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Constipation


Presentation

  • We present a case of mucosal EG presenting as constipation and abdominal pain in a 43 year old female.[ncbi.nlm.nih.gov]
  • We present the case of an 11-year-old boy with a 4-month history of chronic constipation and abdominal pain who presented to the children's ED. He was found to have a large abdominal mass that was determined to be a myxoid liposarcoma.[ncbi.nlm.nih.gov]
  • Sexually active females presenting with rectal pain and complaints should be screened for CT infection of the rectum.[ncbi.nlm.nih.gov]
  • A 10-day-old full-term male neonate of Waardenburg syndrome presented with constipation since birth along with features of small bowel obstruction.[ncbi.nlm.nih.gov]
  • A man in his thirties presented to the emergency department with a 3-day history of constipation and acute abdominal pain.[ncbi.nlm.nih.gov]
Pain
  • Abdominal pain is not used to characterize constipated patients.[ncbi.nlm.nih.gov]
  • Naloxegol has demonstrated efficacy against OIC in several studies involving patients with nonmalignant chronic pain.[ncbi.nlm.nih.gov]
  • Symptoms of the mucosal form of EG usually include nausea, vomiting, diarrhea and abdominal pain while constipation is extremely rare. We present a case of mucosal EG presenting as constipation and abdominal pain in a 43 year old female.[ncbi.nlm.nih.gov]
  • Further, the use of probiotics was associated with lower frequency of glycerin enema use (weighted mean difference -2.40, P   .004) and abdominal pain (weighted mean difference -4.80, P   .001).[ncbi.nlm.nih.gov]
  • Moreover, women showed no adverse effects with acceptable pain tolerance to the intervention. The application of an osteopathic AMI is well tolerated and improves pain sensitivity in areas related to intestinal innervation, as well as lumbar flexion.[ncbi.nlm.nih.gov]
Crying
  • If you are a parent, you probably watch your baby’s every laugh, hiccup, and cry for clues about their well-being. Some signs of a problem, though, can be a little more difficult to detect.[healthline.com]
  • Crying while straining may be a sign of constipation. When a child is constipated, the stool in the intestines has backed up more than it should . What “more than it should” means varies depending on the age of the child and the diet.[drgreene.com]
  • Your child may be constipated if they have some of the following: large and hard poo hard 'pebble-like' poo no poo for 3 or more days pain or crying when having a poo bright blood around the poo due to tears in the skin around the anus (anal fissures)[kidshealth.org.nz]
  • Can't pass a stool or pain when passing a stool Crying when passing a stool (bowel movement or BM) or Can't pass a stool after straining or pushing longer than 10 minutes or 3 or more days without passing a stool (Exception: Breastfed and over 1 month[seattlechildrens.org]
  • Signs of constipation Children may sometimes say that it hurts when doing a poo, or cry, and will try to do their poos less often. Often they don't say anything.[cyh.com]
Dutch
  • The Dutch Ministry of Health, Welfare and Sports has granted conditional reimbursement for SNM treatment.[ncbi.nlm.nih.gov]
  • […] retention , retention; fecal , Constipation German VERSTOPFUNG , Obstipation , Verstopfung Korean 변비 Italian Costipazione , Stipsi Croatian KONSTIPACIJA Polish Zaparcie Hungarian Obstipatio Norwegian Forstoppelse , Treg mage , Hard avføring , Obstipasjon Dutch[fpnotebook.com]
  • FREQUENCY OF POOPING SHARE Every 2 days or less 7.5% Once a day 54.9 1-2 times per day 34.2 2 times per day 3.4 How often Dutch men poop That imprecision matters because it gets in the way of our understanding something pretty basic: How has constipation[fivethirtyeight.com]
Cerebral Palsy
  • His medical history included a diagnosis of cerebral palsy and multiple admissions to hospital with constipation. Clinical examination revealed a grossly distended and tense abdomen. Circulatory supply to the lower limbs was acutely impaired.[ncbi.nlm.nih.gov]
  • Patients with Hirschsprung disease, anorectal malformation, tethered cord, spina bifida, Trisomy 21, cerebral palsy, mitochondrial disease, or prior colon resection were excluded.[ncbi.nlm.nih.gov]
Abdominal Pain
  • Abdominal pain is not used to characterize constipated patients.[ncbi.nlm.nih.gov]
  • Symptoms of the mucosal form of EG usually include nausea, vomiting, diarrhea and abdominal pain while constipation is extremely rare. We present a case of mucosal EG presenting as constipation and abdominal pain in a 43 year old female.[ncbi.nlm.nih.gov]
  • Constipation is a common cause of pediatric abdominal pain seen in pediatric emergency departments (EDs). We present the case of an 11-year-old boy with a 4-month history of chronic constipation and abdominal pain who presented to the children's ED.[ncbi.nlm.nih.gov]
  • Further, the use of probiotics was associated with lower frequency of glycerin enema use (weighted mean difference -2.40, P   .004) and abdominal pain (weighted mean difference -4.80, P   .001).[ncbi.nlm.nih.gov]
  • Co-primary responder criteria were met by 60.0% of linaclotide patients versus 48.8% of placebo patients for abdominal pain/discomfort ( 30% decrease for 6/12 weeks; P 0.05), and 31.7% of linaclotide versus 15.4% of placebo patients for IBS degree of[ncbi.nlm.nih.gov]
Abdominal Cramps
  • […] mL/day (up to 360 mL) Magnesium toxicity, dehydration, abdominal cramps, fecal incontinence, diarrhea Sodium phosphate 10 g po once as bowel preparation Rare cases of acute renal failure Stimulants Anthraquinones Depends on brand used Abdominal cramps[merckmanuals.com]
  • Other symptoms are a bloated abdomen , stomach ache , abdominal cramps , nausea , abnormally small or large stools, acidity , loss of appetite , bad breath , headache , depression , acne , and mouth ulcers .[top10homeremedies.com]
  • This is especially true if you’re having other symptoms like fatigue, hair loss, abdominal cramping, weight changes, or vision problems.[healthline.com]
  • Constipation Symptoms The increased length of time during which stool remains in the colon causes increased pressure on the bowels, leading to abdominal cramping and bloating.[badgut.org]
Bulky Stool
  • A diet with 20 to 35 grams of fiber daily helps in the formation of soft, bulky stool. While adding foods such as beans, whole grains, bran cereals, fresh fruits and vegetables is helpful in adding fiber to the diet.[hopkinsmedicine.org]
  • Bulk Forming Agents: These are made of indigestible fibre, which absorbs and retains fluid and helps to form a soft, bulky stool (e.g., Metamucil , Prodiem ). While not quick-acting, they are safe for long-term use.[badgut.org]
  • (Food and Chemical Toxicology (FCT) journal), the intake of fiber promotes smooth digestion and helps in producing bulky stools that are easier to pass. Psyllium Psyllium or ispaghula has large amounts of dietary fiber.[organicfacts.net]
  • Fiber helps form soft, bulky stools and is found in many vegetables, fruits, and grains. Be sure to add fiber to your diet a little at a time so your body gets used to it, and you must also increase your water consumption.[colonspas.com]
Abdominal Distension
  • Compared with the Mox group, greater improvements in abdominal distension, defecation frequency, diffificulty in defecation and stool features were observed in the EA group (all P 0.01), both Hamilton Anxiety Rating Scale and Hamilton Depression Rating[ncbi.nlm.nih.gov]
  • Bloating, abdominal distension , and abdominal pain often accompany constipation. [33] Chronic constipation (symptoms present at least three days per month for more than three months) associated with abdominal discomfort is often diagnosed as irritable[en.wikipedia.org]
Dyschezia
  • Dyschezia (Disordered Evacuation; Dysfunction of Pelvic Floor or Anal Sphincters; Functional Defecatory Disorders; Dyssynergia) Dyschezia is difficulty defecating. Patients sense the presence of stool and the need to defecate but are unable.[merckmanuals.com]
  • Constipation Synonyms Costiveness, [1] dyschezia [2] Constipation in a young child seen on X-ray. Circles represent areas of fecal matter (stool is white surrounded by black bowel gas).[en.wikipedia.org]
Waardenburg Syndrome
  • Shah-Waardenburg syndrome is Waardenburg syndrome associated with Hirschsprung's disease. A 10-day-old full-term male neonate of Waardenburg syndrome presented with constipation since birth along with features of small bowel obstruction.[ncbi.nlm.nih.gov]
  • Chronic constipation may be recognized as indicative of a SOX10 mutation in patients with Waardenburg syndrome.[ncbi.nlm.nih.gov]
Irritability
  • This study is one of the few reports of this rare clinical entity causing irritative voiding symptoms and constipation in a male patient.[ncbi.nlm.nih.gov]
  • Clinical study results in patients with Chronic Idiopathic Constipation (CIC) and Irritable Bowel Syndrome with Constipation (IBS-C) are also reviewed.[ncbi.nlm.nih.gov]
  • There was heterogeneity in frequency patterns of core symptoms between different Asian studies but also differences in core symptoms between constipation subtypes of functional constipation and irritable bowel syndrome with constipation.[ncbi.nlm.nih.gov]
  • Patients with obstructed outlet, irritable bowel syndrome, bowel pathology, or rectal prolapse are excluded. Patients are randomized to SNM or PCT.[ncbi.nlm.nih.gov]
  • This meta-analysis analyzed the efficacy and safety of traditional Chinese medicine (TCM) for the treatment of irritable bowel syndrome with constipation (IBS-C).[ncbi.nlm.nih.gov]
Neglect
  • Although frequently neglected, it can lead to serious adverse clinical consequences.[ncbi.nlm.nih.gov]

Workup

  • CME programs focusing on applying diagnostic criteria, matching diagnostic workup to patient presentation, treatment selection, and identifying patients who may benefit from psychological evaluation may fill knowledge and practice gaps of clinicians who[ncbi.nlm.nih.gov]
  • Diagnosis An extensive workup of the constipated patient is performed on an outpatient basis and usually occurs after approximately 3-6 months of failed medical management.[emedicine.medscape.com]

Treatment

  • Its treatment is mainly based on dietary rules, laxative drugs, perineal rehabilitation and surgical treatment.[ncbi.nlm.nih.gov]
  • It will also promote relevant research of microbiota treatment and individualized treatments.[ncbi.nlm.nih.gov]
  • HCPs reported the greatest challenges in treating CIC patients as response rates to current therapies (55%), treatment adherence (55%), management of treatment-related diarrhea (34%), and lack of treatment options (34%).[ncbi.nlm.nih.gov]
  • The treatment efficiency was evaluated and compared between two different treatments.[ncbi.nlm.nih.gov]
  • In addition, in children much less treatment is needed for recovery compared to adult subjects, as well as the duration of the treatment is shorter.[ncbi.nlm.nih.gov]

Prognosis

  • To compare the efficacy, improved quality of life, and prognosis in patients undergoing either subtotal colonic bypass with antiperistaltic cecoproctostomy (SCBAC) or subtotal colonic bypass plus colostomy with antiperistaltic cecoproctostomy (SCBCAC)[ncbi.nlm.nih.gov]
  • Prognosis Most active patients do well with medical management and appropriate dietary management. Recurrence depends on the patient’s long-term compliance with therapy.[emedicine.medscape.com]
  • What Is the Prognosis for Constipation in Adults? Most people with constipation have no physical disease of the digestive system nor any widespread disease associated with constipation.[emedicinehealth.com]

Etiology

  • Slow transit constipation (STC) is a common disease of which the etiology is still not clear. Multiple hypotheses have been proposed to explain STC, including autonomic neuropathy, disorders of the enteric nervous system and so forth.[ncbi.nlm.nih.gov]
  • Constipation with a clear etiology (drugs, trauma, bed rest) may be treated symptomatically without further study.[merckmanuals.com]
  • Etiology . Constipation can result from a variety of causes. Such habits of daily living as lack of exercise, insufficient intake of water and dietary bulk, and chronic use of laxatives and enemas can contribute to the development of constipation.[medical-dictionary.thefreedictionary.com]
  • Constipation: etiology, evaluation and management . New York: Springer. a b c Tabbers, M.M.; DiLorenzo, C.; Berger, M.Y.; Faure, C.; Langendam, M.W.; Nurko, S.; Staiano, A.; Vandenplas, Y.; Benninga, M.A. (2014).[en.wikipedia.org]
  • Etiology The etiology of constipation is usually multifactorial, but it can be broadly divided into 2 main groups: primary constipation and secondary constipation.[emedicine.medscape.com]

Epidemiology

  • Large-scale epidemiological studies have not confirmed the widely accepted Braakpostula. In this review, we propose an alternative origin and route of spread of LP in PD.[ncbi.nlm.nih.gov]
  • This Primer provides an introduction to the epidemiology, pathophysiological mechanisms, diagnosis, management and quality of life associated with the commonly encountered clinical problem of chronic constipation in adults unrelated to opioid abuse.[ncbi.nlm.nih.gov]
  • Significant advances have been made in the knowledge and understanding of the epidemiology, pathophysiology, diagnosis, and treatment of chronic constipation, since the publication of the 2011 guidelines on chronic constipation diagnosis and treatment[ncbi.nlm.nih.gov]
  • We aimed to study the epidemiology and risk factors, including exposure to emotional stress, for constipation in Indonesian children and adolescents of 10-17 year age group.[ncbi.nlm.nih.gov]
  • Epidemiology of constipation in Europe and Oceania: a systematic review. BMC Gastroenterol . 2008 Feb 12. 8:5. [Medline] . Sonnenberg A, Koch TR. Epidemiology of constipation in the United States. Dis Colon Rectum . 1989 Jan. 32(1):1-8. [Medline] .[emedicine.medscape.com]
Sex distribution
Age distribution

Pathophysiology

  • Its underlying neuropathology may provide pathophysiological insight into PD.[ncbi.nlm.nih.gov]
  • Finally, the discussion within focuses on the importance of plecanatide in understanding the physiology of uroguanylin, the pathophysiology of IBS-C and the potential for development of uroguanylin and guanylin analogs.[ncbi.nlm.nih.gov]
  • To investigate whether pathophysiological differences exist among healthy controls (HC) and patients with slow and normal transit constipation (STC and NTC), we evaluated (1) gastrointestinal (GI) symptoms using validated questionnaires; (2) circulating[ncbi.nlm.nih.gov]
  • This Primer provides an introduction to the epidemiology, pathophysiological mechanisms, diagnosis, management and quality of life associated with the commonly encountered clinical problem of chronic constipation in adults unrelated to opioid abuse.[ncbi.nlm.nih.gov]
  • Significant advances have been made in the knowledge and understanding of the epidemiology, pathophysiology, diagnosis, and treatment of chronic constipation, since the publication of the 2011 guidelines on chronic constipation diagnosis and treatment[ncbi.nlm.nih.gov]

Prevention

  • Auricular acupressure (AA) therapy has been widely used in Eastern Asia and Europe to prevent constipation in leukemia patients undergoing chemotherapy.[ncbi.nlm.nih.gov]
  • Peculiar long term complications related to the presence of a dysfunctional or mobile caecal stump may be prevented by careful patient selection and surgical technique.[ncbi.nlm.nih.gov]
  • Design/methodology/approach A quality improvement project in older adults undergoing rehabilitation for prevention and constipation management was conducted.[ncbi.nlm.nih.gov]
  • When knowledgeable nurses who teach patients about their medications include information about the possibility of constipation, they can then educate patients about how to prevent, reduce, or treat medication-related constipation.[ncbi.nlm.nih.gov]
  • We highlight this unrecognized complication of severe functional constipation with fecal impaction that is potentially preventable if managed appropriately.[ncbi.nlm.nih.gov]

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