Sa1728 HOW USEFUL IS CONSTIPATION STOOL APP COMPARED TO PAPER STOOL DIARY - RANDOMIZED STUDY OF CONSTIPATION AND HEALTHY SUBJECTS

Yan, Yun; Jimenez, Enoe; Sharma, Amol; Parr, Rachael; Herekar, Anam; Eubanks, Audrey; Karunaratne, Tennekoon; Sanku, Amalesh; Rao, Satish S.

doi:10.1016/s0016-5085(20)31690-5

Cited by 8 publications

(12 citation statements)

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“…2). 15 Additional symptoms such as abdominal bloating, distention, or discomfort and non-GI symptoms Digital diaries for recording symptoms in patients with suspected chronic constipation, fecal incontinence, and gas and bloating, and a sample of the report generated by the App. GI, gastrointestinal.…”

Section: Constipationmentioning

confidence: 99%

“…Constipation will frequently present with abdominal bloating as a patient's most bothersome complaint. 15,16 Using BSFS and stool diaries, combined with the patient's description of symptoms is an effective way to assess if the diagnostic criteria of IBS has been met. 2 Many patients have significant overlap of constipation symptoms with others such as abdominal pain, bloating, distention, and nausea.…”

Section: Digital Diariesmentioning

confidence: 99%

“…2) that accurately capture symptoms and provide a comprehensive prospective report of bowel habits in both FI and constipation have been developed. 15,32,33,46 BSFS is a verified tool for characterizing stool caliber. 47 The "Constipation Scoring System" has also been developed 45 that features 100 constipation-related symptoms on a questionnaire and then compared with physiologic testing.…”

Section: Scoring Systems For the Assessment Of Patient With Lower Gasmentioning

confidence: 99%

“…2 ). 15 Additional symptoms such as abdominal bloating, distention, or discomfort and non-GI symptoms such as fatigue, malaise, or psychosocial distress are worth assessing. Constipation will frequently present with abdominal bloating as a patient’s most bothersome complaint.…”

Section: Constipationmentioning

confidence: 99%

“…Constipation will frequently present with abdominal bloating as a patient’s most bothersome complaint. 15 , 16 Using BSFS and stool diaries, combined with the patient’s description of symptoms is an effective way to assess if the diagnostic criteria of IBS has been met. 2 …”

Section: Constipationmentioning

confidence: 99%

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Clinical Evaluation of a Patient With Symptoms of Colonic or Anorectal Motility Disorders

Curtin

Jimenez

Rao

2020

J Neurogastroenterol Motil

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Constipation, irritable bowel syndrome, fecal incontinence, abdominal pain, and anorectal pain are problems that affect 40% of the population. They commonly present with overlapping symptoms indicating that their pathophysiology affects multiple segments of the gut as well as brain and gut interactions. Clinically, although some conditions are readily recognized, dyssynergic defecation, fecal incontinence, and anorectal pain are often missed or misdiagnosed. Consequently, the assessment of lower gastrointestinal symptoms in patients with suspected colonic or anorectal motility disorder(s) remains challenging for most clinicians. A detailed history, use of the Bristol stool form scale, prospective stool diaries, ideally through a phone App, digital rectal examination, and judicious use of complementary diagnostic tests are essential. Additionally, it is important to evaluate the impact of these problems on quality of life and psychosocial issues, because they are intricately linked with these disorders. The Rome IV diagnostic questionnaire for functional gastrointestinal disorders can provide additional information often missed during history taking. Here, we discuss a systematic approach for the clinical evaluation of patients with suspected lower gastrointestinal problems, grouped under 4 common diagnostic categories. We describe how to take a detailed history, perform meticulous digital rectal examination, and use validated tools to supplement clinical evaluation, including assessments of quality of life and scoring systems for disease severity and digital Apps. These tools could facilitate a comprehensive plan for clinical management including diagnostic tests, and translate the patients' complaints into definable, diagnostic categories.

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Section: Constipationmentioning

confidence: 99%