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Defaecation syncope

M S Pathy

    Age and Ageing
    |November 1, 1978
    PubMed
    Summary
    This summary is machine-generated.

    Defaecation syncope, a form of fainting during bowel movements, was observed in nine elderly patients over nine years. This condition notably occurred at night, differing from typical nocturnal bowel habits in older adults.

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    Area of Science:

    • Geriatrics
    • Cardiology
    • Neurology

    Background:

    • Defaecation syncope is a rare condition characterized by transient loss of consciousness during or immediately after defecation.
    • While often associated with straining, the exact pathophysiology remains unclear.
    • Nocturnal occurrences are particularly unusual, especially given the general decrease in nocturnal bowel movements in the elderly.

    Purpose of the Study:

    • To report on a series of patients experiencing defaecation syncope.
    • To highlight the nocturnal pattern observed in these cases.
    • To compare defaecation syncope with similar conditions like micturition syncope.

    Main Methods:

    • Retrospective case series analysis.
    • Review of patient records over a nine-year period.

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  • Clinical observation and symptom documentation.

    • Main Results:

    • Seven female and two male patients aged 63-78 years were identified.
    • A significant tendency for syncope to occur during nighttime defecation was noted.
    • Clinical presentation showed similarities to micturition syncope.

    Conclusions:

    • Defaecation syncope can affect the elderly population.
    • The nocturnal occurrence of defaecation syncope is a notable pattern.
    • Further research into the mechanisms and similarities with micturition syncope is warranted.