Cross cultural comparison of constipation profiles at tertiary care centers between India and <scp>USA</scp>

Singh, Parmanand; Surana, Rishabh; Soni, Shishir; Agnihotri, Abhishek; Ahuja, Vineet; Makharia, Govind; Staller, Kyle; Kuo, Braden

doi:10.1111/nmo.13324

Cited by 6 publications

(5 citation statements)

References 41 publications

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“…The epidemiological survey showed that the incidence rate of constipation was 27%, and the prevalence rate of males and females was about 1 : 1.5 (Tian et al, 2019;Guo et al, 2002). At present, the studies have found that people in economically underdeveloped areas and those with low education levels are more likely to have constipation (Ebling et al, 2014), which is related to race and region (Roque & Bouras, 2015;Chu et al, 2014;Singh et al, 2018). Chronic constipation is closely related to multiple system diseases, such as cardiovascular and frequency of defecation, soften the stool and facilitate excretion (Escribano et al, 2018;Yu et al, 2017;Barichella et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

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Clinical study on the improvement in functional constipation for Panax notoginseng stem and leaf tea combine with panaxnotoginseng fruit and vegetable enzyme and probiotic powder

HAO,

ZHANG,

et al. 2022

Food Sci. Technol

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The ingredients in fruit and vegetable enzymes are not only medicine and food for relieving constipation but also rich in dietary fiber. We aimed to investigate the efficacy of panax notoginseng stem, leaf tea combined with panaxnotoginseng fruit, vegetable enzyme, and probiotic powder for functional constipation. Patients with functional constipation had been recruited and been randomly divided into the lactulose intervention group and probiotic intervention group. In the probiotic intervention group, patients received panaxnotoginseng stem and leaf tea + Panaxnotoginseng fruit and vegetable enzyme+probiotic powder, once a day. In the lactulose intervention group, patients received normal drug treatment for 2 weeks. Both probiotics intervention and lactulose intervention can improve the fecal quality of patients with constipation. Probiotics group can lead to an increase in the proportion of diarrhea in patients with constipation. Both probiotics and lactulose can significantly increase the levels of blood SP and GAS and decrease the level of MTL in patients with constipation. Both probiotics intervention and lactulose intervention can improve the quality of life of patients with constipation and the fecal quality of patients with constipation. Probiotics group can lead to an increase in the proportion of diarrhea in patients with constipation.

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Section: Discussionmentioning

confidence: 99%

“…The details were listed in Table 7. cerebrovascular diseases, colorectal tumors, and so on (Singh et al, 2018;Dehghani et al, 2013).…”

Section: Changes Of Constipation In Two Groupsmentioning

confidence: 99%

Clinical study on the improvement in functional constipation for Panax notoginseng stem and leaf tea combine with panaxnotoginseng fruit and vegetable enzyme and probiotic powder

HAO,

ZHANG,

et al. 2022

Food Sci. Technol

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“…The previous study showed that its prevalence has been steadily increasing from 11% to 18% in communities [1]. Based on the literature [2], the occurrence of constipation has also been shown to vary according to race and the regions that sufferers live in. Although the symptoms of constipation are generally harmless, they are sometimes warn� ing signs of more serious conditions including colorectal cancer, cardiocerebrovascular and kidney disease [3][4][5].…”

Section: Introductionmentioning

confidence: 99%

An exploring study of defecography, digital rectal examination, and balloon expulsion test for screening and predicting of symptoms with defecation disorders

Tian¹,

Ge²,

Liang³

et al. 2021

J Clin Images Med Case Rep

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Background: Defecation disorder is widely common in constipa� tion, which diagnosed by Defecography (DF), Digital Rectal Examina� tion (DRE), Balloon Expulsion Test (BET), and others. It remains not clear that which one would be more accessible and effective due to no comparison of defecation disorders among diagnosis, classification and treatments, based on symptoms. The aim of this study is to evalu� ate which method should be used more easy operational and accu� rately in clinics with prediction based on symptoms.Methods: Consecutive patients with chronic constipation (Rome III criteria, n=141) underwent DF, DRE, and BET between 2014 and 2018. Those examination findings and symptoms with constipation were re� corded and analyzed.Results: Of the 141 patients included in our study, 67 (47.5%) had a sensation of incomplete defecation, 66 (46.8%) of these were identi� fied to have clinical symptoms with obstruction. The sensitivity and specificity of DF for identifying patients with obstruction were 42.4% and 78.7%, respectively; the positive predictive value was 63.6%, with [AUC: 0.62 (95% CI: 0.54-0.71)]. The sensitivity and specificity of DRE for identifying patients with a sensation of incomplete defecation were 76.1% and 44.6%, respectively; the positive predictive value was 55.4%, with [AUC: 0.60 (95% CI: 0.53-0.68)]. It is only useful dignosis for abdominal distention used BET. The sensitivity and specificity of BET for identifying patients with abdominal distention were 75.0% and 43.6%, respectively, with [AUC: 0.59 (95% CI: 0.51-0.68)]. The positive correlation between sacrum-rectal separate and obstruction was ob� served in the study, the similar correlation was observed in between Pelvic floor hernia and abdominal distention. Conclusions:It is a valuable tool for diagnosis and further treat� ment of these six symptoms used an index combining DF and DRE. In addition, DF and DRE would be a more accessible and effective clini� cal tool for screening and diagnosis of patients with obstruction and a sensation of incomplete defecation, respectively. However, it would be only valuable tool for abdominal distention used BET. Both methods could facilitate the selection of appropriate patients for further exami� nations and tailored therapy accordingly.

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“…Hence, self‐perceived constipation is expected to be commoner in Asia. In a comparative study of tertiary care patients with chronic constipation from India and USA, Indian patients had more frequent stools (median 5 vs. 3/week), fewer hard stools (Bristol 1 and 2, 48% vs. 65.5%), lower constipation severity, lower depression scores and better quality of life than patients from the USA 5 …”

mentioning

confidence: 99%

“…3/week), fewer hard stools (Bristol 1 and 2, 48% vs. 65.5%), lower constipation severity, lower depression scores and better quality of life than patients from the USA. 5 What could be the reasons for these differences? Although both nations recruited secondary care patients, there could be recruitment bias as strict and restricted referral system may lead to selection of patients with more severe illness in the West than in Asia…”

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confidence: 99%

Editorial: Recognising the regional variations in profile of irritable bowel syndrome—better late than never!

Singh

2023

Aliment Pharmacol Ther

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Irritable bowel syndrome (IBS), a common disorder of gut-brain interaction, is diagnosed by symptom-based criteria and lacks biomarkers.Symptom reporting by patients with IBS may depend on several factors such as socio-cultural background, language, symptom expression and tolerance (especially pain threshold), childhood living conditions and upbringing, belief, education, gender bias, healthcare-seeking behaviour and access to physicians, in addition to biological factors.

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Cross cultural comparison of constipation profiles at tertiary care centers between India and USA

Cited by 6 publications

References 41 publications

Clinical study on the improvement in functional constipation for Panax notoginseng stem and leaf tea combine with panaxnotoginseng fruit and vegetable enzyme and probiotic powder

Clinical study on the improvement in functional constipation for Panax notoginseng stem and leaf tea combine with panaxnotoginseng fruit and vegetable enzyme and probiotic powder

An exploring study of defecography, digital rectal examination, and balloon expulsion test for screening and predicting of symptoms with defecation disorders

Editorial: Recognising the regional variations in profile of irritable bowel syndrome—better late than never!

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