Meeting slides
Interactive presentation

Pathophysiology of OIC

Narrated by Anthony J. Lembo, MD
Interactive presentation

OIC Assessment and Initial Management

Presented by Lorrain Drapek, DNP, FNP-BC, AOCNP
Interactive presentation

Management of Laxative-Refractory OIC

Presented by Mihir M. Kamdar, MD
Suggested Readings
Linked Resources


NCCN Clinical Practice Guidelines in Oncology: Adult Cancer Pain.

National Comprehensive Cancer Network.

American Gastroenterological Association Institute Guideline on the Medical Management of Opioid-Induced Constipation.

Crockett SD, et al. Gastroenterology. 2019;156(1):218-226

Patient Resources

Patient Conversation Guide

This patient tool can be completed prior to the visit with the health care provider to guide a meaningful conversation about bowel habits and constipation symptoms.

Patient Education Handout

This leaflet provides patients with approaches to mitigating opioid-induced constipation and includes a list of questions about constipation for patients to ask their doctors or clinics.

Clinical Assessment Tools

Bowel Function Index (BFI)

The BFI provides a numerical score for the prior 7 days based on ease of defecation, feeling of incomplete evacuation, and personal judgment of constipation.

Bristol Stool Form Scale

This visual scale is used to help patients characterize their stool. It classifies the most commonly passed stool forms into 7 types.

Patient Assessment of Constipation (PAC-SYM)

The PAC-SYM is a 12-item questionnaire of patient-reported symptoms during the 2 prior weeks with 3 subscales tracking bowel movements, rectal symptoms, and abdominal symptoms.

Related activities
1.00 CME/CE

Comprehensive Cancer Pain Management

Let’s Talk Constipation

Faculty: Mihir M. Kamdar, MD; Kathleen Madden, FNP, MSN, AOCNP, APHN; Bill H. McCarberg, MD
Release: 07/12/2019
Expiration: 07/12/2020

Managing Opioid-Induced Constipation

Translating Guidelines Into Patient Care

Faculty: Jeffrey A. Gudin, MD
Release: 01/03/2020
Expiration: 01/03/2021