Chronic constipation: a survey of the patient perspective

  title={Chronic constipation: a survey of the patient perspective},
  author={John F. Johanson and Jeffrey Kralstein},
  journal={Alimentary Pharmacology \& Therapeutics},
Background  Constipation is a common, often chronic, gastrointestinal motility disorder characterized by such symptoms as straining, hard stool, and infrequent defecation. Published literature is limited regarding symptom prevalence, healthcare‐seeking behaviour, and patient satisfaction with traditional therapies for chronic constipation. 

Update on constipation: one treatment does not fit all.

Sometimes the key to improvement and patient satisfaction is to understand the mechanism and the patient, as well as the patient and the mechanism.

What is chronic constipation? Definition and diagnosis.

  • J. Gray
  • Medicine
    Canadian journal of gastroenterology = Journal canadien de gastroenterologie
  • 2011
Investigations are directed at confirming the absence of a primary underlying disease, differentiating or defining an alteration in colonic motility or identifying an anorectal evacuation disorder.

Patient dissatisfaction with medical therapy for chronic constipation or irritable bowel syndrome with constipation: analysis of N‐of‐1 prospective trials in 81 patients

  • G. Basilisco
  • Medicine
    Alimentary pharmacology & therapeutics
  • 2020
Patients with chronic constipation (CC) or with irritable bowel syndrome with constipation are often dissatisfied about their medical therapy, but their condition remains poorly defined.

Diagnosis and treatment of chronic constipation – a European perspective

  • J. TackS. Müller-lissner M. Fried
  • Medicine
    Neurogastroenterology and motility : the official journal of the European Gastrointestinal Motility Society
  • 2011
Management guidelines and recommendations are limited and are not sufficiently current to include treatments that became available more recently, such as prokinetic agents in Europe.

Review article: self‐report measures to evaluate constipation

This work has shown that consistent and reliable measures of constipation are essential to standardize the diagnosis, assess the severity and evaluate the effectiveness of treatments using patient self‐report.

Epidemiology of functional constipation and comparison with constipation‐predominant irritable bowel syndrome: the Systematic Investigation of Gastrointestinal Diseases in China (SILC)

Aliment Pharmacol Ther 2011; 34: 1020–1029

Efficacy and safety of prucalopride in the treatment of chronic constipation

Constipation is a common, often chronic, gastrointestinal motility disorder characterized by a diversity of symptoms including bloating, straining, abdominal pain, lumpy or hard stools, sensation of

Differentiation of functional constipation and constipation predominant irritable bowel syndrome based on Rome III criteria: a population‐based study

While the Rome III classification recognises functional constipation (FC) and constipation predominant IBS (IBS‐C) as distinct disorders, recent evidence has suggested that these disorders are

The older person: management of constipation.

  • Gaye Kyle
  • Medicine
    British journal of community nursing
  • 2010
The symptom of constipation in the older patient is explored; established management and treatment options are discussed within the context of available evidence together with new constipation management modalities.

The Pharmacological Management of Chronic Constipation and Faecal Incontinence

This two part chapter describes the use of pharmacotherapy in the management of bowel dysfunction and provides the reader with an insight into possible treatment options.



When fiber is not enough: current thinking on constipation management.

Current understanding about the etiology, pathology, and classification of different types of constipation are summarized and a stepwise approach to evaluation and management is presented.

AGA technical review on constipation

The goal of this technical review is to identify a rational, efficacious, and ideally cost-effective approach to the patient presenting with constipation.

Psychological morbidity in women with idiopathic constipation

Women with idiopathic constipation have increased psychological morbidity, altered perception about female self, and impaired intimate relationships, not present in women with “organic” GI illness also associated with abdominal pain.

Constipation: a different entity for patients and doctors.

Patients and doctors refer to different entities when they talk of 'constipation' and it is the doctor's responsibility to ensure that this misunderstanding is avoided so that unnecessary tests and treatment are not undertaken and, patient-doctor acrimony is avoided.

Diagnosis of constipation in family practice.

A large proportion of Canadian primary care patients whose presenting complaint or diagnosis was constipation satisfied the Rome II criteria for IBS, with a smaller number defined as functionally constipated.

Chronic constipation.

Constipation is more prevalent in women than in men, in nonwhites than in white persons, in children than in adults, 6 and in elderly than in younger adults.

Epidemiology of Constipation in North America: A Systematic Review

Constipation is very common, as approximately 63 million people in North America meet the Rome II criteria for constipation, and minimal data are available regarding incidence, natural history, and quality of life in patients with constipation.

Bowel disorders impair functional status and quality of life in the elderly: a population-based study.

Functional bowel disorders appear to interfere with daily living and quality of life in elderly persons.

Review article: epidemiology and quality of life in functional gastrointestinal disorders

  • L. Chang
  • Medicine, Psychology
    Alimentary pharmacology & therapeutics
  • 2004
The health‐related quality of life appears to improve in treatment responders, or correlates with symptom improvement, with at least some treatment modalities studied in functional gastrointestinal disorders, but further studies are needed.

Functional bowel disorders and functional abdominal pain

A committee consensus approach, including criticism from multinational expert reviewers, was used to revise the diagnostic criteria and update diagnosis and treatment recommendations, based on research results.