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Additional faecal reservoirs or hidden constipation: a link between functional and organic bowel disease
1Department of Organ Surgery, Gastroenterological Clinic, Elsinore Hospital, Denmark. dera@fa.dk
Danish Medical Bulletin
|July 13, 2005
Summary
Hidden constipation, characterized by faecal retention, correlates with abdominal and anorectal symptoms and signs. Treatment with a prokinetic regimen significantly reduced these symptoms and signs, suggesting functional faecal retention.
Area of Science:
- Gastroenterology
- Colorectal Surgery
Background:
- Investigating the relationship between abdominal and anorectal symptoms and physical signs.
- Hypothesizing a coexistence and causality between these symptoms and signs.
Purpose of the Study:
- To test the hypothesis of coexistence and causality between abdominal and recto-anal symptoms and physical signs.
- To explore the underlying condition linking these symptoms and signs.
Main Methods:
- Observational study of 251 referred patients.
- Recorded 19 symptoms; performed abdominal palpation, ano-rectoscopy, and barium enema.
- Utilized factor analysis and cross-tabulations to analyze data before and after a prokinetic regimen.
Main Results:
- Significant correlations found between frequent abdominal and ano-rectal symptoms and physical signs, indicating an underlying condition.
- Faecal reservoirs in the ano-rectum were associated with bloating (62%) and other symptoms.
- Prokinetic regimen significantly reduced dominant symptoms and signs.
Conclusions:
- Significant correlations exist between abdominal and anorectal symptoms and signs, suggesting functional faecal retention.
- Hidden constipation can lead to symptoms like bloating, pain, and tenderness, and may increase the risk of organic diseases over time.
- A propulsive regimen effectively reduced symptoms and physical signs associated with functional faecal retention.
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