Rectal exam

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a. Inspection. Size and position of anus, presence of soiling, anal fissures, streptococcal perianal cellulitis, skin tags.

b. Digital exam. Anal tone is decreased in functional constipation and spinal cord defects. Presence of increased volume of stool in large distended rectum is consistent with functional constipation. Small, empty rectum is consistent with Hirschsprung disease.

4. Neurologic exam. Absence of anal wink and decreased lower extremity reflexes suggests neurologic condition.

B. Laboratory Data. Laboratory investigation should be guided by the findings from history and physical exam. Additional studies are unnecessary if history and exam are consistent with functional constipation. Obtain appropriate studies if metabolic or endocrine abnormality is suspected. Test stool for heme if digital exam is performed.

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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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