Symptoms in chronic constipation

@article{Koch1997SymptomsIC,
  title={Symptoms in chronic constipation},
  author={Alexander Koch and Winfried A. Voderholzer and Andreas G. Klauser and Stefan A. M{\"u}ller-lissner},
  journal={Diseases of the Colon \& Rectum},
  year={1997},
  volume={40},
  pages={902-906}
}
OBJECTIVES: This study was designed to evaluate whether detailed symptom analysis would help to identify pathophysiologic subgroups in chronic constipation. METHODS: In 190 patients with chronic constipation (age, 53 (range, 18–88) years; 85 percent of whom were women), symptom evaluation, transit time measurement (radiopaque markers), and functional rectoanal evaluation (proctoscopy, anorectal manometry, defecography) were performed. Patients were classified on the basis of objective data from… 

Clinical value of symptom assessment in patients with constipation

PURPOSE: This study was designed to evaluate symptoms and clinical findings in a prospective series of patients with chronic constipation. METHODS: A total of 155 consecutive patients with

Linear discriminant analysis of symptoms in patients with chronic constipation

This new scoring system is a valid technique to assist in the diagnosis of constipation and is the first study using appropriate statistical methodology to demonstrate a discriminatory ability of multiple symptoms in constipation.

Constipation assessed on the basis of colorectal physiology.

No single test could reliably identify any of the pathophysiologic subgroups of constipation in patients with chronic constipation.

Categorization of dysmotility in patients with chronic constipation and its significance for management.

The symptoms, DARE, GITT and ARM are effective methods of evaluating the dysmotility patterns in patients with chronic constipation and could improve the diagnostic rate of OOC, and GITT assists in diagnosis of STC.

Chronic constipation - the role of clinical assessment and colorectal physiologic tests to obtain an etiologic diagnosis.

The etiologic diagnosis of chronic constipation can be achieved in most of patients on a clinical basis and some symptoms may be significantly related to specific diagnoses.

Causes of idiopathic constipation in Thai patients: associations between the causes and constipation symptoms as defined in the Rome II criteria.

Prevalence of pathophysiologic conditions associated with idiopathic constipation in Thai patients are similar to Western countries, and patients with colonic inertia and anorectal dysfunction plus Colonic inertia had a higher prevalence of infrequent bowel movement than patients with normal transit constipation.

Slow transit constipation: clinical and aetiological studies.

Mutational screening of some early-onset cases for a possible congenital pathogenetic mechanism, based on the observation that some STC patients had relatives with Hirschsprung's disease demonstrated that mutation of 2 important genes now implicated in this disorder were not a frequent cause.

Dyssynergic Defecation: Demographics, Symptoms, Stool Patterns, and Quality of Life

Most patients with dyssynergia reported an excessive need to strain, feeling of incomplete evacuation and abdominal bloating and one half used digital maneuvers, which significantly affected quality of life, particularly in women.

Prevalence and Clinical Characteristics of Dyssynergic Defecation and Slow Transit Constipation in Patients with Chronic Constipation

Patients with chronic constipation who do not respond to initial treatments often need further evaluation for dyssynergic defecation (DD) and slow transit constipation (STC) to better understand their pathophysiology of symptoms and help direct treatment.
...

References

SHOWING 1-10 OF 15 REFERENCES

Is constipation a disorder of defecation or impaired motility?: distinction based on defecography and colonic transit studies.

It is suggested that constipation is often a disorder of defecation rather than an impairment of colonic motility.

Chronic severe constipation. Prospective motility studies in 25 consecutive patients.

It is indicated that a high percentage of patients with more severe degrees of constipation have a serious but sometimes treatable disorder of bowel function, rather than the irritable bowel syndrome.

An examination of the reliability of reported stool frequency in the diagnosis of idiopathic constipation.

The diagnosis of idiopathic constipation should be supported by the use of stool diaries and a colon transit study, and anorectal manometry was not helpful in discriminating between those who satisfied the criterion for constipation and those who did not.

Different patterns of intestinal transit time and anorectal motility in painful and painless chronic constipation.

The data show that two different patterns of motor abnormalities can be recognised in constipated patients and the presence of colonic pain can suggest the characteristics of the underlying motor abnormality.

Application of the colorectal laboratory in diagnosis and treatment of functional constipation

  • H. Kuijpers
  • Medicine
    Diseases of the colon and rectum
  • 1990
Measurement of colonic transit time in patients with disordered evacuation studies is useless from a clinical point of view, because abnormal segmental transit time is the result of outlet obstruction in most cases and will return to normal after adequate treatment.

Correlates of constipation in an ambulatory elderly population.

Elderly people who report the use of multiple drugs, pain in the abdomen, and hemorrhoids are at increased risk for constipation, and 11 factors of significance were found to correlate with self-reported constipation.

Self-reported diarrhea: what does it mean?

It is concluded that the term "diarrhea" should be interpreted very cautiously in epidemiological studies or clinical trials, as it is unlikely to accurately reflect symptoms of diarrhea.

Effect of stool size and consistency on defecation.

It is suggested that more effort is required to expel stools from the rectum if they is small and hard than if they are large and soft.