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Related Experiment Videos

How do older persons define constipation? Implications for therapeutic management

D Harari1, J H Gurwitz, J Avorn

  • 1Massachusetts General Hospital Geriatric Medicine Unit, Boston 02114, USA.

Journal of General Internal Medicine
|January 1, 1997
PubMed
Summary
This summary is machine-generated.

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Older adults experiencing constipation often struggle with straining and hard stools. Treatment should focus on comfortable bowel evacuation, not just frequency, to improve quality of life.

Area of Science:

  • Gerontology
  • Gastroenterology
  • Public Health

Background:

  • Constipation is a common complaint among older adults, impacting quality of life.
  • Understanding the specific bowel symptoms associated with self-reported constipation is crucial for effective management.

Purpose of the Study:

  • To investigate the relationship between various bowel-related symptoms and the self-report of constipation in individuals aged 60 and over.
  • To identify key symptoms that define constipation in the elderly population.

Main Methods:

  • Analysis of data from 10,875 participants aged 60+ from the 1989 National Health Interview Survey.
  • Comparison of subjects reporting frequent constipation (always/mostly) with those reporting never having the symptom.

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Main Results:

  • Straining during bowel movements was highly associated with self-reported constipation (OR 66.7).
  • Hard bowel movements were also strongly linked to constipation (OR 25.6).
  • These symptoms were more significant indicators than bowel movement frequency.

Conclusions:

  • Effective management of constipation in older adults should prioritize facilitating comfortable rectal evacuation.
  • Treatment strategies may need to shift focus from solely increasing bowel movement frequency to addressing the ease and comfort of defecation.