Constipation screening: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Constipation}} | {{Constipation}} | ||
{{CMG}} {{AE}}{{EG}} | {{CMG}}; {{AE}} {{EG}} | ||
==Overview== | ==Overview== | ||
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*In [[palliative care]] patients, screening for constipation by specific [[questionnaire]] about subjective and objective findings is recommended.<ref name="pmid19747036">{{cite journal |vauthors=Noguera A, Centeno C, Librada S, Nabal M |title=Screening for constipation in palliative care patients |journal=J Palliat Med |volume=12 |issue=10 |pages=915–20 |year=2009 |pmid=19747036 |doi=10.1089/jpm.2009.0054 |url=}}</ref> | *In [[palliative care]] patients, screening for constipation by specific [[questionnaire]] about subjective and objective findings is recommended.<ref name="pmid19747036">{{cite journal |vauthors=Noguera A, Centeno C, Librada S, Nabal M |title=Screening for constipation in palliative care patients |journal=J Palliat Med |volume=12 |issue=10 |pages=915–20 |year=2009 |pmid=19747036 |doi=10.1089/jpm.2009.0054 |url=}}</ref> | ||
*The screening [[questionnaire]] is composed of 5 questions, as following:<ref name="pmid19747036" /> | *The screening [[questionnaire]] is composed of 5 questions, as following:<ref name="pmid19747036" /> | ||
{| | {|table" | ||
! style="background:#4479BA; color: #FFFFFF;" align="center" + |Group | |||
!Question | ! style="background:#4479BA; color: #FFFFFF;" align="center" + |Question | ||
!Answer interpretation | ! style="background:#4479BA; color: #FFFFFF;" align="center" + |Answer interpretation | ||
|- | |- | ||
| rowspan="2" |[[Symptoms]] | | rowspan="2" style="background:#DCDCDC;" align="center" + |[[Symptoms]] | ||
|Do you have [[pain]], [[discomfort]] or a [[sensation]] of incomplete evacuation when having a [[bowel movement]]? | | style="background:#F5F5F5;" + |Do you have [[pain]], [[discomfort]] or a [[sensation]] of incomplete evacuation when having a [[bowel movement]]? | ||
|Positive response reflects constipation | | style="background:#F5F5F5;" + |Positive response reflects constipation | ||
|- | |- | ||
|Please indicate the degree of ‘‘[[discomfort]] or difficult with constipation’’ | | style="background:#F5F5F5;" + |Please indicate the degree of ‘‘[[discomfort]] or difficult with constipation’’ | ||
0=None | 0=None | ||
10=Maximum discomfort | 10=Maximum discomfort | ||
|Higher scores | | style="background:#F5F5F5;" + |Higher scores reflect more constipation severity | ||
|- | |- | ||
| rowspan="2" |[[Signs]] | | rowspan="2" style="background:#DCDCDC;" align="center" + |[[Signs]] | ||
|On average: How many [[Bowel movement|bowel movements]] per week do you estimate you have had over the last 3 weeks? | | style="background:#F5F5F5;" + |On average: How many [[Bowel movement|bowel movements]] per week do you estimate you have had over the last 3 weeks? | ||
|< 3 [[Bowel movement|movements]] reflects constipation | | style="background:#F5F5F5;" + |< 3 [[Bowel movement|movements]] reflects constipation | ||
|- | |- | ||
|Please indicate the usual [[hardness]] of your [[bowels]]. | | style="background:#F5F5F5;" + |Please indicate the usual [[hardness]] of your [[bowels]]. | ||
Hard, soft or normal? | Hard, soft or normal? | ||
Are they runny or pasty? | Are they runny or pasty? | ||
|Hard consistency reflects constipation | | style="background:#F5F5F5;" + |Hard consistency reflects constipation | ||
|- | |- | ||
|[[Fecal impaction]] | | style="background:#DCDCDC;" align="center" + |[[Fecal impaction]] | ||
|[[Fecal impaction]] defined as the accumulation of hard [[feces]] in the [[rectum]] that would require unusual effort to evacuate, such as manual extraction, repetitive [[enemas]], or intensive oral use of [[laxatives]]. | | style="background:#F5F5F5;" + |[[Fecal impaction]] defined as the accumulation of hard [[feces]] in the [[rectum]] that would require unusual effort to evacuate, such as manual extraction, repetitive [[enemas]], or intensive oral use of [[laxatives]]. | ||
|Positive response reflects constipation | | style="background:#F5F5F5;" + |Positive response reflects constipation | ||
|} | |} | ||
==References== | ==References== | ||
Revision as of 17:06, 8 January 2018
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Constipation Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Constipation On the Web |
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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
According to the USPSTF, screening for constipation is not recommended in general population. In palliative care patients, screening for constipation by specific questionnaire about subjective and objective findings is recommended.
Screening
- According to the USPSTF, screening for constipation is not recommended in general population.
- In palliative care patients, screening for constipation by specific questionnaire about subjective and objective findings is recommended.[1]
- The screening questionnaire is composed of 5 questions, as following:[1]
| Group | Question | Answer interpretation |
|---|---|---|
| Symptoms | Do you have pain, discomfort or a sensation of incomplete evacuation when having a bowel movement? | Positive response reflects constipation |
| Please indicate the degree of ‘‘discomfort or difficult with constipation’’
0=None 10=Maximum discomfort |
Higher scores reflect more constipation severity | |
| Signs | On average: How many bowel movements per week do you estimate you have had over the last 3 weeks? | < 3 movements reflects constipation |
| Please indicate the usual hardness of your bowels.
Hard, soft or normal? Are they runny or pasty? |
Hard consistency reflects constipation | |
| Fecal impaction | Fecal impaction defined as the accumulation of hard feces in the rectum that would require unusual effort to evacuate, such as manual extraction, repetitive enemas, or intensive oral use of laxatives. | Positive response reflects constipation |