Understanding Constipation: a Cross-sectional Study from a Developing Country Setting.

Minaz Mawani; Abdul Azeem; Sakina Gheewala; Nazish Butt; Shahab Abid

Author(s)

Minaz Mawani Department of Medicine, The Aga Khan University Hospital, Karachi, Pakistan

Abdul Azeem The Aga Khan University Hospital, Karachi, Pakistan

Sakina Gheewala The Aga Khan University Hospital, Karachi, Pakistan

Nazish Butt Department of Gastrology, The Aga Khan University Hospital, Karachi, Pakistan

Shahab Abid Department of Medicine, The Aga Khan University Hospital, Karachi, Pakistan

Abstract

A cross-sectional study was conducted in the Gastroenterology Clinics of The Aga Khan Hospital and Jinnah Postgraduate Medical Centre in Karachi. All patients complaining of constipation were included. Patients with alarm features were excluded. Interviews were conducted by trained doctors using a structured Rome III based pre-tested questionnaire and Bristol Stool Form Scale. Out of 396 participants, 186 (47.0%) had FC and 209 (52.7%) had IBS-C. Based upon Bristol Stool Form Scale, only 214 (54%) reported to have slow transit constipation (BSS <2). A higher proportion of women reported severe form of constipation as compared to men (81.5%, n=150 vs. 65.1%, n=138 p<0.001). However, a higher percentage of men reported using medications to treat their symptoms (71.2%, n=151 vs. 57.1%, n=105 p=0.003). Proper understanding of patient's symptoms is essential for optimizing individual patient management.

Publication Details

Page(s) 284-286

DOI DOI not available

Published Journal: Journal of College of Physicians and Surgeons--Pakistan : JCPSP, Volume: 29, Issue: 3, Year: 2019

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References

MugieSM,BenningaMA, 2011.Epidemiology of constipation in children and adults: a systematic review,Best Pract Res Clin Gastroenterol 25 3 -18

JohansonJ,KralsteinJ, 2007.Chronic constipation: a survey of the patient perspective,Aliment Pharmacol Ther 25 599 -608

Virginia 2006.The Functional Gastrointestinal Disorders. Drossman DA, editor,McLean -

WongRK,PalssonOS,TurnerMJ,LevyR,FeldAD,von KorffM, 2010.Inability of the Rome III criteria to distinguish functional constipation from constipation subtype irritable bowel syndrome,Am J Gastroenterol 105 2228 -34

KhatriPK,AliAD,AlzadjaliN,BhagiaG,KhaliqdinaSJ,AzizS., 2011.Frequency of functional constipation in 3 different populations and its causative factors,J Pak Med Assoc 61 1149 -52

JainA,GuptaO,JajooU,SidhwaH., 1991.Clinical profile of irritable bowel syndrome at a rural-based teaching hospital in central India,J Assoc Physicians India 39 385 -6