Influence of body posture on defecation: a prospective study of “The Thinker” position

Conclusion “The Thinker” position seems to be a more efficient method for defecation than the sitting position. This technique may be helpful when retraining patients with constipation.
Source: Techniques in Coloproctology - Category: Surgery Source Type: research

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The objectives of this study were to identify predictors associated with obtaining an AR and to determine if ARs were associated with a longer length of stay (LOS) among children with constipation evaluated in the ED. Methods A review of billing and electronic health records was conducted in an academic pediatric ED for children ages 0 to 17 years who had a primary discharge diagnosis of constipation from July 2013 to June 2014. Logistic regression was used to identify predictors for obtaining an AR. Differences in mean LOS were analyzed using linear regression. Results In total, 326 children met inclusion criteria, ...
Source: Pediatric Emergency Care - Category: Emergency Medicine Tags: Original Articles Source Type: research
Conclusions This survey suggests that many PEM providers obtain radiographs to convince families of the diagnosis of constipation. This is not a viable management plan given the risks of radiation as well as costs. There remains room for improvement as we attempt to reduce use of radiation in the evaluation of common pediatric illnesses.
Source: Pediatric Emergency Care - Category: Emergency Medicine Tags: Original Articles Source Type: research
AbstractBackground/AimsThere is currently no gold standard for evaluating stool burden in the colon for patients with gastrointestinal symptoms. We aim to examine the relationship between fecal loading on single view abdominal X-ray imaging and gastrointestinal symptoms such as constipation, diarrhea, bloating, and accidental bowel leakage in adult outpatients.MethodsThis retrospective, cross-sectional study examined patients seen at University of Michigan from 2005 to 2017. Chart review of demographic information, reported gastrointestinal symptoms, past medical history, and abdominal radiographic imaging was performed. B...
Source: Digestive Diseases and Sciences - Category: Gastroenterology Source Type: research
Abdominal radiographs are often obtained in ED patients with suspected constipation, although their utility in adults is not well understood. We sought to compare ED management when an abdominal radiograph is and is not obtained.
Source: The American Journal of Emergency Medicine - Category: Emergency Medicine Authors: Source Type: research
Publication date: Available online 25 June 2019Source: Journal of Pediatric Surgery Case ReportsAuthor(s): Amanda Munoz, Andrei Radulescu, Joanne Baerg, Yomara Mendez, Faraz A. KhanAbstractCongenital generalized lipodystrophy (CGL) is a rare autosomal recessive disorder that affects adipocyte development. Presentation varies based on type. A 12-year old female with CGL type 4, developed a sigmoid colon perforation in the setting of colonic wall hypertrophy after colonoscopy. She presented to the emergency room (ER) with several days of worsening abdominal pain and fevers. The initial evaluation was concerning for infectiou...
Source: Journal of Pediatric Surgery Case Reports - Category: Surgery Source Type: research
ConclusionThis case is unusual because no etiological factor has been found. Its diagnosis can be difficult and management effectiveness remains controversial.It is important to highlight this case and those of the literature, as many surgeons may have never seen a case of transverse colon volvulus. Volvulus of the transverse colon may therefore not be considered in the differential diagnosis of recurrent intermittent abdominal pain or acute intestinal obstruction.Prompt recognition with emergency intervention constitutes the key to a successful outcome.
Source: Journal of Medical Case Reports - Category: General Medicine Source Type: research
ConclusionRadiographic stool quantification produces equivalent results in symptomatic and asymptomatic adults and is of uncertain value.
Source: Abdominal Imaging - Category: Radiology Source Type: research
We described a patient with CIDP with precedent and long-lasting incomplete intestinal obstruction. Clinical manifestations were precedent and chronic abdominal pain, distension and constipation, and later numbness and weakness of lower and upper limbs. Radiograph showed incomplete intestinal obstruction, cerebrospinal fluid (CSF) showed albuminocytological dissociation and electromyography indicated neurogenic lesion. Diagnoses: CIDP with incomplete intestinal obstruction was diagnosed based on the history, related symptoms, typical abdominal radiograph, CSF albuminocytological dissociation, and electromyographic findi...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
Conclusions&InferencesThe clinical diagnosis of RED in patients with CC is achieved with combination of DRE, HRM and an optimized, time ‐based BET. Prospective studies are necessary to confirm the proposed 22 second cutoff for tbBET.
Source: Neurogastroenterology and Motility - Category: Gastroenterology Authors: Tags: ORIGINAL ARTICLE Source Type: research
Publication date: November–December 2018Source: Academic Pediatrics, Volume 18, Issue 8Author(s): David R. Sandweiss, Lauren Allen, Mark Deneau, Janet Harnsberger, Amy Pasmann, Randall Smout, Michael Mundorff, Nanette DudleyAbstractObjectiveConstipation is commonly diagnosed in our pediatric emergency department (ED). Care has varied significantly, with a heavy reliance on abdominal radiography (AR) for the diagnosis of and inpatient management for bowel cleanout. We implemented a standardized approach to caring for patients presenting to a pediatric ED with symptoms consistent with constipation, emphasizing clinical...
Source: Academic Pediatrics - Category: Pediatrics Source Type: research
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