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References: Laxative

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Behav Res Ther. 2004 Apr;42(4):367-83.
A stress management programme for Crohn's disease.

Garcia-Vega E, Fernandez-Rodriguez C.

Department of Psychology, University of Oviedo, Plaza Feijoo s/n, 33003 Oviedo, Asturias, Spain.

The present study was designed to assess the effectiveness of techniques of behavioural assessment and treatment of Crohn's disease (CD). On the assumption that stress events have a pronounced influence on the life of Crohn's patients, we proposed stress management treatment. This is intended to control stress and improve patients' personal and social competence. Forty-five patients with Crohn's disease were randomly assigned to one of three treatment groups, two experimental groups: stress management and self-directed stress management, and a control group: conventional medical treatment. The subjects underwent eight individual sessions which were specific to each condition. All subjects completed symptom monitoring diaries. The subjects who received training in stress management experienced a significant post-treatment reduction of tiredness ( [Formula: see text] ), constipation ( [Formula: see text] ), abdominal pain ( [Formula: see text] ) and distended abdomen ( [Formula: see text] ). The subjects who received training in self-directed stress management experienced a significant reduction in tiredness ( [Formula: see text] ) and abdominal pain ( [Formula: see text] ). No significant changes were observed in symptomatology in the conventional medical treatment group. Similar results were obtained in the 12 month follow-up.

online pharmacy ref. source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=14998732&dopt=Abstract [PubMed - in process]

temp/constipation-1.matches:

Pediatr Ann. 2004 Feb;33(2):113-22.
Differential diagnosis of recurrent abdominal pain: new considerations.

Kohli R, Li BU.

Division of Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.

RAP is a common and challenging clinical presentation in general pediatrics and pediatric gastroenterology. The differential diagnosis is extensive and growing but dominated by functional disorders for which there are new diagnostic criteria despite the lack of specific confirmatory laboratory markers. Because FRAP, dyspepsia, and IBS are common and defined by clinical criteria, it is now prudent to initiate empiric therapy for suspected functional disorders while performing limited laboratory screening to exclude organic disorders. Using this approach, one is no longer bound to undertake extensive testing in all children with undifferentiated RAP. Alarm symptoms help identify children at greater risk for a specific underlying organic cause to their symptoms and can narrow the focus for diagnostic evaluation. Because of altered family dynamics, interaction with psychological comorbidities, and the child's disabled status, the role of the psychologist is critical in many cases. IBS is the most common single diagnosis in undifferentiated RAP and can be readily identified using the current Rome II criteria. The clinical patterns in children--pain plus altered bowel habits--help differentiate patients into diarrhea-predominant and constipation-predominant subtypes. Although the pathophysiology of IBS is unknown, specific approaches to identify and reduce triggers, pharmacologically reduce bowel spasm, and attenuate neural-pain processing are now commonly used and effective strategies.

online pharmacy ref. source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=14999944&dopt=Abstract [PubMed - in process]

temp/constipation-1.matches:ulleval.no

BACKGROUND:Internal rectal intussusception, usually occurring in women, causes constipation and incomplete evacuation of stool. MATERIALS AND METHODS:Twenty-one women and one man (median age 48) were operated with suture rectopexy and sigmoid resection. The patients were examined with anoscopy and defecography, and symptomatic outcome, patients' satisfaction and morbidity were evaluated. Outcome was based mainly on the validated KESS score for constipation. RESULTS:There was a significant reduction in all ten symptoms. Faecal incontinence improved in the two afflicted patients after operation. The number of patients with constipation was reduced from 20 to 8 (p < 0.01); none became constipated. Mean (95 % CI) colonic transit times in ten constipated patients was reduced from 5.3 (4.1 - 6.4) to 4.0 (2.6 - 5.4) days (p = 0.08); seven of these patients had a reduction of transit time as well as constipation score. INTERPRETATION:Rectopexy with sigmoid resection improved symptoms, including constipation and feeling of incomplete rectal emptying.

online pharmacy ref. source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=15004606&dopt=Abstract [PubMed - in process]

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