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Clinical predictors and gender-wise variations in dyssynergic defecation disorders

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Abstract

Background

There is insufficient data from India regarding clinical predictors of dyssynergic defecation.

Aim

To identify demography, symptom, and colonoscopic parameters that can predict dyssynergic defecation (DD) among patients with chronic constipation (CC) and to compare the profile among male and female patients with DD.

Methods

Data collected from three centers during June 2014 to May 2017 included age, gender, symptom duration, form and consistency of stools, digital examination, colonoscopy, and anorectal manometry (ARM). Patients were grouped based on ARM diagnosis: group I (normal study) and group II (DD). The two groups were compared for demography, symptom profile, and colonoscopy findings. Gender-wise subset analysis was done for those with the normal and abnormal ARM using chi-square and unpaired t tests.

Results

Of 236 patients with CC evaluated, 130 (55%) had normal ARM and 106 (45%) had DD. Male sex, straining during defecation, bleeding per rectum, and abnormal colonoscopic diagnosis were significantly more common in group II. While bleeding per rectum and absence of urge to defecate were more common in males (p < 0.02), straining, digital evacuation, and hard stools were commoner in females with DD.

Conclusion

Straining during defecation, bleeding per rectum, and abnormal colonoscopy findings were more common in patients with DD. Symptoms of bleeding per rectum and absence of urge to defecate in men and straining during defecation in female patients were significantly associated with DD. Symptoms differ in males and females with DD.

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Authors and Affiliations

  1. Choithram Hospital and Research Centre, 14, Manik Bagh Road, Indore, 452 014, India

    Mayank Jain

  2. Gleneagles Global Health City, 439, Medavakkam Road, Perumbakkam, Cheran Nagar, Chennai, 600 100, India

    Mayank Jain, Melpakkam Srinivas & Jayanthi Venkataraman

  3. Pushpavati Singhania Hospital and Research Centre, Press Enclave Marg, Sheikh Sarai II, New Delhi, 110 017, India

    Rajiv Baijal

Authors
  1. Mayank Jain
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  2. Rajiv Baijal
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  3. Melpakkam Srinivas
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  4. Jayanthi Venkataraman
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Corresponding author

Correspondence to Mayank Jain.

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Conflict of interest

MJ, RB, MS, and JV declare that they have no conflict of interest.

Ethics statement

The study was performed in a manner to conform with the Helsinki Declaration of 1975, as revised in 2000 and 2008 concerning human and animal rights, and the authors followed the policy concerning informed consent as shown on Springer.com. The study protocol was approved by the institutional review board and ethics committee.

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Jain, M., Baijal, R., Srinivas, M. et al. Clinical predictors and gender-wise variations in dyssynergic defecation disorders. Indian J Gastroenterol 37, 255–260 (2018). https://doi.org/10.1007/s12664-018-0856-7

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  • DOI: https://doi.org/10.1007/s12664-018-0856-7

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