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ALIMENTARY TRACT:CLINICAL RESEARCH Dyssynergic Defecation: Demographics, Symptoms, Stool Patterns, and Quality of Life Satish S. C. Rao, MD, PhD, FRCP(L),* Ashok K. Tuteja, MD,*† Tony Vellema, BS,* Joan Kempf, RN,* and Mary Stessman, RN* constipation has been reported to vary between 11% and Abstract: To understand the nature of bowel disturbance in patients 7,8 9,10 74%, but is typically seen in about 50% of patients. with dyssynergia, we prospectively examined demographics, stool Although there is limited information regarding demo- patterns, and quality of life by administering a 31-item questionnaire graphic features in patients with slow transit constipation, to 120 patients who fulfilled symptomatic and manometric criteria for there is no information regarding the demographics, symp- dyssynergia (Rome II). Data from 118 subjects (M/F = 27/91) was toms, or stool patterns in patients with dyssynergic defecation. analyzed. Eighty four percent of patients reported excessive straining, Also, there is a dearth of knowledge regarding the impact of and 76% reported feeling of incomplete evacuation; 9.7% had no urge this condition on the quality of life of these patients. A clear to defecate. Abdominal bloating was reported by 74%. More women than men reported infrequent bowel movements and need to strain knowledge
Journal of Clinical Gastroenterology – Wolters Kluwer Health
Published: Sep 1, 2004
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