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Is the constipation acute or chronic? If the constipation is acute and there is abdominal pain or vomiting, one must consider the possibility of intestinal obstruction. ... DIAGNOSTIC WORKUP
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Is there bleeding? The presence of bleeding with pain suggests an anal fissure, hemorrhoids, carcinoma, rectal prolapse, and intussusception.
Is ... DIAGNOSTIC WORKUP
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Constipation is a common complaint that must be accurately defined by the patient before initiating an extensive evaluation. Constipation may include fewer than three bowel movements (BMs) in a week, excessive straining... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Rectal complaints are common and distressing for patients. Although most causes of rectal pain and bleeding are benign and treatable, carcinoma must be considered and ruled out in older patients (>40 years) and those... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Constipation is a common complaint, accounting for 3% of all pediatric office visits. Stool frequency can be variable in infants, who average 4 per day (SD 1.8) at 1 week, 2.2 per day (SD 1.6) at 1 month,... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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... The causes of constipation can be recalled on a physiologic basis. Normal defecation requires feces that are of proper consistency, good muscular contraction of the walls of the large
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... Practically the whole specialty of proctology is devoted to taking care of patients with rectal pain. To develop the differential diagnosis it is useful first to divide the conditions
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... Constipation is defined as small, infrequent, or difficult bowel movements. Because normal bowel movements can vary in frequency and from individual to individual, constipation is relative and must... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pictures
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... A common symptom of anorectal disorders, rectal pain is discomfort that arises in the anorectal area. Although the anal canal is separated from the rest of the rectum by the internal sphincter, the patient may refer to all local pain... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... Geriatric pointers
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... Pale, putty-colored stools usually result from hepatic, gallbladder, or pancreatic disorders. Normally, bile pigments give the stool its characteristic brown color. However, hepatocellular degeneration or biliary obstruction... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers
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... Behavioral/Psychiatric Factors
Low-residue diet
Chronic laxative and/or enema abuse
Immobility
Reduced food
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... Constipation is defined as small, infrequent, or difficult bowel movements. Because normal bowel movements can vary in frequency and from individual to individual,... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... A common symptom of anorectal disorders, rectal pain is discomfort that arises in the anorectal area. Although the anal canal is separated from the rest of the rectum by the internal sphincter, the patient... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling
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... Pale, putty-colored stools usually result from hepatic, gallbladder, or pancreatic disorders. Normally, bile pigments give the stool its characteristic brown color. However,... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers
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Constipation
(The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter)
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... W. Robert Kiser
Approach Constipation, defined as the passage of two or fewer stools per week (1), is the most frequently reported gastrointestinal (GI) complaint in primary care,... History ... Physical examination ... Diagnostic testing ... Diagnostic assessment
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... Differential Overview
❑ Lifestyle
❑ Drugs
❑ Depression
❑ Irritable... Diagnostic Approach ... Clinical Findings
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... Differential Overview
❑ Hemorrhoid
❑ Rectal fissure
❑ Prostatitis
❑ Anal fistula
&... Diagnostic Approach ... Clinical Findings
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... Also known as lazy colon, colonic stasis, colonic inertia, and atonic constipation, chronic constipation may lead to fecal impaction if left untreated. It’s common in... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Constipation is defined as small, infrequent, or difficult bowel movements. Because normal bowel movements can vary in frequency and from individual to individual, constipation must be determined in relation to the... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... A common symptom of anorectal disorders, rectal pain is discomfort that arises in the anorectal area. Although the anal canal is separated from the rest of the rectum by the internal sphincter, the patient may refer to... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Pale, putty-colored stools usually result from hepatic, gallbladder, or pancreatic disorders. Normally, bile pigments give the stool its characteristic brown color. However, hepatocellular... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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Constipation
(The Diagnostic Approach to Symptoms and Signs in Pediatrics)
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... Constipationis difficult passage of hard stools. Clinical problem is not infrequent passageper se, but difficult and painful bowel movements. Common manifestations include crampyabdominal pain, abdominal distension, anorexia... Principal Causes of Constipation ... Clinical Features and Diagnosis ... Diagnostic Approach ... References
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... Constipation is defined as small, infrequent, or difficult bowel movements. Because normal bowel movements can vary in frequency and from individual to individual, constipation is relative and must be... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... A common symptom of anorectal disorders, rectal pain is discomfort that arises in the anorectal area. Although the anal canal is separated from the rest of the rectum by the internal sphincter, the patient may refer to all local... History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Pale, putty-colored stools usually result from hepatic, gallbladder, or pancreatic disorders. Normally, bile pigments give stools their characteristic brown color. However, hepatocellular degeneration or biliary obstruction may... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
The causes of constipation can be recalled on a physiologic basis.
Normal defecation requires feces that are of proper consistency, good
muscular contraction of the walls of the large intestine, and... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
Practically the whole specialty of proctology is devoted to taking care
of patients with rectal pain. To develop the differential diagnosis it is
useful first to divide the conditions... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)