Constipation presenting as respiratory distress

Milanese, A; Schechter, Neil L.; Ganeshananthan, M.

doi:10.1016/s0197-0070(86)80018-3

Cited by 9 publications

(3 citation statements)

References 4 publications

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“…7 In neither case was hypoxia documented, and in the latter case the authors did not elaborate on possible chronic conditions that may have been associated. In the present case, we describe acute chest pain and ARD with hypoxia due to acute constipation in a previously healthy, albeit obese child, thus extending the scope of this association.…”

Section: Discussionmentioning

confidence: 96%

Hypoxia and chest pain due to acute constipation: An underdiagnosed condition?

1998

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Section: Discussionmentioning

confidence: 96%

Hypoxia and chest pain due to acute constipation: An underdiagnosed condition?

1998

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“…A higher prevalence of respiratory system diseases has been reported in the literature in patients with constipation. Constipation exposes patients to hypoxia and respiratory distress [ 32 , 33 , 34 ], along with the association with chronic obstructive pulmonary disease and asthma [ 33 , 35 ]. Constipation increases the risk of delirium in the elderly, which increases their risk of aspiration [ 36 ].…”

Section: Discussionmentioning

confidence: 99%

Prevalence, Recognition, and Risk Factors of Constipation among Medically Hospitalized Patients: A Cohort Prospective Study

Al Nou’mani,

Al Alawi,

Al-Maqbali

et al. 2023

Medicina

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Background and Objective: Constipation is a prevalent gastrointestinal condition that has a substantial impact on individuals and healthcare systems. This condition adversely affects health-related quality of life and leads to escalated healthcare expenses due to an increase in office visits, referrals to specialists, and hospital admission. This study aimed to evaluate the prevalence, recognition, risk factors, and course of constipation among hospitalized patients in medical wards. Materials and Methods: A prospective study was conducted, including all adult patients admitted to the General Medicine Unit between 1 February 2022 and 31 August 2022. Constipation was identified using the Constipation Assessment Scale (CAS), and relevant factors were extracted from the patients’ medical records. Results: Among the patients who met the inclusion criteria (n = 556), the prevalence of constipation was determined to be 55.6% (95% CI 52.8–58.4). Patients with constipation were found to be older (p < 0.01) and had higher frailty scores (p < 0.01). Logistic regression analysis revealed that heart failure (Odds ratio (OR) 2.1; 95% CI 1.2–3.7; p = 0.01), frailty score (OR 1.4; 95% CI 1.2–1.5; p < 0.01), and dihydropyridines calcium channel blockers (OR 1.8; 95% CI 1.2–2.8; p < 0.01) were independent risk factors for constipation. Furthermore, the medical team did not identify constipation in 217 patients (64.01%). Conclusions: Constipation is highly prevalent among medically hospitalized patients. To ensure timely recognition and treatment, it is essential to incorporate a daily constipation assessment scale into each patient’s medical records.

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“…Luder and colleagues reported on a 10‐year‐old healthy boy presenting with respiratory distress secondary to acute constipation, treated successfully with enemata [2]. Two cases of respiratory compromise precipitated by constipation have been reported; in both these cases, there was preexisting respiratory illness (barrel chest deformity and asthma) [3,4]. In neither of these cases was there documented evidence of hypoxia.…”

Section: Discussionmentioning

confidence: 99%