Chronic constipation and abdominal pain: Independent or closely interrelated symptoms?
May YW Wong, Geoffrey Hebbard, Peter R Gibson, Rebecca E Burgell
JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY | WILEY | Published : 2020
Constipation is both a symptom and a disorder, seen in both functional constipation and irritable bowel syndrome with constipation predominance (IBS-C). Despite the Rome IV criteria distinguishing between these conditions, they share many therapeutic approaches. This review aims to explore the relationship between constipation and abdominal pain and assess the evidence surrounding whether laxation improves abdominal pain and whether such a response to laxation differs between IBS-C and functional constipation. In patients with functional constipation, increasing frequency of bowel motions by laxatives regardless of mechanism of action is associated with reductions in the severity of abdomina..View full abstract
The preparation of this paper was funded through a research grant provided via Zespri International limited.