Rule out acute intestinal occlusion (total obstipation, pain, vomiting, visible peristalsis, swelling of the abdomen). Refer patients with suspected organic disease for further investigations (pain, bloody stools, change in bowel habits, systemic symptoms, chronic obstipation in a young person). Idenfity overflow diarrhoea as a symptom of obstipation. Identify drugs as a cause of obstipation. Start prophylactic medication for obstipation in patients who receive strong opioids for pain. Give written instructions.