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Obstipation

Constipation is an acute or chronic condition in which bowel movements occur infrequent (typically three times or fewer per week) and consist of hard stools that are painful to pass.


Presentation

  • Abstract The results are presented of a clinical-enzyme histochemical evaluation of the activity of acetylcholinesterase in the rectal mucosa of 46 children with obstipation.[ncbi.nlm.nih.gov]
  • We report a case of a 63-year-old woman who presented with progressive constipation culminating in obstipation, and associated symptoms of more widespread dysmotility. A paraneoplastic syndrome was suspected.[ncbi.nlm.nih.gov]
  • ‘A 27-year-old man presented to the emergency department with a 3-day history of progressively worsening abdominal pain, nausea, emesis, and obstipation following a weekend drinking binge.’[en.oxforddictionaries.com]
  • Abstract We report a case of isolated internal iliac aneurysm presenting with a big retroperitoneal cystic tumor, with reviewing the literature.[doi.org]
  • […] the United States and an assessment of its impact on national health are presented.[doi.org]
Perineal Pain
  • Four children were referred for perineal pain caused by spasms of the pelvic floor. Eight children had encopresis based on chronic obstipation.[ncbi.nlm.nih.gov]
Recurrent Urinary Tract Infection
  • Eight children had a history of recurrent urinary tract infections and 12 girls had vaginal irritation. Four children were referred for perineal pain caused by spasms of the pelvic floor. Eight children had encopresis based on chronic obstipation.[ncbi.nlm.nih.gov]
Constipation
  • The monoclonal antibody may provide early warning of such postoperative constipation.[ncbi.nlm.nih.gov]
  • Constipation in baby. Flat design.[shutterstock.com]
  • O bstipation Constipation and obstipation are earlier manifestations of the same problem. Constipation is defined as the infrequent of difficult evacuation of feces but does not necessarily imply a permanent loss of function.[cal.vet.upenn.edu]
  • الصفحة 30 - WA, WENZEL, G., MÜLLER-LISSNER, SA: Polyethylene glycol 4000 for slow transit constipation. ‏ الصفحة 30 - ARCE, DA, ERMOCILLA, CA, COSTA, H.: Evaluation of Constipation American Family Physician... ‏[books.google.com]
  • Constipation is an acute or chronic condition in which bowel movements occur infrequent (typically three times or fewer per week) and consist of hard stools that are painful to pass.[symptoma.com]
Abdominal Pain
  • ‘A 27-year-old man presented to the emergency department with a 3-day history of progressively worsening abdominal pain, nausea, emesis, and obstipation following a weekend drinking binge.’[en.oxforddictionaries.com]
  • Digestive problems, abdominal pain, stomach ache. Health concept. Unhealthy and stale food.[shutterstock.com]
  • 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]
  • These patients showed loose stool, abdominal pain or watery diarrhea after intramuscular lincomycin therapy at daily dose of 600 mg for 4-11 days.[doi.org]
Fecal Incontinence
  • In 147 patients with fecal incontinence (male:female, 24/123; median age, 58) only EMG activity was recorded.[doi.org]
  • Recognize that most children who present with fecal incontinence or encopresis have associated constipation.[doi.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[merck.com]
  • 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]
  • Danilo Badiali, Anorectal Manometry, Management of Fecal Incontinence, 10.1007/978-3-319-32226-1_5, (43-50), (2016). M. Kim, G. Meurette, R. Ragu and P. A.[doi.org]
Abdominal Distension
  • ‘She had a 3-day history of acute-onset abdominal pain, vomiting, abdominal distension, and obstipation.’ Origin Late 16th century: alteration of constipation, by substitution of the prefix ob- for con-. Pronunciation obstipation /ˌɒbstɪˈpeɪʃ(ə)n[en.oxforddictionaries.com]
  • PEG: abdominal distension and pain, nausea, excessive diarrhoea. Lactulose: galactosaemia, intestinal obstruction. PEG: intestinal perforation or obstruction, paralytic ileus, severe inflammatory conditions of the GI tract (e.g.[doi.org]
  • Flat or distension that can be explained because of age or overweight child Gross abdominal distension Spine/lumbosacral region/gluteal examination Normal appearance of the skin and anatomical structures of lumbosacral/gluteal regions Abnormal: asymmetry[dx.doi.org]
Dyschezia
  • Colonic Inertia Constipation Dyschezia edit English constipation bowel dysfunction that is characterized by infrequent or difficult evacuation of feces.[wikidata.org]
  • People with dyschezia sense the need to have a bowel movement but cannot. Even stool that is not hard may be difficult to pass. People with irritable bowel syndrome (IBS) may have IBS-disordered defecation.[merck.com]
  • Amarenco, Intérêt des explorations manométriques dans les dyschésies anorectales Advantages of manometric explorations in cases of anorectal dyschezia, Pelvi-périnéologie, 10.1007/s11608-010-0347-5, 5, 4, (252-256), (2010). Cor G.M.I.[doi.org]

Workup

  • 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]
  • 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]
  • distention and stimulation of peristalsis.[web.archive.org]

Treatment

  • Treatment, consisting of bulk laxatives in appropriate amounts, alleviated the obstipation.[ncbi.nlm.nih.gov]
  • The treatment of encopresis is also discussed. RESULTS: Of the 20 children, 13 had a good result; they all became dry during the day and night, and encopresis resolved.[ncbi.nlm.nih.gov]
  • الصفحة 30 - GE (2001) New polyethylene glycol laxative for treatment of constipation in adults: a randomized, double-blind, placebo-controlled study. Southern Medical Journal. ‏[books.google.com]
  • Discuss treatment options with your healthcare providers to decide what care you want to receive. You always have the right to refuse treatment. The above information is an educational aid only.[drugs.com]
  • We focus on providing treatments in Rare Diseases, Neuroscience, Gastrointestinal, and Internal Medicine and we are developing treatments for symptomatic conditions treated by specialist physicians in other targeted therapeutic areas, such as Ophthalmics[shire.com]

Prognosis

  • 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]

Etiology

  • 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]
  • 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]
  • Rodrigo Guzmán Rojas, Christian Quintero, Ka Lai Shek and Hans Peter Dietz, Does childbirth play a role in the etiology of rectocele?, International Urogynecology Journal, 26, 5, (737), (2015).[doi.org]

Epidemiology

  • 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 (epoc) study in the United States: relation of clinical subtypes to sociodemographic features. Am J Gastroenterol. 1999;94:3530–3540. CrossRef PubMed Google Scholar 3. Higgins PD, Johanson JF.[oadoi.org]
  • Since the most recent Rome criteria were published, a well conducted Spanish epidemiological study found that the prevalence of self reported constipation was 29.5% yet only half of those met the Rome criteria. 2 This … View Full Text Log in Log in using[doi.org]
Sex distribution
Age distribution

Pathophysiology

  • 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]
  • ISPP takes pride in providing a forum for all opinions in the pathophysiology, investigation, diagnosis and management of conditions affecting the Pelvis and Perineum.[pelviperineology.com]
  • Both IBS and NCGS are common in the general population and both can coexist with each other independently without necessarily sharing a common pathophysiological basis.[dx.doi.org]
  • Recently, advances have expanded our understanding of the pathophysiology and treatment options for children with chronic constipation.[doi.org]

Prevention

  • There are many things you can do to prevent constipation.[medlineplus.gov]
  • Prevention The following can help you avoid developing chronic constipation. Include plenty of high-fiber foods in your diet, including beans, vegetables, fruits, whole grain cereals and bran.[mayoclinic.org]
  • How can I prevent obstipation? When should I seek immediate care? You have severe abdominal pain. You have a bloody or black bowel movement. When should I contact my healthcare provider? You vomit more than once.[drugs.com]
  • […] safety of the available interventions for preventing postpartum constipation.[doi.org]
  • Some laxatives are good for preventing constipation, others for treating it.[merck.com]

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Last updated: 2019-07-11 22:26