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Chronic Bowel Disorders: Introduction01:17

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Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
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Acupoint Application Combined with Acupoint Massage for Treating Constipation in a Patient with Chronic Obstructive Pulmonary Disease
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Chronic constipation and co-morbidities: A prospective population-based nested case-control study.

Rok S Choung1, Enrique Rey2, G Richard Locke1

  • 1Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, USA.

United European Gastroenterology Journal
|March 12, 2016
PubMed
Summary
This summary is machine-generated.

Chronic constipation (CC) is linked to neurological and cardiovascular diseases. This study found increased odds for CC in patients with Parkinson's, multiple sclerosis, angina, and myocardial infarction.

Keywords:
Chronic constipationco-morbiditiescommunity studies

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Area of Science:

  • Gastroenterology
  • Epidemiology
  • Internal Medicine

Background:

  • Chronic constipation (CC) is a prevalent condition with poorly understood gastrointestinal (GI) and non-GI comorbidities.
  • Limited research exists on the full spectrum of conditions associated with CC in the general population.

Purpose of the Study:

  • To investigate the epidemiology of chronic constipation.
  • To identify and analyze comorbidities associated with CC using population-based data.

Main Methods:

  • A prospective, population-based nested case-control study involving 8006 randomly selected residents.
  • Validated self-report gastrointestinal symptom questionnaires were used, with CC defined by Rome III criteria.
  • Medical records were reviewed to identify comorbidities in cases and controls.

Main Results:

  • The age-adjusted prevalence of CC was 8.7% in females and 5.1% in males.
  • Increased odds for CC were observed in individuals with anal surgery (OR=3.3), neurological diseases like Parkinson's (OR=6.5) and multiple sclerosis (OR=5.5).
  • Modestly increased odds for CC were also found in patients with angina (OR=1.4) and myocardial infarction (OR=1.5).

Conclusions:

  • Neurological and cardiovascular diseases are significantly associated with chronic constipation.
  • In the community setting, CC is unlikely to be the primary cause of most lower GI pathologies.