-Slow colonic transit (normal transit time is approx. 35 hrs, longer than 72 hrs is abnormal)
-Pelvic floor dysfunction (difficulty in moving stool out of the rectum or pelvis due to contraction of the anal sphincter and pelvic floor)
What makes up the first level of constipation evaluation?
-Physical examination (w/rectal exam)
-Stool testing for occult blood
-If alarm symptoms, check CBC, electrolytes, glucose, TSH, and either C-Scope or Flex sig
What makes up the second level of constipation evaluation?
-colonic transit time studies
-nerve conduction studies
What is Defecography?
-Defecography is the radiographic examination of the operation of the defecation process under fluoroscopy. A thickened barium contrast putty is injected into the rectum and then excreted by the patient while the radiologist looks on
What are some dietary measures used in treatment of constipation?