American Gastroenterological Association Medical Position Statement on Constipation

Bharucha, Adil E.; Dorn, Spencer D.; Lembo, Anthony; Pressman, Amanda

doi:10.1053/j.gastro.2012.10.029

Cited by 419 publications

(333 citation statements)

References 2 publications

Supporting

Mentioning

312

Contrasting

Unclassified

Order By: Relevance

“…7 Similar results were reported in other studies where the prevalence of FC varied from 2.6% to 30.7% of the general population. 8,15,16 The dichotomy in the data is due to the reason that in our study, the subtypes of constipation in already diagnosed constipated patients has been studied, unlike reported literature which has assessed the prevalence of constipation subtypes in the community at large. Various population-based studies estimated the prevalence of IBS in India and Western countries as 4.2-7.9% and 10-20%, respectively.…”

Section: Discussionmentioning

confidence: 96%

“…Hence, systematic evaluations are better rather than relying on patient to volunteer information related to their specific symptoms for better management of these patients. 2,7,8 Little is known about the epidemiology and clinical subtypes of constipation in the general Indian constipated population. Hence, the present study was conducted to evaluate the prevalence of FC and IBS-C in Indian constipated patients along with assessment of their demographic, socioeconomic, lifestyle and dietary habits, usage of constipation-related medications and comorbid conditions.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Prevalence of functional constipation and constipation-predominant irritable bowel syndrome in Indian patients with constipation

Rooprai

Bhat

Sainani³

et al. 2017

Int J Basic Clin Pharmacol

View full text Add to dashboard Cite

Background: Evaluate prevalence of functional constipation (FC) and irritable bowel syndrome-constipation (IBS-C) in Indian constipated patients and assess their demographic/socio-economic/clinical characteristics.Methods: Patients (≥18 years) who visited their general physician with symptoms of constipation (Rome III criteria for FC or IBS-C as per physician assessment) and willing to participate were enrolled in this prospective, clinical-epidemiological study. Demographic, socioeconomic status, lifestyle and dietary habits, comorbid conditions, treatment history, concomitant medications, stool form (Bristol stool form scale), severity of constipation (constipation scoring system [CSS]), constipation-related symptoms (patient assessment of constipation symptoms [PAC-SYM]) and quality of life (patient assessment of constipation-quality of life questionnaire [PAC-QoL]) were recorded.Results: Out of 925 constipated patients, 75.6% were diagnosed with FC against 24.4% with IBS-C (P < 0.0001). Patients of both subtypes had high average scores of PAC-SYM (FC: 27.1 ± 6; IBS-C: 30.1 ± 4.9) and CSS (FC: 8.4 ± 3.1; IBS-C: 11.2 ± 3), leading to high PAC-QoL score (FC: 38.1 ± 16.8; IBS-C: 42.2 ± 13.6). Hypertension (16%) and diabetes (10%) in patients with FC while acid peptic disorders (21.7%) amongst IBS-C patients were the most common comorbid conditions observed. Laxatives were the most common medication used; osmotic (32.6% versus 40.7%) and bulk laxatives (22.8% versus 37.4%) were the commonest laxatives. However, about 1/5th patients of FC were using home remedies.Conclusions: There was a higher prevalence of FC over IBS-C in Indian constipated patients; both subtypes had high frequency and severity of constipation-related symptoms and poor QoL.

show abstract

Section: Discussionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

Prevalence of functional constipation and constipation-predominant irritable bowel syndrome in Indian patients with constipation

Rooprai

Bhat

Sainani³

et al. 2017

Int J Basic Clin Pharmacol

View full text Add to dashboard Cite

show abstract

“…DD patients may have high anal resting tone (increased resistance to insertion of the examining finger into the anal canal) and poor relaxation or paradoxical contraction of the sphincter complex with reduced perineal descent during the simulated evacuation [15]. In India, a study was done at Choithram Hospital and Research Centre, Indore.…”

Section: Digital Aidsmentioning

confidence: 99%

“…The positive predictive value of DRE for DD was 91% [18]. Unfortunately, a normal digital rectal examination does not exclude defecatory disorders [15]. Furthermore, a survey performed in the USA of 652 faculty, fellows, and medical students showed that not everyone perform DRE religiously and correctly [19].…”

Section: Digital Aidsmentioning

confidence: 99%

Dyssynergic defecation: The not so hidden partner in constipation

Siah

2018

Indian J Gastroenterol

View full text Add to dashboard Cite

“…9 Guidelines on the management of constipation either omit stool softeners as options 10 or describe low evidence for their use. 11 At NYGH, docusate products were on the formulary and were available in 55 order sets.…”

Section: Stool Softenersmentioning

confidence: 99%

Choosing Wisely: Experience of a Community Academic Hospital Pharmacy in Identifying Opportunities and Implementing Changes

Lee

Chiu

Rolko

2017

CJHP

View full text Add to dashboard Cite

show abstract

American Gastroenterological Association Medical Position Statement on Constipation

Cited by 419 publications

References 2 publications

Prevalence of functional constipation and constipation-predominant irritable bowel syndrome in Indian patients with constipation

Prevalence of functional constipation and constipation-predominant irritable bowel syndrome in Indian patients with constipation

Dyssynergic defecation: The not so hidden partner in constipation

Choosing Wisely: Experience of a Community Academic Hospital Pharmacy in Identifying Opportunities and Implementing Changes

Contact Info

Product

Resources

About