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Related Experiment Videos

Constipation: evaluation and treatment.

Satish S C Rao1

  • 1Department of Internal Medicine, University of Iowa Carver College of Medicine, 200 Hawkins Drive, Iowa City, IA 52242, USA. satish-rao@uiowa.edu

Gastroenterology Clinics of North America
|July 16, 2003
PubMed
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Functional constipation, a common issue, involves straining and infrequent stools. Diagnosis is improving, but treatments like biofeedback and colon-selective prokinetics show promise for slow-transit constipation and dyssynergic defecation.

Area of Science:

  • Gastroenterology
  • Colorectal Surgery

Background:

  • Constipation is a prevalent clinical issue with diverse symptoms like straining and hard stools.
  • Functional constipation, excluding other causes, presents as slow-transit constipation or dyssynergic defecation.
  • Irritable bowel syndrome patients may exhibit features of both constipation subtypes.

Purpose of the Study:

  • To review diagnostic guidelines for functional constipation, including the Rome criteria and proposed modifications for dyssynergic defecation.
  • To assess recent technological advancements and mechanistic understanding in constipation diagnosis.
  • To evaluate current and emerging management options for constipation.

Main Methods:

  • Review of diagnostic criteria (Rome criteria) and proposed modifications for dyssynergic defecation.

Related Experiment Videos

  • Analysis of recent technological advancements and research into underlying mechanisms of constipation.
  • Evaluation of evidence supporting medical and surgical management options, including laxatives, prokinetics, and biofeedback therapy.

    • Main Results:

    • Diagnostic guidelines, including the Rome criteria, are being refined for functional constipation and dyssynergic defecation.
    • Technological progress and improved understanding of mechanisms enhance constipation diagnosis.
    • Management options remain limited, with modest evidence; biofeedback is preferred for dyssynergia, and colon-selective prokinetics show promise for slow-transit constipation.

    Conclusions:

    • Advances in diagnostic technology and understanding are improving constipation diagnosis.
    • Current management strategies, primarily medical, have limitations; surgical options are reserved for refractory cases.
    • Biofeedback therapy and future colon-selective prokinetics offer promising therapeutic avenues for specific constipation subtypes.