constipation diagnosis

Medical History and Constipation diagnosis

For constipation diagnosis, the physician may ask a patient to describe his or her constipation, including duration of symptoms, frequency of bowel movements, consistency of stools, presence of blood in the stool, and toilet habits—how often and where one has bowel movements. A record of eating habits, medication, and level of physical activity will also help the doctor determine the cause and reach a constipation diagnosis.

The clinical definition of constipation is having any two of the following symptoms for at least 12 weeks—not always consecutive—in the previous 12 months:

• Straining during bowel movements
• Lumpy or hard stool
• Sensation of incomplete evacuation
• Sensation of anorectal blockage/obstruction
• Fewer than three bowel movements per week

Constipation diagnosis Physical Examination

A constipation diagnosis physical exam may include a rectal exam with a gloved, lubricated finger to evaluate the tone of the muscle that closes off the anus—also called anal sphincter—and to detect tenderness, obstruction, or blood. In some cases, blood and thyroid tests may be necessary to look for thyroid disease and serum calcium or to rule out inflammatory, metabolic, and other disorders.

Constipation diagnosis sometimes requires extensive testing which is usually reserved for people with severe symptoms, for those with sudden changes in the number and consistency of bowel movements or blood in the stool, and older adults. Additional tests that may be used to make a constipation diagnosis include:

• A colorectal transit study
• Anorectal function tests
• A defecography

Because of an increased risk of colorectal cancer in older adults, the doctor may use tests to make a constipation diagnosis or to rule out a diagnosis of cancer, including a:

• Barium enema x ray
• Sigmoidoscopy or colonoscopy

constipation diagnosis: Colorectal transit study

constipation diagnosis through Anorectal function tests

These tests help reach a constipation diagnosis caused by abnormal functioning of the anus or rectum—also called anorectal function.

• Anorectal manometry evaluates anal sphincter muscle function. For this test, a catheter or air-filled balloon is inserted into the anus and slowly pulled back through the sphincter muscle to measure muscle tone and contractions.
• Balloon expulsion tests consist of filling a balloon with varying amounts of water after it has been rectally inserted. Then the patient is asked to expel the balloon. The inability to expel a balloon filled with less than 150 mL of water may indicate a decrease in bowel function.
• Defecography is an x ray of the anorectal area that evaluates completeness of stool elimination, identifies anorectal abnormalities, and evaluates rectal muscle contractions and relaxation. During the exam, the doctor fills the rectum with a soft paste that is the same consistency as stool. The patient sits on a toilet positioned inside an x-ray machine, then relaxes and squeezes the anus to expel the paste. The doctor studies the x rays for anorectal problems that occurred as the paste was expelled.

constipation diagnosis using Barium enema x ray

This exam involves viewing the rectum, colon, and lower part of the small intestine to locate problems. This part of the digestive tract is known as the bowel. This test may show intestinal obstruction and Hirschsprung´s disease, which is a lack of nerves within the colon.

The night before the test, bowel cleansing, also called bowel prep, is necessary to clear the lower digestive tract. The patient drinks a special liquid to flush out the bowel. A clean bowel is important, because even a small amount of stool in the colon can hide details and result in an incomplete exam.

Because the colon does not show up well on x rays, the doctor fills it with barium, a chalky liquid that makes the area visible. Once the mixture coats the inside of the colon and rectum, x rays are taken that show their shape and condition. The patient may feel some abdominal cramping when the barium fills the colon but usually feels little discomfort after the procedure. Stools may be white in color for a few days after the exam.

constipation diagnosis: Sigmoidoscopy

To perform a sigmoidoscopy, the doctor uses a long, flexible tube with a light on the end, called a sigmoidoscope, to view the rectum and lower colon. The patient is lightly sedated before the exam. First, the doctor examines the rectum with a gloved, lubricated finger. Then, the sigmoidoscope is inserted through the anus into the rectum and lower colon. The procedure may cause abdominal pressure and a mild sensation of wanting to move the bowels. The doctor may fill the colon with air to get a better view. The air can cause mild cramping.

constipation diagnosis: Colonoscopy

To perform a colonoscopy, the doctor uses a flexible tube with a light on the end, called a colonoscope, to view the entire colon. This tube is longer than a sigmoidoscope. During the exam, the patient lies on his or her side, and the doctor inserts the tube through the anus and rectum into the colon. If an abnormality is seen, the doctor can use the colonoscope to remove a small piece of tissue for examination (biopsy). The patient may feel gassy and bloated after the procedure.

Nutrients for Healthy Intestinal Function

Step 1. Establish a Nutritional Foundation:

Step 2. Focus on intestinal health Goals:

The information provided should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. Please, consult your health care provider before taking over the counter or prescription drugs, nutritional supplements, or following any health treatment or regimen. The above product(s) is not a substiture for a well balanced diet.

* This statement has not been evaluated by the FDA. This product is not intended to diagnose, treat, cure, or prevent any disease.