The Constipation Scoring System

The clinical presentation of constipation includes a broad spectrum of symptoms, partially attributed to the myriad etiologies. Specifically, constipation may result from slow transit,pelvic outlet obstruction,or other mechanical,phar-macologic, metabolic, endocrine, and neurogenic reasons. Generally, physicians use the term "constipation" to define infrequent,incomplete,difficult,or prolonged evacuation or to describe stools that are too difficult to pass. However, many patients are more obsessed by the associated nonspecific symptoms of bloating, abdominal and pelvic pain, and nausea. Therefore, objective scoring systems have been developed to better describe this difficult problem, as well as to obtain a universally objective definition of "constipation." The Rome II criteria are the most widely accepted to define constipation (Chapter 7-4). However,the Rome II criteria do not qualify the severity of disease. Therefore, our constipation score is derived based on answers to questions in a symptom-based questionnaire (Table 14-2.5).13

A study of 232 patients with constipation confirmed the accuracy and validity of the applicability of this constipation scoring system.13 As scores increased, a corresponding significant increase in severity of constipation was noted. This patient population included both patients with colonic inertia (diffuse marker delay on colonic transit studies without evidence of paradoxical contraction) and pelvic outlet obstruction syndromes (paradoxical pub-orectalis contraction, rectal prolapse, rectoanal intussusception, rectocele, or sigmoidocele).

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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