What is chronic constipation? Definition and diagnosis
- PMID: 22114751
- PMCID: PMC3206562
What is chronic constipation? Definition and diagnosis
Abstract
Although chronic constipation is a common complaint, there are no ideal biological markers for its diagnosis. Diagnosis rests on individual patient perception or clinical criteria developed by expert consensus. Investigation options are multiple but often not necessary. When selected, investigations are directed at confirming the absence of a primary underlying disease, differentiating or defining an alteration in colonic motility or identifying an anorectal evacuation disorder.
Même si la constipation chronique est un problème courant, il n’existe pas de marqueurs biologiques idéaux pour poser ce diagnostic. En fait, le diagnostic repose sur la perception du patient ou les critères cliniques élaborés par des consensus d’experts. Les examens possibles sont multiples, mais souvent inutiles. Lorsqu’ils sont choisis, les examens visent à confirmer l’absence d’une maladie sous-jacente primaire, à différencier ou à définir une modification de la motilité du côlon ou à déceler un trouble d’évacuation anorectale.
References
-
- Everhart JE, Ruhl CE. Burden of digestive diseases in the United States Part 1: Overall and upper gastrointestinal diseases. Gastroenterology. 2009;136:376–86. - PubMed
-
- Wald A, Scarpignato C, Kamm MA, et al. The burden of constipation on quality of life: Results of a multinational survey. Aliment Pharm Therap. 2007;26:227–36. - PubMed
-
- Garrigues V, Galvez C, Ortiz V, et al. Prevalence of constipation: Agreement among several criteria and evaluation of the diagnostic accuracy of qualifying symptoms and self-reported definition in a population based survey in Spain. Am J Epidemiol. 2004;159:520–6. - PubMed
-
- Ashraf W, Park F, Lof J, et al. An examination of the reliability of reported stool frequency in the diagnosis of idiopathic constipation. Am J Gastroenterol. 1996;91:26–32. - PubMed
-
- Everhart JE, Go VL, Johannes RS, et al. A longitudinal survey of self-reported bowel habits in the United States. Dig Dis Sci. 1989;34:1153–62. - PubMed
MeSH terms
LinkOut - more resources
Full Text Sources
Medical