Talk:Constipation

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Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT (talk) 18:22, 16 January 2022 (UTC)[reply]

Low liquid intake

This article lists as one of the causes of constipation "low liquid intake". Would it not be better to say "dehydration"? It is possible to have dehydration while liquid intake is quite high. This may be the case for untreated diabetes mellitus. Vorbee (talk) 09:50, 25 November 2017 (UTC)[reply]

Hirschsprung's disease

Link required for Hirschsprung's disease 2A00:23C4:AA17:B200:C843:1BE:8B4C:ECF1 (talk) 22:37, 8 February 2018 (UTC)[reply]

Needs better sourcing for "Added referenced sentence on use of a high enema. Also fixed an indirect link."

Firstly, I can't imagine why my fixing of an indirect link would be reverted, but I suppose that such reversions are performed hastily, taking legitimate editing in their wake. I have taken the liberty of re-doing that and marking it as a minor edit.

As for referencing, everything I've referenced is for standard medicine, and I have been careful to avoid alternative medicine sources and, also, klismaphile and other enema obsession sources I have likewise avoided.

Now I have added a reference from a state university and now the proposed sentence reads thus:

A large volume or high enema^[1] can be given to cleanse as much of the colon as possible of feces.^[2]^[3]^[4] However, a low enema^[5] is generally useful only for stool in the rectum, not in the intestinal tract.

Please advise as to whether or not this is yet acceptable. If not, I'll find (yet more) legitimate sources.

I thank you. Helen4780 (talk) 18:32, 17 February 2018 (UTC)[reply]

the two sentences regarding "high-enema" and "low enema" seem to be in the same train of thought basically describing the two procedures in terms of difference. since there is no collision between the two sentences, the "however" beginning of the second sentence seems to be logically inadeqate. maybe better to replace "however" with "on the other hand". also the two sentences could be easily merged into one single sentence. 89.134.199.32 (talk) 10:54, 10 March 2019 (UTC).[reply]

References

^ "high enema". Medical Dictionary. Merriam-Webster. Retrieved 17 February 2018.
^ "Administering an Enema". Care of patients. Ternopil State Medical University. 14 July 2015. Retrieved 17 February 2018.
^ Rhodora Cruz. "Types of Enemas". Fundamentals of Nursing Practice. Professional Education, Testing and Certification Organization International. Retrieved 17 February 2018.
^ "Enemas — Definition of Enemas by Medical dictionary". Medical Dictionary. Farlex, Inc., Huntingdon Valley, PA 19006 USA. Retrieved 17 February 2018.
^ "low enema". Medical Dictionary. Merriam-Webster. Retrieved 17 February 2018.

epidemiology section

I believe that the part saying "constipation with no known cause affects females more often affected than males" should be corrected to "constipation with no known cause affects females more often than males" (redundant "AFFECTED" to be deleted). 89.134.199.32 (talk) 10:45, 10 March 2019 (UTC).[reply]

"Hung Chow" listed at Redirects for discussion

An editor has asked for a discussion to address the redirect Hung Chow. Please participate in the redirect discussion if you wish to do so. gnu 57 15:08, 30 August 2019 (UTC)[reply]

Trans-inclusive/Non-binary-inclusive language

Under epidemiology, in the first paragraph:

"It is more common in women, the elderly and children."

If the source is referring to people assigned female at birth, I would change "women" to people assigned female at birth, and this would apply to any other text that uses the terms "man" or "woman" to refer to someone's assigned sex at birth (what someone's sex is "identified" as at their birth like male, intersex, female, etc) 2600:4040:A034:A300:7017:9EAB:537:A5E7 (talk) 18:32, 27 October 2022 (UTC)[reply]

Better, "It is more common in females, the elderly, and children." "Female" is a biological category. Downtowngal (talk) 13:40, 30 October 2022 (UTC)[reply]

Should be "adult females" Downtowngal (talk) 13:54, 30 October 2022 (UTC)[reply]

It should say what the original source says

Rome IV + ICD-11

For some reason I can't change the article even though I made an account.

Article should be updated with Rome IV criteria instead of III.
Should include ICD-11 definition and codes.
It should be more clear in the article when it is talking about functional constipation and when it is talking about the symptom generally (i.e. functional constipation + other types). On wikipedia there is also a functional constipation article, but it is short and seems neglected.

Rome-IV categorizes disorders of chronic constipation into four subtypes:^[1]

functional constipation
irritable bowel syndrome with constipation (IBS-c),
opioid-induced constipation
functional defecation disorders including inadequate defecatory propulsion and dyssynergic defecation

Definition

According to ICD-11 constipation is "an acute or chronic condition in which bowel movements occur less often than usual or consist of hard, dry stools that are often painful or difficult to pass."^[2] There are separate codes for functional constipation (DD91.1), functional constipation of infants, toddlers or children (DD93), atonic constipation (DD91.1), slow transit constipation (DB32.1), neurogenic constipation (DD91.1) and spastic constipation (DD91.1) as well as codes for related conditions like functional defaecation disorders (DD92.2).^[2] In agreement with the Rome-IV criteria, it is not possible to have a diagnosis of irritable bowel syndrome with constipation (IBS-C) and functional constipation at the same time.^[2]

Diagnostic criteria

Rome IV has widely-accepted diagnostic criteria for functional constipation (C2). For a diagnosis of functional constipation, there must be two or more of the following criteria, which must have been true for the last 3 months with symptom onset at least 6 months prior to diagnosis:^[3]

Straining during more than 25% of defecations
Lumpy or hard stools (Bristol Stool Form Scale 1-2) more than 25% of defecations
Sensation of incomplete evacuation more than 25% of defecations
Sensation of anorectal obstruction/blockage more than 25% of defecations
Manual maneuvers to facilitate more than 25% of defecations (e.g., digital evacuation, support of the pelvic floor)
Fewer than three spontaneous bowel movements per week
Loose stools rarely present without the use of laxatives

According to Rome-IV, it is not possible to have both a diagnosis of functional constipation and IBS-C.^[4] Related conditions like IBS-C, opioid-induced constipation and functional defecation disorders (including dyssynergic defecation) have separate diagnostic criteria.

References

^ Steele, SR; Hull, TL; Hyman, N; Maykel, JA; Read, TE; Whitlow, CB (20 November 2021). The ASCRS Textbook of Colon and Rectal Surgery (4th ed.). Cham, Switzerland: Springer Nature. ISBN 978-3-030-66049-9.
^ ^a ^b ^c "ICD-11 for Mortality and Morbidity Statistics". icd.who.int.
^ "Appendix A: Rome IV Diagnostic Criteria for FGIDs". Rome Foundation. Rome Foundation.
^ Bordeianou, LG; Carmichael, JC; Paquette, IM; Wexner, S; Hull, TL; Bernstein, M; Keller, DS; Zutshi, M; Varma, MG; Gurland, BH; Steele, SR (April 2018). "Consensus Statement of Definitions for Anorectal Physiology Testing and Pelvic Floor Terminology (Revised)". Diseases of the colon and rectum. 61 (4): 421–427. doi:10.1097/DCR.0000000000001070. PMID 29521821.

"Obstipation" listed at Redirects for discussion

The redirect Obstipation has been listed at redirects for discussion to determine whether its use and function meets the redirect guidelines. Readers of this page are welcome to comment on this redirect at Wikipedia:Redirects for discussion/Log/2024 October 8 § Obstipation until a consensus is reached. CycloneYoris ^talk! 09:58, 8 October 2024 (UTC)[reply]

[1] "high enema". Medical Dictionary. Merriam-Webster. Retrieved 17 February 2018.

[2] "Administering an Enema". Care of patients. Ternopil State Medical University. 14 July 2015. Retrieved 17 February 2018.

[3] Rhodora Cruz. "Types of Enemas". Fundamentals of Nursing Practice. Professional Education, Testing and Certification Organization International. Retrieved 17 February 2018.

[4] "Enemas — Definition of Enemas by Medical dictionary". Medical Dictionary. Farlex, Inc., Huntingdon Valley, PA 19006 USA. Retrieved 17 February 2018.

[5] "low enema". Medical Dictionary. Merriam-Webster. Retrieved 17 February 2018.

[Steele2021-6] Steele, SR; Hull, TL; Hyman, N; Maykel, JA; Read, TE; Whitlow, CB (20 November 2021). The ASCRS Textbook of Colon and Rectal Surgery (4th ed.). Cham, Switzerland: Springer Nature. ISBN 978-3-030-66049-9.

[ICD11-7] "ICD-11 for Mortality and Morbidity Statistics". icd.who.int.

[RomeIV-8] "Appendix A: Rome IV Diagnostic Criteria for FGIDs". Rome Foundation. Rome Foundation.

[PMID29521821-9] Bordeianou, LG; Carmichael, JC; Paquette, IM; Wexner, S; Hull, TL; Bernstein, M; Keller, DS; Zutshi, M; Varma, MG; Gurland, BH; Steele, SR (April 2018). "Consensus Statement of Definitions for Anorectal Physiology Testing and Pelvic Floor Terminology (Revised)". Diseases of the colon and rectum. 61 (4): 421–427. doi:10.1097/DCR.0000000000001070. PMID 29521821.

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