From: Chronic constipation in the elderly: a primer for the gastroenterologist
1-MUST INCLUDE TWO OR MORE OF THE FOLLOWING: |
a. Straining during at least 25 % of defecations |
b. Lumpy or hard stools in at least 25 % of defecations |
c. Sensation of incomplete evacuation for at least 25 % of defecations |
d. Sensation of anorectal obstruction/blockage for at least 25 % of defecations |
e. Manual maneuvers to facilitate at least 25 % of defecations (e.g., digital evacuation, support of the pelvic floor) |
f. Fewer than three defecations per week |
2-LOOSE STOOLS ARE RARELY PRESENT WITHOUT THE USE OF LAXATIVES |
3-INSUFFICIENT CRITERIA FOR IRRITABLE BOWEL SYNDROME |