Constipation screening

Jump to: navigation, search

Constipation Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Constipation from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Abdominal X Ray

CT

MRI

Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Constipation On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Constipation

All Images
X-rays
Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Constipation

CDC on Constipation

Constipation in the news

Blogs on Constipation

Directions to Hospitals Treating Constipation

Risk calculators and risk factors for 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.
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

References

  1. 1.0 1.1 Noguera A, Centeno C, Librada S, Nabal M (2009). "Screening for constipation in palliative care patients". J Palliat Med. 12 (10): 915–20. doi:10.1089/jpm.2009.0054. PMID 19747036.



Linked-in.jpg