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Clinical Research: Constipation Sections
Author Biography
Introduction
What is constipation?
Understanding the problem
Currently Selected Section: Objective Measurement
Subjective Measurement
Measuring Components
Precipitating Factors
Therapeutic Comparisons
Research Questions
Conclusion

Chapter 3: Methods for Clinical Research in Constipation: Objective Measurement of Constipation
          

The purpose of constructing objective measurements related to constipation is:

  • To make a diagnosis of the physiological cause of the constipation, which may be useful in clinical practice to determine best treatment, or as a classification tool in research, or
  • To provide an indicator of the severity of the condition which can be generalized beyond the report of the individual patient.

The expense and the invasiveness of the measurement procedures require that they be tailored to the wider condition of the patient.

Bowel movement frequency

A readily assessable component of constipation is bowel movement frequency. Studies of a healthy British population have found that 99% defecate between three times a week and three times a day (Connell et al., 1965). This is a very wide normal range, and suggests that on a subjective level an individual who usually has a relatively frequent bowel habit might consider themselves constipated when their bowel movement frequency is still within these outer limits.


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