Constipation: Difference between revisions
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== Clinical Presentation == | == Clinical Presentation == | ||
An international working committee recommended the following diagnostic criteria (Rome IV) for functional constipation:<ref>Longstreth GF, Thompson WG, Chey WD, Houghton LA, Mearin F, Spiller RC. Functional bowel disorders. Gastroenterology. 2006 Apr 1;130(5):1480-91.</ref> | |||
* | # Must include two or more of the following: | ||
* | * Straining during more than 25 percent of defecations. | ||
* | * Lumpy or hard stools (Bristol Stool Scale Form 1-2) in more than 25 percent of defecations (figure 1). | ||
* | * Sensation of incomplete evacuation for more than 25 percent of defecations. | ||
* Sensation of anorectal obstruction/blockage for more than 25 percent of defecations. | |||
* Manual maneuvers to facilitate more than 25 percent of defecations (eg, digital evacuation, support of the pelvic floor). | |||
* Fewer than three spontaneous bowel movements per week. | |||
2. Loose stools are rarely present without the use of laxatives | |||
3. There are insufficient criteria for IBS. (See "Clinical manifestations and diagnosis of irritable bowel syndrome in adults".) | |||
Although patients with functional constipation may have abdominal pain and/or bloating, they are not the predominant symptoms. | |||
== Management/Interventions == | == Management/Interventions == | ||
Revision as of 18:17, 19 March 2019
Original Editor - User:Nicole Sandhu Top Contributors - Nicole Sandhu, Kim Jackson and Vidya Acharya
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Definition[edit | edit source]
Chronic constipation is infrequent bowel movements or difficult passage of stools that persists for several weeks or longer.[1]
Clinically Relevant Anatomy[edit | edit source]
Please see the page "Pelvic Floor Anatomy," for further details regarding anatomy.
Clinical Presentation[edit | edit source]
An international working committee recommended the following diagnostic criteria (Rome IV) for functional constipation:[2]
- Must include two or more of the following:
- Straining during more than 25 percent of defecations.
- Lumpy or hard stools (Bristol Stool Scale Form 1-2) in more than 25 percent of defecations (figure 1).
- Sensation of incomplete evacuation for more than 25 percent of defecations.
- Sensation of anorectal obstruction/blockage for more than 25 percent of defecations.
- Manual maneuvers to facilitate more than 25 percent of defecations (eg, digital evacuation, support of the pelvic floor).
- Fewer than three spontaneous bowel movements per week.
2. Loose stools are rarely present without the use of laxatives
3. There are insufficient criteria for IBS. (See "Clinical manifestations and diagnosis of irritable bowel syndrome in adults".)
Although patients with functional constipation may have abdominal pain and/or bloating, they are not the predominant symptoms.
Management/Interventions[edit | edit source]
Education
Diet
Physiotherapist
Biofeedback can be a very useful tool for patients
Physician
References[edit | edit source]
- ↑ Mayo Clinic. Constipation. Available from: https://www.mayoclinic.org/diseases-conditions/constipation/symptoms-causes/syc-20354253
- ↑ Longstreth GF, Thompson WG, Chey WD, Houghton LA, Mearin F, Spiller RC. Functional bowel disorders. Gastroenterology. 2006 Apr 1;130(5):1480-91.
