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Review

Constipation

In: Clinical Methods: The History, Physical, and Laboratory Examinations. 3rd edition. Boston: Butterworths; 1990. Chapter 89.
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Review

Constipation

Marshall Sparberg.
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Excerpt

Constipation has been described in terms of both the character and frequency of stool. Normal bowel frequency ranges between three bowel movements per day to one movement every three days. However, a well-formed and otherwise normal stool that occurs once a week does not require therapy. A constipated stool is scyballous—that is, overdesiccated, hard, dry, and difficult to pass. Many symptoms are incorrectly associated with or attributed to constipation, such as headache, malaise, bad taste in the mouth, and coated tongue. There is no scientific basis that any of these is caused by constipation, but the concept has created a tremendous market for laxatives.

Fecal impaction refers to a hugh accumulation of hard stool, usually in the rectum, that cannot be passed because of its size and consistency.

Megacolon is constipation carried to the extreme, with a hugely dilated and atonic colon, containing massive amounts of stool.

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References

    1. Devroede G. Constipation: mechanisms and management. In: Sleisenger MH, Fordtran JS, eds. Gastrointestinal disease, 2d ed. Philadelphia: W. B. Saunders, 1978;368–86.
    1. Editor's Note. In: Sleisenger MH, Fordtran JS, eds. Gastrointestinal disease, 2d ed. Philadelphia: W. B. Saunders, 1978;367.
    1. Schuster MM. Megacolon in adults. In: Sleisenger MH, Fordtran JS, eds. Gastrointestinal disease, 2d ed. Philadelphia: W. B. Saunders, 1978;1812–24.

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