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Positive features of dissociative or non-epileptic seizures include prolonged motionless unresponsiveness, long duration episodes (>2minutes) and symptoms of dissociation prior to the attack. These signs can be usefully discussed with patients when the diagnosis is being made.
Functional constipation, also known as chronic idiopathic constipation (CIC), is defined by less than three bowel movements per week, hard stools, severe straining, the sensation of anorectal blockage, the feeling of incomplete evacuation, and the need for manual maneuvers during feces, without organic abnormalities.
One type of constipation which may occur in people with neurogenic bowel dysfunction is obstructed defecation. [ 10 ] Neurogenic bowel dysfunction can have an impact on a person's life as it often leads to difficulties with self-esteem, personal relationships, social life and can also reduce a person's independence. [ 5 ]
Psychophysiological factors may affect the expression of these genes, thus leading to symptoms production associated with FGID. [10] Sociocultural factors and family interactions have been shown to shape later reporting of symptoms, the development of FGIDs, and health care seeking. The expression of pain varies across cultures as well ...
Obstructed defecation is one of the causes of chronic constipation. [22] ODS is a loose term, [20] consisting of a constellation of possible symptoms, [7] caused by multiple, complex [23] and poorly understood [24] disorders which may include both functional and organic disorders. [18]
Single symptoms may be assigned a diagnostic label, such as "functional chest pain", "functional constipation" or "functional seizures". Characteristic collections of symptoms might be described as one of the functional somatic syndromes. [2] A syndrome is a collection of symptoms. Somatic means 'of the body'.
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Where anismus causes constipation, it is an example of functional constipation. Many authors describe an "obstructed defecation syndrome", of which anismus is a cause. [24] The Rome II classification functional defecation disorders were divided into 3 types, [25] however the symptoms the patient experiences are identical. [26]
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