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Constipation Diagnosis

Constipation: Diagnosis


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1. Medical history

In general the doctors follow some basic information over medical history of the patient to treat constipation. This mode of analysis comprises of oral queries like symptoms, bowel movements frequency, stools’ consistency, blood presence in stool, and toilet habits. Records are also made as per the medication, eating habits and physical activity. On clinical basis any two factors out of straining in bowel movements, hard stool, incomplete evacuation sensation, obstruction/rectal blockage sensation or less than 3 bowel movements in a week; proves constipation:

2. Blood and thyroid tests

Blood and thyroid tests are followed by the physician in order to see the severity of constipation in the patient. Instance of blood in the stool is a serious issue and demands for immediate medical speculation. Be sure that relevant thyroid treatment gets well optimized, as insufficient treatment can lead to severe other diseases like cancer by boosting constipation problems. Condition of hypothyroidism must be checked as it can be present in people of any age.

3. Balloon expulsion tests

It comprises of filling up of a balloon in respect to varied water amounts after being inserted rectally. After that the patient need to expel the fixed balloon. In case the patient is not capable of expelling the balloon with water amounting lesser than 150 ml gets marked as being decreased in the function of bowel function.

4. Barium enema x-ray

Through this test, lining of bowel gets coated by some contrast dye (that is barium) to check the colon, rectum, and partial portions of small intestine through X-ray. The test specifically marks the intestinal obstruction followed by the condition of Hirschsprung’s disease if any, along with lack of nerves in colon. Stools can get whitish from some days after this test.

5. Sigmoidoscopy

This is the test over rectum added by lower/sigmoid, colon. In this approach the physician inserts sigmoidoscope (flexible, lighted tube) into anus and thereby examines rectum lower part of colon. The night prior to this test, patient needs to take liquid dinner followed by enema in early morning. Very light breakfast added by cleansing enema prior to an hour before test is important.

6. Colonoscopy

It is a test of rectum added by entire colon. Here entire colon gets examined by flexible colonoscope (camera equipped tube). Colonoscope is longer than sigmoidoscope. Here, patient gets lightly sedated prior to the test and is laid sideways and physician inserts colonoscope by anus, then rectum to colon. In case of any abnormality, colonoscope is used for the removal of small tissue pieces for the test (that is biopsy). Gassy as well as bloated feelings may appear to the patient.

7. Colorectal transit test

This is about the movement of food by colon. Here, a capsule with markers gets swallowed for the display over X-rays of several days. Movement of markers by colon gets monitored by means of abdominal X-rays attended 3-7 days. The patient needs to attend diet with high-fiber for this test. Signs related to dysfunction of intestinal muscle added by food movement are recorded. It is basically applicable for patients with chronic constipation.

8. Anorectal function tests

Functions related to muscle of anal sphincter is performed through this test. It is performed by inserting flexible tube through anus followed by rectum and further inflates small balloon at tube tip. Device then gets pulled back by sphincter muscle. Coordination of muscles for moving of bowel is hereby assessed.

9. Defecography

For this test, the rectum gets filled by soft paste with stool-consistency. Patient sits as toilet-positioned inside X-ray machine and relaxes and further squeezes anus as well as expels offered paste. As the paste gets expelled, X-rays are performed for the evaluation of completeness related to stool elimination added by contractions and relaxation of rectal muscle. Defecography is actually an X-ray of the anorectal part for the identification of anorectal abnormalities.

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