A RARE CAUSE OF CHRONIC CONSTIPATION IN THE FIELD OF FAMILY MEDICINE PRACTICE: DYSSYNERGIC DEFECATION

Constipation is a disorder that can result in infrequent defecation, pain, stiffness and difficult stool passage and pathogenesis is multifactorial. A 32-year-old female patient was admitted to family medicine clinic with the complaint of constipation that has been present since childhood. Dyssynergic defecation, which is one of the rare causes of chronic constipation, was detected in the patient whose etiological investigation was carried out. Chronic constipation is a condition that should be evaluated with a detailed medical history, taking into account the risk factors and etiological causes.

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A case of congenital esophagobronchial fistula which was diagnosed by detailed medical history taking

The Journal of the Japanese Association for Chest Surgery ◽

10.2995/jacsurg.25.491 ◽

2011 ◽

Vol 25 (5) ◽

pp. 491-496

Author(s):

Mitunobu Tamura ◽

Hirokazu Nakajima ◽

Hirochiyo Sawaguchi ◽

Yasuharu Nagai ◽

Takeshi Kawaguchi ◽

...

Keyword(s):

Medical History ◽

Medical History Taking ◽

History Taking ◽

Esophagobronchial Fistula ◽

Detailed Medical History

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Diabetes Risk Factors and Testing in a Family Medicine Clinic

American Journal of Epidemiology ◽

10.1093/aje/163.suppl_11.s185-c ◽

2006 ◽

Vol 163 (suppl_11) ◽

pp. S185-S185

Author(s):

F.J Dallo ◽

S.C Weller ◽

A.R Cass

Keyword(s):

Risk Factors ◽

Family Medicine ◽

Diabetes Risk ◽

Diabetes Risk Factors ◽

Medicine Clinic

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Prevalence and Clinical Characteristics of Dyssynergic Defecation and Slow Transit Constipation in Patients with Chronic Constipation

Journal of Clinical Medicine ◽

10.3390/jcm10092027 ◽

2021 ◽

Vol 10 (9) ◽

pp. 2027

Author(s):

Samuel Tanner ◽

Ahson Chaudhry ◽

Navneet Goraya ◽

Rohan Badlani ◽

Asad Jehangir ◽

...

Keyword(s):

Medical History ◽

Chronic Constipation ◽

Clinical Characteristics ◽

Anorectal Function ◽

Slow Transit Constipation ◽

Dyssynergic Defecation ◽

Patient Demographics ◽

Balloon Expulsion ◽

Slow Transit ◽

Transit Constipation

Patients with chronic constipation who do not respond to initial treatments often need further evaluation for dyssynergic defecation (DD) and slow transit constipation (STC). The aims of this study are to characterize the prevalence of DD and STC in patients referred to a motility center with chronic constipation and correlate diagnoses of DD and STC to patient demographics, medical history, and symptoms. High-resolution ARM (HR-ARM), balloon expulsion testing (BET) and whole gut transit scintigraphy (WGTS) of consecutive patients with chronic constipation were reviewed. Patients completed questionnaires describing their medical history and symptoms at the time of testing. A total of 230 patients completed HR-ARM, BET, and WGTS. Fifty (22%) patients had DD, and 127 (55%) patients had STC. Thirty patients (13%) had both DD and STC. There were no symptoms that were suggestive of STC vs. DD; however, patients with STC and DD reported more severe constipation than patients with normal transit and anorectal function. Patients with chronic constipation often need evaluation for both DD and STC to better understand their pathophysiology of symptoms and help direct treatment.

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