Abstract
Purpose
The assessment of bowel habit is important in the management of patients with colorectal disease. There is not an ideal and practical bowel habit scoring system. The current scores have been designed only for a subclass of patients having a particular disorder. Furthemore, they are complex and time consuming. We propose a simple score to quickly assess the bowel function in all patients with proctological disorders.
Methods
We developed a bowel habit scoring system including three parameters: bowel frequency, stool consistency, and urgency. A three-point scale was applied. Three main categories of bowel habit were derived: slow (3–4 points), normal (5–6 points), and quick (7–9 points). We applied this score to all patients undergoing colorectal visit in outpatient office between January 2014 and December 2015.
Results
Eight hundred and ninety patients were included. In 819 patients (92 %), the score was completed. The mean time to assess the score was 28 s (range 12–80 s). The mean age was 49.2 years (range 14–93). The males were 435 (53.1 %). Two hundred and forty patients (29.3 %) had “slow”, 521(63.6 %) had “normal”, and 58 (7.1 %) had “quick” habit. Patients with constipation or fissure had higher incidence of slow habit compared with all other patients (60.5 vs 25.2 %, P < 0.05; 42.8 vs 17.2 %, P < 0.05). Patients with incontinence or inflammatory bowel disease had higher incidence of quick bowel habit compared with all other patients (72.7 vs 5.7 %, P < 0.05; 28.5 vs 5.6%, P < 0.05).
Conclusions
This bowel habit score is easy and quick to apply with high rate of feasibility. It could be useful to manage patients with colorectal disorders.
References
Agachan F, Chen T, Pfeifer J, Reissman P, Wexner SD (1996) A constipation scoring system to simplify evaluation and management of constipated patients. Dis Colon Rectum 39(6):681–685
Vaizey CJ, Carapeti E, Cahill JA, Kamm MA (1999) Prospective comparison of fecal incontinence grading systems. Gut 44(1):77–80
Francis CY, Morris J, Whorwell PJ (1997) The irritable bowel severity scoring system: a simple method of monitoring irritable bowel syndrome and its progress. Aliment Pharmacol Ther 11(2):395–402
Heaton KW, Thompson WG (1999) Diagnosis. In: Heaton KW, Thompson GW (eds) Irritable bowel syndrome. Health Press, Oxford, p. 27
Bassotti G, Bellini M, Pucciani F, Bocchini R, Bove A, Alduini P, Battaglia E, Bruzzzi P, Italian Constipation Study Group (2004) An extended assessment of bowel habitus in a general population. World J Gastroenterol 10(5):712–716
Heaton KW, Radvan KW, Cripps H, Mountford RA, Braddon FEM, Hughes AO (1992) Defecation frequency and timing and stool form in the general population: a prospective study. Gut 33(6):818–824
Walter SA, Kjellstrom L, Nyhlin H, Talley NJ, Agreus L (2010) Assessment of normal bowel habits in the general population: the popcol study. Scand J Gastroenterol 45(5):556–566
Bharucha AE, Seide BM, Zinsmeister AR, Melton LJ (2008) Relation of bowel habits to fecal incontinence in women. Am J Gastroenterol 103(6):1470–1475
Whitehead WE, Borrud L, Goode PS, Meikle S, Mueller ER, Tuteja A, Weidner A, Weinstein M, Ye W (2009) Fecal incontinence in US adults: epidemiology and risk factors. Gastroenterology 137(2):512–517
Atkin GK, Martins J, Tozer P, Ranchod P, Phillips RKS (2011) For many high anal fistulas, lay open is still a good option. Tech Coloproct 15(2):143–150
Sjodahl R (2010) Proposal: a score to select patients for fistulotomy. Color Dis 12(5):487–489
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Zinicola, R., Cracco, N., Totaro, A. et al. A simple bowel habit score for colorectal patients. Int J Colorectal Dis 32, 143–145 (2017). https://doi.org/10.1007/s00384-016-2677-4
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DOI: https://doi.org/10.1007/s00384-016-2677-4