EVIDENCE-BASED TOOL

CLEAR Framework for Constipation in Adults

A structured clinical decision support tool for evaluating and managing constipation in adults. Based on DynaMed evidence-based guidelines (2026), AGA/ACG recommendations, and ASCRS clinical practice guidelines.

Start Assessment Check Red Flags

The CLEAR Approach

A systematic framework for comprehensive evaluation and management of constipation in adults

Clinical History

Interactive history taking with Rome IV criteria, alarm symptoms, and medication review

Laxative & Treatment

Evidence-based stepwise treatment plan with dosing and recommendations

Examination

Document abdominal and rectal examination findings with clinical significance

Additional Investigations

Order and interpret blood tests, imaging, physiology tests, and transit studies

Red Flags & Referral

Identify alarm features and determine appropriate referral pathways

Patient Education Materials

Printable handouts on diet, lifestyle, medications, and when to seek help

Sources: DynaMed — Constipation in Adults (Apr 2026), Management of Constipation in Adults (May 2026), Fecal Impaction (2026), Constipation in Older Adults (Apr 2026). AGA/ACG Clinical Practice Guidelines. ASCRS Clinical Practice Guidelines for Management of Constipation.