Constipation history and symptoms: Difference between revisions
Jump to navigation
Jump to search
No edit summary |
m Bot: Removing from Primary care |
||
| (2 intermediate revisions by 2 users not shown) | |||
| Line 5: | Line 5: | ||
==Overview== | ==Overview== | ||
A positive history of straining, hard [[stools]], sensation of incomplete evacuation, sensation of [[anorectal]] [[obstruction]], manual maneuvers, and less than 3 [[Defecation|defecations]] weekly is suggestive of constipation. The most common symptoms of constipation include infrequent [[Bowel movement|bowel movements]], [[Bloating|abdominal bloating]], necessity to strain, and [[anal pain]]. Less common symptoms of constipation include [[ | A positive history of straining, hard [[stools]], sensation of incomplete evacuation, sensation of [[anorectal]] [[obstruction]], use of manual maneuvers, and less than 3 [[Defecation|defecations]] weekly is suggestive of constipation. The most common symptoms of constipation include infrequent [[Bowel movement|bowel movements]], [[Bloating|abdominal bloating]], necessity to strain, and [[anal pain]]. Less common symptoms of constipation include [[abdominal fullness]], visible [[abdominal distention]], incomplete evacuation, [[abdominal pain]], [[rectal bleeding]], and [[mass]] protrusion. [[Bristol Stool Scale|Bristol Stool Form Scale]] and Patient Assessment Constipation-Quality of Life (PAC-QOL) are two questionnaire based on patients [[symptoms]], help to diagnose constipation and [[quality of life]] in constipated patients. | ||
==History and Symptoms== | ==History and Symptoms== | ||
*The hallmark of constipation is decreased number of [[Bowel movement|bowel movements]] and hardened [[stool]]. A positive history of straining, hard [[stools]], sensation of incomplete evacuation, sensation of [[anorectal]] [[obstruction]], manual maneuvers, and less than 3 [[Defecation|defecations]] weekly is suggestive of constipation. The most common [[symptoms]] of constipation include infrequent [[Bowel movement|bowel movements]], [[Bloating|abdominal bloating]], necessity to strain, and [[anal pain]]. | *The hallmark of constipation is decreased number of [[Bowel movement|bowel movements]] and hardened [[stool]]. A positive history of straining, hard [[stools]], sensation of incomplete evacuation, sensation of [[anorectal]] [[obstruction]], use of manual maneuvers, and less than 3 [[Defecation|defecations]] weekly is suggestive of constipation. The most common [[symptoms]] of constipation include infrequent [[Bowel movement|bowel movements]], [[Bloating|abdominal bloating]], necessity to strain, and [[anal pain]]. | ||
===History=== | ===History=== | ||
Patients with constipation may have a positive history of:<ref name="Rao2008">{{cite journal|last1=Rao|first1=Satish S. C.|title=Approach to the Patient with Constipation|year=2008|pages=373–398|doi=10.1002/9781444300758.ch20}}</ref> | Patients with constipation may have a positive history of:<ref name="Rao2008">{{cite journal|last1=Rao|first1=Satish S. C.|title=Approach to the Patient with Constipation|year=2008|pages=373–398|doi=10.1002/9781444300758.ch20}}</ref> | ||
| Line 16: | Line 16: | ||
*Digital maneuvers | *Digital maneuvers | ||
*Less than 3 [[Defecation|defecations]] per week | *Less than 3 [[Defecation|defecations]] per week | ||
Specific areas of focus when taking history of patients with constipation include:<ref name="pmid21382584">{{cite journal| author=Rao SS, Meduri K| title=What is necessary to diagnose constipation? | journal=Best Pract Res Clin Gastroenterol | year= 2011 | volume= 25 | issue= 1 | pages= 127-40 | pmid=21382584 | doi=10.1016/j.bpg.2010.11.001 | pmc=3063397 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21382584 }}</ref> | |||
* [[Bowel]] habits description | * [[Bowel]] habits description | ||
* Onset of [[symptoms]] | * Onset of [[symptoms]] | ||
| Line 25: | Line 25: | ||
* Dietary history: Fiber and fluid intake | * Dietary history: Fiber and fluid intake | ||
* [[Family history]]: [[Bowel]] function | * [[Family history]]: [[Bowel]] function | ||
{| align:"right | {| align: " right | ||
|[[image:Bristol stool chart.svg.png|thumb|700px| Bristol Stool Scale- By Cabot Health, via Wikimedia Commons<ref><http://cdn.intechopen.com/pdfs-wm/46082.pdf> [CC BY-SA 3.0 <https://creativecommons.org/licenses/by-sa/3.0>]</ref>]] | |[[image:Bristol stool chart.svg.png|thumb|700px| Bristol Stool Scale- By Cabot Health, via Wikimedia Commons<ref><http://cdn.intechopen.com/pdfs-wm/46082.pdf> [CC BY-SA 3.0 <https://creativecommons.org/licenses/by-sa/3.0>]</ref>]] | ||
===Common Symptoms=== | ===Common Symptoms=== | ||
| Line 44: | Line 44: | ||
===Less Common Symptoms=== | ===Less Common Symptoms=== | ||
Less common symptoms of constipation include:<ref name="MertzNaliboff1999">{{cite journal|last1=Mertz|first1=H.|last2=Naliboff|first2=B.|last3=Mayer|first3=E. A.|title=Symptoms and physiology in severe chronic constipation|journal=The American Journal of Gastroenterology|volume=94|issue=1|year=1999|pages=131–138|issn=0002-9270|doi=10.1111/j.1572-0241.1999.00783.x}}</ref> | Less common symptoms of constipation include:<ref name="MertzNaliboff1999">{{cite journal|last1=Mertz|first1=H.|last2=Naliboff|first2=B.|last3=Mayer|first3=E. A.|title=Symptoms and physiology in severe chronic constipation|journal=The American Journal of Gastroenterology|volume=94|issue=1|year=1999|pages=131–138|issn=0002-9270|doi=10.1111/j.1572-0241.1999.00783.x}}</ref> | ||
*[[ | *[[Abdominal fullness]] | ||
*Visible [[abdominal distention]] | *Visible [[abdominal distention]] | ||
*Incomplete evacuation | *Incomplete evacuation | ||
| Line 62: | Line 62: | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
{{WH}} | |||
{{WS}} | |||
|} | |||
[[Category:Gastroenterology]] | [[Category:Gastroenterology]] | ||
[[Category: | [[Category:Medicine]] | ||
[[Category:Up-To-Date]] | |||
[[Category:Emergency medicine]] | |||
Latest revision as of 21:07, 29 July 2020
|
Constipation Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Constipation On the Web |
|
American Roentgen Ray Society Images of Constipation |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Eiman Ghaffarpasand, M.D. [2]
Overview
A positive history of straining, hard stools, sensation of incomplete evacuation, sensation of anorectal obstruction, use of manual maneuvers, and less than 3 defecations weekly is suggestive of constipation. The most common symptoms of constipation include infrequent bowel movements, abdominal bloating, necessity to strain, and anal pain. Less common symptoms of constipation include abdominal fullness, visible abdominal distention, incomplete evacuation, abdominal pain, rectal bleeding, and mass protrusion. Bristol Stool Form Scale and Patient Assessment Constipation-Quality of Life (PAC-QOL) are two questionnaire based on patients symptoms, help to diagnose constipation and quality of life in constipated patients.
History and Symptoms
- The hallmark of constipation is decreased number of bowel movements and hardened stool. A positive history of straining, hard stools, sensation of incomplete evacuation, sensation of anorectal obstruction, use of manual maneuvers, and less than 3 defecations weekly is suggestive of constipation. The most common symptoms of constipation include infrequent bowel movements, abdominal bloating, necessity to strain, and anal pain.
History
Patients with constipation may have a positive history of:[1]
- Straining
- Lumpy or hard stools
- Sensation of incomplete evacuation
- Sensation of anorectal obstruction or blockage
- Digital maneuvers
- Less than 3 defecations per week
Specific areas of focus when taking history of patients with constipation include:[2]
- Bowel habits description
- Onset of symptoms
- Duration of symptoms
- Severity of symptoms
- Precipitating events
- Laxative use: Type, number, and frequency
- Dietary history: Fiber and fluid intake
- Family history: Bowel function
 Common SymptomsCommon symptoms of constipation include:[4]
Bristol Stool Form Scale
Patient Assessment Constipation-Quality of Life (PAC-QOL)
Less Common SymptomsLess common symptoms of constipation include:[7]
References
|