally, these patients may need surgery if perforation has occurred. Patients without these symptoms should be managed conservatively with either manual or endoscopically guided fecal disimpaction. A bowel regimen should also be started to ensure that bowel movements become normal. Opioid pain medication should be avoided as these medications can slow colonic motility and possibly worsen constipation. The key to management and prognosis is identifying the cause or causes of the underlying constipation. Patients should be encouraged to increase fiber, fluids, and fruits in their habits. Osmotic and stimulant laxatives can also be considered to aid patients if they have trouble making the necessary changes to their diet.
Stercoral ulcer
Mouth ulcer
Callous ulcer
Lipschütz ulcer
Genital ulcer
Tropical ulcer
Skin fissure
Cushing ulcer