Painful or Mild-Pain Constipation? A Clinically Useful Alternative to Classification as Irritable Bowel Syndrome with Constipation Versus Functional Constipation

Digestive Diseases and Sciences
Michel BouchouchaRobert Benamouzig

Abstract

Abdominal pain is not used to characterize constipated patients. This study aimed to compare clinical, psychological, and physiological features in patients with IBS-constipation (IBS-C) with those in patients with functional constipation (FC) according to the intensity of abdominal pain. All patients filled a standard Rome III questionnaire. In addition, they indicated the intensity of constipation, diarrhea, bloating, and abdominal pain on a 10-point Likert scale, and their stool form with the Bristol Stool Form Scale. Anxiety and depression were assessed with the Beck Depression Inventory and the State-Trait Anxiety Inventory. Physiological evaluation included anorectal manometry and total and segmental colonic transit time. A total of 546 consecutive patients, 245 with IBS-C and 301 with FC, were included. Painful constipation (PFC) was found by cluster analysis and subsequently defined as having a value over four on the Likert scale for abdominal pain. PFC was found in 67% of IBS-C patients and in 22% of FC patients. PFC patients have digestive disorders with greater frequency and report higher levels of constipation and bloating, despite similar stool form. They have higher scores of depression, state and trait anxiety, a...Continue Reading

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Citations

Apr 15, 2019·Journal of Neurogastroenterology and Motility·Michel BouchouchaRobert Benamouzig
Nov 23, 2019·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·Jordi SerraUNKNOWN Functional Constipation Guidelines Working Group
Oct 9, 2019·The American Journal of Gastroenterology·Judy NeeAnthony Lembo
Mar 23, 2018·Digestive Diseases and Sciences·Adil E Bharucha, Mayank Sharma
Oct 2, 2020·International Journal of Colorectal Disease·Michel BouchouchaRobert Benamouzig
Aug 26, 2020·Current Gastroenterology Reports·Brototo DebAdil E Bharucha
Oct 20, 2020·Digestive Diseases and Sciences·Michel BouchouchaRobert Benamouzig
May 6, 2019·Mayo Clinic Proceedings·Adil E Bharucha, Arnold Wald
Jun 12, 2021·Autism Research : Official Journal of the International Society for Autism Research·Oscar W H WongPatrick W L Leung

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