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

Luder, Anthony; Segal, D.; Saba, Nazmeen

doi:10.1002/(sici)1099-0496(199809)26:3<222::aid-ppul10>3.0.co;2-2

Cited by 7 publications

(5 citation statements)

References 6 publications

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“…Significant abdominal distention critically impacts the mobility of the diaphragm, causing a reduction of excursion during inspiration. 4 While the mechanics described above most definitely contributed to our patient's respiratory failure, this case highlights the possibility of aspirated fecal material as a cause of acute re-…”

Section: Discussionmentioning

confidence: 73%

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Acute respiratory distress syndrome and feculent airway casts due to severe constipation

Mull

Gustafson

Adler

et al. 2021

Pediatric Pulmonology

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Section: Discussionmentioning

confidence: 73%

“…This deficit in lung mechanics is caused by abdominal and rib cage restrictions resulting in a restrictive lung pattern and reduced vital capacity. Significant abdominal distention critically impacts the mobility of the diaphragm, causing a reduction of excursion during inspiration 4 …”

Section: Discussionmentioning

confidence: 99%

Acute respiratory distress syndrome and feculent airway casts due to severe constipation

Mull

Gustafson

Adler

et al. 2021

Pediatric Pulmonology

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“…Luder et al, mentioned a 10-year-old male patient with acute respiratory distress, chest pain, and abdominal pain. Following the treatment of constipation, all symptoms were completely resolved in both cases (24).…”

Section: Discussionmentioning

confidence: 87%

Treatment of Constipation in Children with Idiopathic Chest Pain and Constipation Could Resolve Their Chest Pain

et al. 2019

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Background: Chest pain is one of the most frequent causes of a child's referral to a cardiologist. Objectives: The present study aimed at determining whether treatment of constipation in 4-17-year-old children with idiopathic chest pain stops their chest pain. Methods: The current descriptive study was conducted on all patients aged 4-17 years old with idiopathic chest pain referring to the Pediatric Cardiology Clinic of Hejazi Hospital, Shiraz, Iran in 2016. A diagnosis of idiopathic chest pain is established after a thorough history taking, physical examination, and appropriate laboratory investigations in patients with no abnormality in the heart, lung, musculoskeletal system, psychological condition, and upper gastrointestinal tract. The study patients were divided into two groups: 36 patients with constipation as cases and 27 patients without constipation as controls. Patients with constipation were supported with toilet training programs and pharmacological treatment. Relief of chest pain was evaluated in the two groups after four months. Results: There were no significant differences in terms of age, gender, weight, and height between the patients with idiopathic chest pain with and without constipation. The number and length of chest pain were significantly different between the case and control groups (P < 0.001 and 0.047, respectively). After medical treatment of constipation, chest pain was significantly stopped in patients with constipation compared with the ones without constipation (P < 0.001). Conclusions: The current study showed that resolution of constipation stopped chest pain in the patients with idiopathic chest pain and constipation. Physicians should consider treatment of constipation as a first modality in each patient with idiopathic chest pain and constipation due to its easy assessment.

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

Cited by 7 publications

References 6 publications

Acute respiratory distress syndrome and feculent airway casts due to severe constipation

Acute respiratory distress syndrome and feculent airway casts due to severe constipation

Treatment of Constipation in Children with Idiopathic Chest Pain and Constipation Could Resolve Their Chest Pain

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

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