Disease Information for Obstipation

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Clinical Manifestations
Signs & Symptoms
Abdominal bloating
Abdominal Distension
Abdominal distension/protrusion/sign
Abdominal Distention
Abdominal fullness feeling
Abdominal Mass
Abdominal Pain
Abdominal Pain in Children
Abdominal Pain Nonsurgical
Active Bowel Sounds
Anorexia Decreased appetite
Anorexia in Children
Apparent bowel obstruction syndrome
Bloating and Gas
Bloating and 'gas'/Flatulence
Borborygmi/Bowel sound increased
Bowel Habit Change
Bowel movement witholding/child
Bowel sounds high pitched
Bowel/Stool Incontinence
Bowel/stool incontinence in Children
Bulky hard stool in rectum/sign
Bulky stool
Colicky Abdominal Pain
Constipation in Elderly
Fecal Soiling in a Child
Flatulence
Hypereactive Bowel Sounds
Hypogastric Pain
Increased abdominal girth/Potbelly
Large bowel symptoms/signs
Left Lower Quadrant Pain in Elderly
Left Lower Quadrant Pain/Tenderness
Lower Abdominal Mass
Lower Abdominal Pain
Mass in LLQ
Pain on defecation
Pelvic Mass on Exam
Periumbilical Pain in Elderly
Proctalgia
Protruberant Abdomen
Rectal Blood/Bleeding in Children
Rectal pain Rectalgia
Recurrent Abdominal Pain in Elderly
Right Lower Quadrant Pain in Elderly
Right Lower Quadrant Pain/Tenderness
Tenesmus
Tenesmus in Children
Tenesmus in Elderly
Thickened bowel loops palpable/Abdomen
Vomiting
Vomiting in Elderly
Adnexal mass
Vaginal wall bulging from below
Child Terrors/Crying Uncontrollably
Suprapubic pain
Urinary incontinence in Children
Urine Incontinence
Demographics & Risk Factors
Established Disease Population
Patient/Prolonged immobilization/status
Patient/Tetanus
Patient/Hyperparathyroidism
Patient/Hypothyroidism (myxedema)
Patient/Cachectic
Patient/Constipation
Patient/Cerebral thrombosis
Patient/Dementia/organic brain syndrome
Patient/Quadriplegic
Patient/Unconscious
Population Group
Aged Adult
Status/Nursing home patient/setting
Event, Activity, Behavioral & Seasonal Factors
Lifestyle/Drug addiction/population
Sex & Age Groups
Population/Adult Aged Only
Population/Adult/all
Population/Eighty plus patient
Population/Elderly Aged
Population/Seventies Adult
Laboratory Tests
Abnormal Lab Findings - Decreased
URINE Urobilinogen
Diagnostic Test Results
X-RAY
Xray/Abdominal film abnormalities/ABD/KUB
Xray/Dilated colon loops/ABD
Xray/Distended bowel loops/Abd film
Xray/Large amount of stool/ABD
Associated Diseases & Rule outs
Associated Disease & Complications
Anal Incontinence
Anorectal obstruction
Constipation
Encopresis/childhood
Intestinal/Bowel Obstruction in Elderly
Intestinal/bowel obstruction
Large bowel obstruction
Obstipation
Syncope, vasovagal
Syncope/Fainting
Disease Mechanism & Classification
Class
CLASS/Intestinal/stomach/gut (category)
Pathophysiology
Pathophysiology/Mechanical Bowel Obstruction
Pathophysiology/Peristalsis increased
Process
PROCESS/Structural/anatomic/foreign body (category)
Treatment
Drug Therapy - Indication
RX/Lubiprostone (Amitiza)
Other Treatments
TX/Enema
Definition

A decrease in a person's normal frequency of defecation accompanied by difficult or incomplete passage of stool and/or passage of excessively hard, dry stool. Defining Characteristics: *Change in bowel pattern; *bright red blood with stool; *presence of soft paste-like stool in rectum; *distended abdomen; *bark or black or tarry stool; *increased abdominal pressure; *percussed abdominal dullness; *pain with defecation; *decreased volume of stool; straining with defecation; decreased frequency; dry, hard, formed stool; palpable rectal mass; feeling of rectal fullness or pressure; abdominal pain; *unable to pass stool; *anorexia; headache; *change in abdominal growling (borborygmi); *indigestion; *atypical presentations in older adults (e.g., change in mental status, urinary incontinence, unexplained falls, elevated body temperature); *severe flatus; *generalized fatigue; *hypoactive or hyperactive bowel sounds; *palpable abdominal mass; *abdominal tenderness with or without palpable muscle resistance; *nausea and /or vomiting; *oozing liquid stool. Related Factors: Functional : *Recent environmental changes; *habitual denial/ignoring of urge to defecate; *insufficient physical activity; *irregular defecation habits; *inadequate toileting, (e.g. timeliness, positioning for defecation, privacy); *abdominal muscle weakness Psychological: *Depression; *emotional stress; *mental confusion Pharmacological: *Antilipemic agents; *laxative overdose; *calcium carbonate; *aluminum-containing antacids; *nonsteriodal anti-flammatory agents; *opiates; *anticholinergics; *diuretics; *iron salts; *phenothiazides; *sedatives; *sympathomimetics; *bismuth salts; *antidepressants; *calcium channel blockers Mechanical: *Rectal abcess or ulcer; *pregnancy; *rectal anal fissures; *tumors; *megacolon (Hirschsprung's disease); *electrolyte imbalance; *rectal prolapse; *prostate enlargement; *neurological impairment; *rectal anal stricture; *rectocele; *postsurgical obstruction; *hemorrhoids; *obesity Physiological: *Poor eating habits; *decreased motility of gastrointestinal tract; *inadequate dentition or oral hygiene; *insufficient fiber intake; *insufficient fluid intake; *change in usual foods and eating patterns; *dehyration Note: The definition was revised in the 1998 DRC review process; *marks revised defining characteristics and related factors. This revision was submitted by NDEC.

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Harrison's Online (accessmedicine)
NEJM (The New England Journal of Medicine)
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