Constipation natural history, complications and prognosis: Difference between revisions
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{{Constipation}} | {{Constipation}} | ||
{{CMG}} {{AE}} | {{CMG}} {{AE}} | ||
==Overview== | ==Overview== | ||
If left untreated, [#]% of patients with [disease name] may progress to develop [manifestation 1], [manifestation 2], and [manifestation 3]. | |||
OR | |||
Common complications of [disease name] include [complication 1], [complication 2], and [complication 3]. | |||
OR | |||
Prognosis is generally excellent/good/poor, and the 1/5/10-year mortality/survival rate of patients with [disease name] is approximately [#]%. | |||
==Natural History, Complications, and Prognosis== | |||
===Natural History=== | |||
*The symptoms of constipation usually can develop in the different decades of life, and start with symptoms such as bloating, mucos passage, and abdominal pain. | |||
*Then the symptoms severed by hardened stool formation which is contributed by straining and inability to pass the stool, needed manual evacuation. | |||
*If left untreated, patients with constipation may progress to develop rectal bleeding, colon perforation, and ultimately colorectal diverticulum and cancer.<ref name="pmid22289877">{{cite journal| author=Choung RS, Locke GR, Rey E, Schleck CD, Baum C, Zinsmeister AR et al.| title=Factors associated with persistent and nonpersistent chronic constipation, over 20 years. | journal=Clin Gastroenterol Hepatol | year= 2012 | volume= 10 | issue= 5 | pages= 494-500 | pmid=22289877 | doi=10.1016/j.cgh.2011.12.041 | pmc=3589972 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22289877 }}</ref> | |||
===Complications=== | |||
*Common complications of chronic constipation include:<ref name="pmid27336021">{{cite journal| author=Cheng M, Ghahremani S, Roth A, Chawla SC| title=Chronic Constipation and Its Complications: An Interesting Finding to an Otherwise Commonplace Problem. | journal=Glob Pediatr Health | year= 2016 | volume= 3 | issue= | pages= 2333794X16648843 | pmid=27336021 | doi=10.1177/2333794X16648843 | pmc=4905124 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27336021 }}</ref> | |||
**[[Hemorrhoids|Hemorrhoid]] | |||
**[[Anal fissure]] | |||
**[[Fecal impaction]] | |||
**[[Rectal prolapse]] | |||
===Prognosis=== | |||
*[[Prognosis]] is generally excellent, and the [[survival rate]] of patients with constipation is approximately 100%. | |||
*The presence of palpable [[rectal mass]] and also female gender is associated with a particularly good prognosis among patients with constipation.<ref name="pmid15269069">{{cite journal| author=de Lorijn F, van Wijk MP, Reitsma JB, van Ginkel R, Taminiau JA, Benninga MA| title=Prognosis of constipation: clinical factors and colonic transit time. | journal=Arch Dis Child | year= 2004 | volume= 89 | issue= 8 | pages= 723-7 | pmid=15269069 | doi=10.1136/adc.2003.040220 | pmc=1720034 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15269069 }}</ref> | |||
*The colonic transit time (CTT) more than 100 hours is associated with a particularly poor [[prognosis]] among patients with constipation.<ref name="pmid8890073">{{cite journal |vauthors=Benninga MA, Büller HA, Tytgat GN, Akkermans LM, Bossuyt PM, Taminiau JA |title=Colonic transit time in constipated children: does pediatric slow-transit constipation exist? |journal=J. Pediatr. Gastroenterol. Nutr. |volume=23 |issue=3 |pages=241–51 |year=1996 |pmid=8890073 |doi= |url=}}</ref> | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Revision as of 18:52, 12 December 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:
Overview
If left untreated, [#]% of patients with [disease name] may progress to develop [manifestation 1], [manifestation 2], and [manifestation 3].
OR
Common complications of [disease name] include [complication 1], [complication 2], and [complication 3].
OR
Prognosis is generally excellent/good/poor, and the 1/5/10-year mortality/survival rate of patients with [disease name] is approximately [#]%.
Natural History, Complications, and Prognosis
Natural History
- The symptoms of constipation usually can develop in the different decades of life, and start with symptoms such as bloating, mucos passage, and abdominal pain.
- Then the symptoms severed by hardened stool formation which is contributed by straining and inability to pass the stool, needed manual evacuation.
- If left untreated, patients with constipation may progress to develop rectal bleeding, colon perforation, and ultimately colorectal diverticulum and cancer.[1]
Complications
- Common complications of chronic constipation include:[2]
Prognosis
- Prognosis is generally excellent, and the survival rate of patients with constipation is approximately 100%.
- The presence of palpable rectal mass and also female gender is associated with a particularly good prognosis among patients with constipation.[3]
- The colonic transit time (CTT) more than 100 hours is associated with a particularly poor prognosis among patients with constipation.[4]
References
- ↑ Choung RS, Locke GR, Rey E, Schleck CD, Baum C, Zinsmeister AR; et al. (2012). "Factors associated with persistent and nonpersistent chronic constipation, over 20 years". Clin Gastroenterol Hepatol. 10 (5): 494–500. doi:10.1016/j.cgh.2011.12.041. PMC 3589972. PMID 22289877.
- ↑ Cheng M, Ghahremani S, Roth A, Chawla SC (2016). "Chronic Constipation and Its Complications: An Interesting Finding to an Otherwise Commonplace Problem". Glob Pediatr Health. 3: 2333794X16648843. doi:10.1177/2333794X16648843. PMC 4905124. PMID 27336021.
- ↑ de Lorijn F, van Wijk MP, Reitsma JB, van Ginkel R, Taminiau JA, Benninga MA (2004). "Prognosis of constipation: clinical factors and colonic transit time". Arch Dis Child. 89 (8): 723–7. doi:10.1136/adc.2003.040220. PMC 1720034. PMID 15269069.
- ↑ Benninga MA, Büller HA, Tytgat GN, Akkermans LM, Bossuyt PM, Taminiau JA (1996). "Colonic transit time in constipated children: does pediatric slow-transit constipation exist?". J. Pediatr. Gastroenterol. Nutr. 23 (3): 241–51. PMID 8890073.