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Constipation is a bowel dysfunction that makes bowel movements infrequent or hard to pass. [2] The stool is often hard and dry. [4] Other symptoms may include abdominal pain, bloating, and feeling as if one has not completely passed the bowel movement. [3] Complications from constipation may include hemorrhoids, anal fissure or fecal impaction. [4]
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.
Rectal tenesmus is a feeling of incomplete defecation. [1] It is the sensation of inability or difficulty to empty the bowel at defecation, even if the bowel contents have already been evacuated. Tenesmus indicates the feeling of a residue, and is not always correlated with the actual presence of residual fecal matter in the rectum.
The aim is to improve stool texture. [12] It has been recommended to avoid foods like chocolate, which increase stool viscosity, making it more difficult to pass stools. [24] Bulk-forming laxatives are also frequently used for ODS. [24] It is recommended to increase dietary fiber intake to 25-30 grams daily.
Patients may use the Bristol Stool Chart to help them describe and characterise the morphological features of their stool, this is useful as it gives an indication of the transit time. [18] [non-primary source needed] An objective method used to evaluate the motility of the colon and help with diagnosis is the colon transit time.
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Children with loose stools and diarrhea (colonic hypermotility): This group of children has an overactive colon. Rapid transit of stool results in frequent episodes of diarrhea . This means that even when an enema cleans the colon rather easily, stool keeps on passing fairly quickly from the cecum to the descending colon and the anus.
Fecal incontinence – paradoxical overflow diarrhea as a result of liquid stool passing around the obstruction; Abdominal pain and bloating; Loss of appetite; Complications may include necrosis and ulcers of the rectal tissue, which if untreated can cause death. [citation needed]
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