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]

• Pain

  nausea or vomiting, pain and flatus. [ncbi.nlm.nih.gov]

  Figures and Tables - Analysis 3.2 Comparison 3 Relief of Abdominal Pain, Outcome 2 Relief of Abdominal Pain ‐ Children. Figures and Tables - Analysis 3.3 Comparison 3 Relief of Abdominal Pain, Outcome 3 Relief of Abdominal Pain ‐ Adults. [doi.org]

• Fatigue

  Constipation, dry mouth, decreased appetite, sweating and fatigue were highly prevalent in the previous 30days (51-80%). [ncbi.nlm.nih.gov]

  This is especially true if you’re having other symptoms like fatigue, hair loss, abdominal cramping, weight changes, or vision problems. [healthline.com]

  […] doctor's examination Toxins Infant botulism A sudden reduction in the ability to suck Loss of muscle tone Sometimes consumption of honey before age 12 months A test for botulinum toxin in stool Lead poisoning Usually no symptoms Possibly abdominal pain, fatigue [msdmanuals.com]

  — Beth Mole, Ars Technica, "PETA roasts Impossible Burger for rat tests, suggests patties cause cancer," 11 Aug. 2018 Chemo can cause side effects like nausea and vomiting, hair loss, fatigue, mouth sores, constipation, diarrhea, and more. — Korin Miller [merriam-webster.com]

• 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]

  So babies tend to strain, cry, and get red in the face when they have a bowel movement. This does not mean they are constipated. If bowel movements are soft, then there is likely no problem. [nlm.nih.gov]

  If you’re concerned that your baby may be constipated, look out for these signs: Crying and discomfort, irritability or pain before doing a poo. Dry, hard, pellet-like poo that she has trouble passing. Fewer than three bowel movements a week. [babycentre.co.uk]

  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]

• Feeding Difficulties

  […] with low-fiber formulas Clinical evaluation Drug adverse effects Use of anticholinergics, antidepressants, chemotherapeutics, or opioids Suggestive history Clinical evaluation Toxins Infant botulism New onset of poor suck, feeding difficulties, anorexia [merckmanuals.com]

• Surgical Procedure

  Unless you have certain uncommon digestive diseases such as pancreatic insufficiency or have had certain surgical procedures that interfere with normal digestion, such as gastric bypass surgery, you simply will not find undigested meat or fat exiting [diagnosisdiet.com]

  However this is a major abdominal procedure with all the normal associated risks. Less invasive procedures for the treatment of constipation are being sought. [web.archive.org]

• Abdominal Pain

  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]

  Figures and Tables - Analysis 3.2 Comparison 3 Relief of Abdominal Pain, Outcome 2 Relief of Abdominal Pain ‐ Children. Figures and Tables - Analysis 3.3 Comparison 3 Relief of Abdominal Pain, Outcome 3 Relief of Abdominal Pain ‐ Adults. [doi.org]

• Nausea

  Lubiprostone is generally well tolerated, with nausea being the most common adverse event. AIMS: To characterize nausea with lubiprostone using pooled results from clinical studies in patients with CIC, OIC, or IBS-C. [ncbi.nlm.nih.gov]

  Feeling of an upset stomach (nausea); being sick/throwing up (vomiting); diarrhoea; constipation Muscle pain. Swelling of parts of the body due to accumulation of abnormal amounts of fluid (oedema). [glosbe.com]

  fecal impaction, appendicitis, nausea, vomiting, or acute abdominal pain Interactions Decreases effects of warfarin and increases effects of phenolphthalein Pregnancy C - Safety for use during pregnancy has not been established. [web.archive.org]

• Abdominal Cramps

  […] of sudden kidney failure Sorbitol Abdominal cramps and flatulence Stimulant laxatives Anthraquinones (found in senna, cascara, and castor oil) Abdominal cramps and dehydration Stimulant laxatives are not used if there is a possibility of an intestinal [msdmanuals.com]

• Fecal Incontinence

  Pelvic floor testing showed poor ability to squeeze the anal sphincter, which indicated sphincter weakness as a major contributor to her fecal incontinence symptoms. [ncbi.nlm.nih.gov]

  Magnesium salts (magnesium hydroxide and magnesium citrate) Too much magnesium in the body (magnesium toxicity), dehydration, abdominal cramps, and fecal incontinence Polyethylene glycol Fecal incontinence (related to dosage) Sodium phosphate Rare cases [msdmanuals.com]

• Rectal Bleeding

  Diagnosis of primary chronic constipation involves a multistep process initiated by the exclusion of 'alarm' features (for example, unintentional weight loss or rectal bleeding) that might indicate organic diseases (such as polyps or tumours) and a therapeutic [ncbi.nlm.nih.gov]

  Constipation also requires an immediate assessment if it is accompanied by worrisome symptoms such as rectal bleeding, abdominal pain and cramps, nausea and vomiting, and involuntary weight loss. [web.archive.org]

  However, if the pain is severe, or if you have rectal bleeding, call your provider. Learn more: Gas and bloating during pregnancy Heartburn during pregnancy Your pregnancy diet: The basics of eating well [babycenter.com]

  These include rectal bleeding and faecal impaction - where dried, hard stools collect in your rectum and anus. [express.co.uk]

  Symptoms of constipation may include: Many days without normal bowel movements Hard stools that are difficult or painful to pass Abdominal pain, such as stomachaches, cramping, or nausea Rectal bleeding from tears, called fissures Soiling Poor appetite [healthychildren.org]

• Prolapse

  Rectal prolapse. Want to know more? Go to More information for support groups, related links and references. [web.archive.org]

  Mechanical causes are related to morphological abnormalities of the anorectum (megarectum, rectal prolapse, rectocele, enterocele, neoplasms, stenosis). [ncbi.nlm.nih.gov]

  Long-standing dyschezia with chronic straining may cause a solitary rectal ulcer or varying degrees of rectal prolapse or excessive perineal descent or an enterocoele. [merckmanuals.com]

• Incontinence

  Pelvic floor testing showed poor ability to squeeze the anal sphincter, which indicated sphincter weakness as a major contributor to her fecal incontinence symptoms. [ncbi.nlm.nih.gov]

  Sacral nerve stimulation for treatment of fecal incontinence: A Novel Approach for Intractable Fecal Incontinence. Dis Colon Rectum 2001; 44: 619-631. Dinning PG, Fuentealba SE, Kennedy ML, Lubowski DZ, Cook IJ. [web.archive.org]

  Magnesium salts (magnesium hydroxide and magnesium citrate) Too much magnesium in the body (magnesium toxicity), dehydration, abdominal cramps, and fecal incontinence Polyethylene glycol Fecal incontinence (related to dosage) Sodium phosphate Rare cases [msdmanuals.com]

  Faecal incontinence was more frequent in the stepwise protocol group ( Coggrave 2010 ). [dx.doi.org]

• Pollakisuria

  […] to opioid use mt Fejn t-tagħrif mogħti bis-saħħa ta en Diarrhoea, constipation, vomiting, nausea, abdominal pain, abdominal distension, dyspepsia mt It-test bl-Estonjan biss huwa awtentiku en Diarrhoea, nausea, abdominal pain, constipation, dry mouth Pollakisuria [glosbe.com]

• Irritability

  We do not feel that cisapride can be justifiably used for chronic constipation or irritable bowel disease given its side effects of arrhythmia and associated 175 recorded deaths. [ncbi.nlm.nih.gov]

  Constipation is blamed for many complaints (abdominal pain, nausea, fatigue, anorexia) that are actually symptoms of an underlying problem (eg, irritable bowel syndrome [IBS], depression). [merckmanuals.com]

• Neglect

  Although frequently neglected, it can lead to serious adverse clinical consequences. [ncbi.nlm.nih.gov]

CONCLUSIONS: 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 [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.com]

If the patient experiences further episodes of constipation, a more detailed evaluation may then become appropriate (see Workup ). [web.archive.org]

• Bowel Distention

  Osmotics cause fluids to flow in a special way through the colon, resulting in bowel distention. This class of drugs is useful for people with idiopathic constipation. Brand names include Cephulac, Sorbitol, and Miralax. [web.archive.org]

[…] within 6 weeks of treatment starting. [web.archive.org]

We believe that SNS could offer a safe, effective and relatively cost-effective treatment for patients with NBD refractory to conservative treatment. [ncbi.nlm.nih.gov]

AIM: 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 was poor in all these cases. At autopsy, pseudo-membranous mucosal changes were revealed all over the colon, particularly in the rectum and sigmoid colon. [doi.org]

Prognosis: With appropriate dietary management, prognosis in most patients is excellent. Recurrence depends on the patient's long-term compliance to therapy. [web.archive.org]

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.com]

The understanding of the etiology of chronic constipation is the foundation on which cost-effective management strategies are to be built. [ncbi.nlm.nih.gov]

The understanding of the etiology of chronic constipation is the foundation on which cost-effective management strategies are to be built. Keywords Chronic constipation Etiology This is a preview of subscription content, log in to check access. [doi.org]

Constipation with a clear etiology (drugs, trauma, bed rest) may be treated symptomatically without further study. [merckmanuals.com]

This review will focus on the definition, epidemiology, diagnostic approach, and non-pharmacologic as well as pharmacologic management of chronic constipation in the elderly, including an overview of new medications currently under clinical investigation [ncbi.nlm.nih.gov]

The frequent occurrence of constipation and its impact on public health stress the need for further studies devoted to the epidemiology and basic pathophysiology of this condition. [doi.org]

Epidemiology of constipation in children and adults: a systematic review. Best practice & research Clinical gastroenterology, 25(1), 3-18. Chu, H., Zhong, L., Li, H., Zhang, X., Zhang, J., & Hou, X. (2014). [medoucine.com]

In this Review, we provide an overview of the burden and pathophysiology of chronic constipation, as well as a detailed discussion of the available diagnostic tools and treatment options. [ncbi.nlm.nih.gov]

Agents Used to Prevent or Treat Constipation Agent Some Side Effects Comments Bulking agents (fiber)* Bran Bloating, passing of gas (flatulence), and poor absorption of iron and calcium Bulking agents generally are used to prevent or control chronic constipation [msdmanuals.com]

OBJECTIVE: 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]