Question: Constipation is not a glamorous topic, but it's certainly important, especially in older adults. As anyone who has experienced occasional or even chronic constipation can tell you, it can really put a damper on quality of life and well-being. Constipation can also cause more substantial problems, such as: * Severe abdominal pain, which can lead to emergency room visits * Hemorrhoids, which can bleed or be painful * Increased irritability, agitation, or even aggression, in people with Alzheimer's disease or other forms of dementia * Stress and/or pain that can contribute to delirium (a state of new or worse confusion that often happens when older adults are hospitalized) * Fecal incontinence, which can be caused or worsened by having a hard lump of stool lodged in the lower bowel * Avoidance of needed pain medication, due to fear of constipation Fortunately, it's usually possible to help older adults effectively manage and prevent constipation. This helps maintain well-being and quality of life, and can also improve difficult behaviors related to dementia. The trouble is that constipation is often either overlooked or sub-optimally managed by busy healthcare providers who aren't trained in geriatrics. They are often focused on more "serious" health issues. Also, since many laxatives are available over-the-counter, some providers may assume that people will treat themselves if necessary. Personally, I don't like this hands-off approach to constipation. Although several useful laxatives are indeed available over-the-counter (OTC), I've found that the average person doesn't know enough to correctly choose among them. Also, although in geriatrics we often do end up recommending or prescribing laxatives, it's vital to start by figuring out what is likely to be causing or worsening an older person's constipation. For instance, many medications can make constipation worse, so we usually make an attempt to identify and perhaps deprescribe those. In short, if you're an older adult, or if you're helping an older... Question: When might hemorrhoids occur? === The answer to the above question is
OPTIONS:
- After suffering from pain medication.
- not enough information
- After suffering from constipation.
- After suffering from abdominal pain.
Answer: After suffering from constipation.

input with options: WASHINGTON U.S. President Donald Trump disclosed in a financial report filed with the government's ethics watchdog Tuesday that he had reimbursed his personal lawyer more than $100,000 for unspecified expenses. In his annual financial disclosure form, which was released by the Office of Government Ethics (OGE) on Wednesday, Trump acknowledged that he had "fully reimbursed" his personal lawyer, Michael Cohen, in the range of $100,000 to $250,000 in 2016. Trump's lawyers have previously said the president reimbursed Cohen for $130,000 Cohen paid to adult film star Stormy Daniels in the final weeks of the 2016 U.S. presidential campaign to keep her quiet about a sexual tryst she said she had with Trump 10 years earlier. Trump has denied the affair but recently confirmed reimbursing Cohen through a monthly retainer to stop "false and extortionist accusations" made by Daniels about an affair. Cohen has also acknowledged making the payment. The disclosure said that while the payment to Cohen was not a "reportable" liability, Trump chose to list it "in the interest of transparency." It did not say why Trump had left it out of his 2017 financial disclosure documents, though one of the president's lawyers, Rudy Giuliani, has said that Trump didn't know about the payment when he reported his finances last year. The Office of Government Ethics, in a letter to Deputy Attorney General Rod Rosenstein, said it had determined that the payment to Cohen constituted a loan that should have been reported. However, it said the information Trump provided in his latest financial form met "the disclosure requirements for a reportable liability" under the Ethics in Government Act. Under the Ethics in Government Act, top government officials are required to report all debts in excess of $10,000 during the previous reporting period. "Knowingly or willfully" falsifying or failing to file reports carries civil and criminal penalties. Trump listed several hundred million dollars in liabilities in his financial report. Critics seized on... Question: Who did lawyers say the president reimbursed lawyers for money paid to? === The answer to the above question is
OPTIONS:
- Joan Rivers
- Stormy Daniels the adult film star
- Brooke Shields
- not enough information
output: Stormy Daniels the adult film star

Q: My mother's shopping lists were ordered by rules known only to her. As you slid your finger down the columns of groceries and toiletries, you would invariably be stopped by something along the lines of "2dozjumHerbal Essences" or "1pepperoni TC," with the "TC" underlined twice and flanked by gnarled masses of pencil scratch-outs. When we were kids, we dreaded accompanying her to Wal-Mart, or worse, the Cosco at the edge of town, where the echoing rafters and limitless aisles seemed to mock the confusion into which we were inevitably thrown when handed torn-off fragments of the list. Of course, it was easy enough to see in hindsight that "2dozjumHerbal Essences" was merely the bastard child of two drunkenly weaving columns--we had been supposed to get two dozen jumbo eggs and a bottle of my mother's favourite brand of shampoo (ever inventive in creating proprietary abbreviations--"TC" standing for, what else, thin crust pizza--my mother scrupulously wrote out brand names in full). It was a little like ordering chemicals for a laboratory, sans any knowledge of chemistry--or, for that matter, laboratories, although my ignorance of the distinction between baking soda and baking powder cannot be entirely the root of my confusion. Eventually I--and my siblings--learned the difference between tomato paste and tomato sauce, and could readily distinguish one brand of laundry detergent from a similarly-styled knock-off, but my shame-faced trips back to the mothercart never ceased. I would track her down, most often in the produce section--she was usually loath to trust us with the delicate task of selecting the very best fruits and vegetables--and hand her back my portion of the list, asking for an explanation. Usually it amounted to a failure of awareness on my part--get the kind of soap we always get, of course! Question: Where did the author dread going with his/her mother? === The answer to the above question is

OPTIONS:
- The supermarket.
- The edge of town
- not enough information
- Costco

A:
The supermarket.