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Related Concept Videos

Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

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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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Assessment of the Gastrointestinal System I: Subjective Data01:17

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Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
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Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation01:30

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Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
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Drugs for Treatment of Constipation-Predominant IBS01:21

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Pharmacological therapies for IBS-C are designed to alleviate abdominal discomfort and enhance bowel function. In patients with IBS-C, fiber supplements may help soften stools and decrease straining, but may also lead to increased gas production and bloating. Osmotic laxatives like milk of magnesia are frequently used to soften stools and increase stool frequency in IBS-C patients. In addition, two drugs approved for use in severe IBS-C adult cases are linaclotide (Linzess) and lubiprostone...
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Assessment of the Gastrointestinal System II: Health Perception Pattern01:29

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Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
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Appendicitis-I: Introduction01:22

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The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
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Stool consistency is significantly associated with pain perception.

Yukiko Shiro1,2, Young-Chang Arai2,3, Tatsunori Ikemoto2,3

  • 1Department of Physical Therapy, Faculty of Rehabilitation Sciences, Nagoya Gakuin University, Nagoya, Japan.

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|August 10, 2017
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Stool form, not constipation severity, is linked to pain perception in healthy individuals. This suggests gut health may influence how we experience pain and anxiety.

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Area of Science:

  • Gastroenterology
  • Neuroscience
  • Psychology

Background:

  • Gut microbiome (GM) composition and dysbiosis are linked to gut functions, constipation, and diarrhea.
  • The GM influences human health and disease through the gut-brain axis.
  • Pathogenic bacteria may increase pain perception, suggesting a link between stool consistency and pain sensitivity.

Purpose of the Study:

  • To investigate the association between stool consistency or constipation and pain perception in healthy subjects.
  • To explore the relationship between gut health indicators and pain sensitivity.

Main Methods:

  • An observational study involving 38 healthy participants.
  • Assessment included the Bristol Stool Form Scale (BSFS), Cleveland Clinic Constipation score (CCS), obesity, pain perception via mechanical and cold stimuli, and psychological state questionnaires.
  • Statistical analysis to determine associations between variables.

Main Results:

  • The BSFS showed a significant positive association with pain perception and anxiety.
  • Pain perception was significantly associated with anxiety states.
  • No significant associations were found between the CCS and independent variables; BSFS was a significant predictor of pain perception.
  • Significant relationships were observed among psychological states, BSFS, and obesity.

Conclusions:

  • Stool form, as measured by the BSFS, is associated with pain perception in healthy individuals.
  • Anxiety status is also linked to stool form and pain perception.
  • Constipation severity (CCS) did not show significant associations with the studied variables.