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Constipation and Functional Bowel Disorders

  • Madhulika G. Varma
  • Brooke H. Gurland
Chapter

Abstract

Constipation is one of the most common complaints voiced to primary care physicians, internists, gastroenterologists, and colorectal surgeons alike, with prevalence in North America estimated between 2 and 27%.1,2 This broad range reflects a lack of agreement between how patients and physicians perceive constipation because definitions are variable and may refer to infrequent or hard bowel movements, or to difficulty with evacuation. In addition, complaints of constipation are two to three times more common in women than men. Knowles et al. reported that of 2,004 patients evaluated by transit study at three European tertiary referral centers for intractable constipation, 92% were women.3 In a cohort of 2,000 women aged 40–69 years, 60% self-reported symptoms of difficult rectal evacuation over the last 12 months while 12% reported these symptoms weekly.4 This difference can be explained by the vast diversity of how women define normal female bowel habits. Zutshi et al.5 identified that women were more inclined to view their own habits as normal and perceive other habits unlike theirs as abnormal through self-reported questionnaires.

Notes

Acknowledgment.

This chapter was authored by Amanda Metcalf and Howard Michael Ross in the previous edition of this textbook.

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Copyright information

© ASCRS (American Society of Colon and Rectal Surgeons) 2011

Authors and Affiliations

  • Madhulika G. Varma
    • 1
  • Brooke H. Gurland
    • 2
  1. 1.Department of SurgeryUniversity of California, San FranciscoSan FranciscoUSA
  2. 2.Department of Colorectal SurgeryCleveland Clinic FoundationClevelandUSA

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