Constipation history and symptoms: Difference between revisions
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! Rome III criteria<ref name="pmid23261065">{{cite journal| author=Bharucha AE, Pemberton JH, Locke GR| title=American Gastroenterological Association technical review on constipation. | journal=Gastroenterology | year= 2013 | volume= 144 | issue= 1 | pages= 218-38 | pmid=23261065 | doi=10.1053/j.gastro.2012.10.028 | pmc=PMC3531555 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23261065 }} </ref><ref name="Longstreth-2006">{{Cite journal | last1 = Longstreth | first1 = GF. | last2 = Thompson | first2 = WG. | last3 = Chey | first3 = WD. | last4 = Houghton | first4 = LA. | last5 = Mearin | first5 = F. | last6 = Spiller | first6 = RC. | title = Functional bowel disorders. | journal = Gastroenterology | volume = 130 | issue = 5 | pages = 1480-91 | month = Apr | year = 2006 | doi = 10.1053/j.gastro.2005.11.061 | PMID = 16678561 }}</ref>!! Pharmacologic studies based criteria<ref name="pmid23261065">{{cite journal| author=Bharucha AE, Pemberton JH, Locke GR| title=American Gastroenterological Association technical review on constipation. | journal=Gastroenterology | year= 2013 | volume= 144 | issue= 1 | pages= 218-38 | pmid=23261065 | doi=10.1053/j.gastro.2012.10.028 | pmc=PMC3531555 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23261065 }} </ref><ref name="Lembo-2010">{{Cite journal | last1 = Lembo | first1 = AJ. | last2 = Kurtz | first2 = CB. | last3 = Macdougall | first3 = JE. | last4 = Lavins | first4 = BJ. | last5 = Currie | first5 = MG. | last6 = Fitch | first6 = DA. | last7 = Jeglinski | first7 = BI. | last8 = Johnston | first8 = JM. | title = Efficacy of linaclotide for patients with chronic constipation. | journal = Gastroenterology | volume = 138 | issue = 3 | pages = 886-95.e1 | month = Mar | year = 2010 | doi = 10.1053/j.gastro.2009.12.050 | PMID = 20045700 }}</ref> | ! Rome III criteria<ref name="pmid23261065">{{cite journal| author=Bharucha AE, Pemberton JH, Locke GR| title=American Gastroenterological Association technical review on constipation. | journal=Gastroenterology | year= 2013 | volume= 144 | issue= 1 | pages= 218-38 | pmid=23261065 | doi=10.1053/j.gastro.2012.10.028 | pmc=PMC3531555 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23261065 }} </ref><ref name="Longstreth-2006">{{Cite journal | last1 = Longstreth | first1 = GF. | last2 = Thompson | first2 = WG. | last3 = Chey | first3 = WD. | last4 = Houghton | first4 = LA. | last5 = Mearin | first5 = F. | last6 = Spiller | first6 = RC. | title = Functional bowel disorders. | journal = Gastroenterology | volume = 130 | issue = 5 | pages = 1480-91 | month = Apr | year = 2006 | doi = 10.1053/j.gastro.2005.11.061 | PMID = 16678561 }}</ref>!! Pharmacologic studies based criteria<ref name="pmid23261065">{{cite journal| author=Bharucha AE, Pemberton JH, Locke GR| title=American Gastroenterological Association technical review on constipation. | journal=Gastroenterology | year= 2013 | volume= 144 | issue= 1 | pages= 218-38 | pmid=23261065 | doi=10.1053/j.gastro.2012.10.028 | pmc=PMC3531555 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23261065 }} </ref><ref name="Lembo-2010">{{Cite journal | last1 = Lembo | first1 = AJ. | last2 = Kurtz | first2 = CB. | last3 = Macdougall | first3 = JE. | last4 = Lavins | first4 = BJ. | last5 = Currie | first5 = MG. | last6 = Fitch | first6 = DA. | last7 = Jeglinski | first7 = BI. | last8 = Johnston | first8 = JM. | title = Efficacy of linaclotide for patients with chronic constipation. | journal = Gastroenterology | volume = 138 | issue = 3 | pages = 886-95.e1 | month = Mar | year = 2010 | doi = 10.1053/j.gastro.2009.12.050 | PMID = 20045700 }}</ref> | ||
|- | |- | ||
| | | Symptom onset for ≥6 months and ≥2 of the following for the past 3 months: | ||
● Straining during defecation<br> | ● Straining during at least one-fourth of defecation<br> | ||
● Hard or lumpy stools<br> | ● Hard or lumpy stools in at least one-fourth of defecation<br> | ||
● Sensation of incomplete evacuation | ● Sensation of incomplete evacuation for at least one-fourth of defecation<br> | ||
● Sensation of anorectal obstruction/blockade | ● Sensation of anorectal obstruction/blockade for at least one-fourth of defecation<br> | ||
● Manual maneuvers to facilitate | ● Manual maneuvers to facilitate at least one-fourth of defecation<br> | ||
● | ● <3 defecations/week<br> | ||
● Without the use of laxatives, loose stools are rarely present<br> | |||
● No sufficient criteria for irritable bowel syndrome | |||
|| Spontaneous bowel movements <3 per week and ≥1 of the following for at least 12 weeks during the past 12 months: | || Spontaneous bowel movements <3 per week and ≥1 of the following for at least 12 weeks during the past 12 months: | ||
● Straining during more than one-fourth of defecation<br> | ● Straining during more than one-fourth of defecation<br> | ||
Revision as of 17:36, 20 February 2014
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
When the stool is hard, infrequent, and requires significant effort to pass, you have constipation. The passage of large, wide stools may tear the mucosal membrane of the anus, especially in children. This can cause bleeding and the possibility of an anal fissure.
Diagnostic Criteria
The diagnostic criteria based on the American Gastroenterological Association (AGA),[1] Rome III criteria[2] and pharmacologic studies based criteria[3] is as follows.
| Rome III criteria[1][2] | Pharmacologic studies based criteria[1][3] |
|---|---|
| Symptom onset for ≥6 months and ≥2 of the following for the past 3 months:
● Straining during at least one-fourth of defecation |
Spontaneous bowel movements <3 per week and ≥1 of the following for at least 12 weeks during the past 12 months:
● Straining during more than one-fourth of defecation |
References
- ↑ 1.0 1.1 1.2 Bharucha AE, Pemberton JH, Locke GR (2013). "American Gastroenterological Association technical review on constipation". Gastroenterology. 144 (1): 218–38. doi:10.1053/j.gastro.2012.10.028. PMC 3531555. PMID 23261065.
- ↑ 2.0 2.1 Longstreth, GF.; Thompson, WG.; Chey, WD.; Houghton, LA.; Mearin, F.; Spiller, RC. (2006). "Functional bowel disorders". Gastroenterology. 130 (5): 1480–91. doi:10.1053/j.gastro.2005.11.061. PMID 16678561. Unknown parameter
|month=ignored (help) - ↑ 3.0 3.1 Lembo, AJ.; Kurtz, CB.; Macdougall, JE.; Lavins, BJ.; Currie, MG.; Fitch, DA.; Jeglinski, BI.; Johnston, JM. (2010). "Efficacy of linaclotide for patients with chronic constipation". Gastroenterology. 138 (3): 886–95.e1. doi:10.1053/j.gastro.2009.12.050. PMID 20045700. Unknown parameter
|month=ignored (help)