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THE ROLE OF BOWEL DIARIES IN A "REAL-LIFE" SETTING.

Sofia Silva Mendes1, Maria Matos-Silva2, Tiago Leal2

  • 1Life and Health Sciences Research Institute, School of Medicine, University of Minho, Braga, Portugal.

Arquivos De Gastroenterologia
|May 17, 2023
PubMed
Summary

Bowel diaries reveal discrepancies in patient recall of bowel movements, stool consistency, and straining compared to initial interviews. These diaries are crucial for accurately assessing gastrointestinal symptoms and improving treatment for functional gastrointestinal disorders.

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Area of Science:

  • Gastroenterology
  • Clinical Diagnostics
  • Patient-Reported Outcomes

Background:

  • Patient self-recording of bowel habits offers potential benefits in managing lower digestive disorders.
  • However, the clinical utility of information gathered through bowel diaries remains under-evaluated in practice.

Purpose of the Study:

  • To assess the role of bowel diaries as a supplementary diagnostic tool in consultations for lower gastrointestinal disorders.
  • To compare patient-reported bowel habits during clinical interviews with data recorded in bowel diaries.

Main Methods:

  • A cross-sectional study involving 53 patients undergoing gastroenterology consultations.
  • Patients completed bowel diaries at home for two weeks following an initial clinical interview about their bowel habits and symptoms.

Main Results:

  • Significant underestimation of bowel movement frequency and overestimation of straining during interviews compared to diary entries.
  • Poor agreement observed between interview descriptions and diary records of stool consistency.
  • Patients with proctological disorders and those without reported fewer bowel movements and more straining, respectively, in interviews versus diaries.

Conclusions:

  • Discrepancies exist between clinical interviews and bowel diaries concerning bowel movement frequency, stool consistency, and straining.
  • Bowel diaries serve as a valuable adjunct to clinical interviews, providing objective data to enhance the diagnosis and management of functional gastrointestinal disorders.