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Related Experiment Videos

[Diagnostic strategy in constipation, including irritable bowel syndrome]

G Lux1, K H Orth, T Bozkurt

  • 1Medizinische Klinik I, Städtisches Krankenhaus, Solingen.

Therapeutische Umschau. Revue Therapeutique
|March 1, 1994
PubMed
Summary

Constipation is a symptom, not a disease, with various underlying causes. Diagnosis involves medical history, physical exams, lab tests, and potentially advanced procedures like endoscopy or manometry.

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Area of Science:

  • Gastroenterology
  • Internal Medicine
  • Symptomatology

Background:

  • Constipation is recognized as a symptom, not an independent disease.
  • It can stem from diverse origins, including drug side effects, metabolic, endocrine, neurologic, psychiatric, and intestinal disorders.
  • Constipation is frequently associated with Irritable Bowel Syndrome (IBS).

Purpose of the Study:

  • To elucidate the nature of constipation as a symptom.
  • To outline the spectrum of potential underlying causes of constipation.
  • To detail the diagnostic methodologies for constipation.

Main Methods:

  • Initial diagnosis relies on patient history and physical examination.
  • Basic laboratory tests are employed for initial assessment.

Related Experiment Videos

  • Advanced diagnostic tools include endoscopy, colonic transit time studies, and anorectal physiological investigations (e.g., anorectal manometry, defecography).

    • Main Results:

    • Constipation is confirmed as a symptom with multifactorial etiology.
    • A tiered diagnostic approach is effective, starting with clinical evaluation and progressing to specialized tests.
    • Physiological investigations provide detailed insights into anorectal function.

    Conclusions:

    • Constipation necessitates a thorough investigation to identify its root cause.
    • A combination of clinical assessment and targeted investigations ensures accurate diagnosis.
    • Understanding the diverse causes is crucial for effective management of constipation.