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Journal of General Internal Medicine
Published in: Journal of General Internal Medicine 4/2015

01-04-2015 | Capsule Commentary

Capsule Commentary on Abbot et al., Effect of Perineal Self-Acupressure on Constipation: A Randomized Controlled Trial

Author: Sarah Nickoloff, MD

Published in: Journal of General Internal Medicine | Issue 4/2015

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Excerpt

Constipation is a common and costly condition, affecting up to 20% of the North American population,1 and may have great impact on a patient’s quality of life.2 Recommended treatment for constipation generally consists of a regimen of medications, increased dietary fiber and fluid, and exercise, though these measures are often ineffective.3 Some non-randomized or non-controlled studies suggest that perineal pressure may aid in defecation,4 however; there is a lack of controlled, randomized studies addressing this. Additionally, very few studies address the effect on patient quality of life. …
Literature
1.
Higgins PD, Johanson JF. Epidemiology of constipation in North America: a systematic review. Am J Gastroenterol. 2004;99(4):750–9.CrossRefPubMed
2.
Sun SX, Dibonaventura M, Purayidathil FW, Wagner JS, Dabbous O, Mody R. Impact of chronic constipation on health-related quality of life, work productivity, and healthcare resource use: an analysis of the National Health and Wellness Survey. Dig Dis Sci. 2011;56(9):2688–95.CrossRefPubMed
3.
Prather C, Ortiz-Camacho C. Evaluation and treatment of constipation and fecal impaction in adults. Mayo Clin Proc. 1998;73(9):881–6.CrossRefPubMed
4.
Gosselink M, Schouten W. The perineorectal reflex in health and obstructed defecation. Dis Colon Rectum. 2002;45(3):370–6.CrossRefPubMed
5.
Metadata
Title
Capsule Commentary on Abbot et al., Effect of Perineal Self-Acupressure on Constipation: A Randomized Controlled Trial
Author
Sarah Nickoloff, MD
Publication date
01-04-2015
Publisher
Springer US
Published in
Journal of General Internal Medicine / Issue 4/2015
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-014-3174-5

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