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The ODS may or may not co-exist with other functional bowel disorders, such as slow transit constipation or irritable bowel syndrome. [19] Of all cases of primary constipation, it is reported that 58% are dyssynergic defecation, 47% are slow transit constipation and 58% are irritable bowel syndrome. [ 21 ]
Individuals suffering from functional constipation often exhibit hard or lumpy stools, decreased frequency of bowel movements, a feeling of incomplete evacuation or obstruction, straining, and in some cases, stomach pain and bloating. [2] Generally speaking, symptoms are considered chronic if they have persisted for three months or more. [3]
Constipation is traditionally defined as three or fewer bowel movements per week. [15] Other symptoms related to constipation can include bloating, distension, abdominal pain, headaches, a feeling of fatigue and nervous exhaustion, or a sense of incomplete emptying. [40]
Rectal tenesmus is a feeling of incomplete defecation. [1] It is the sensation of inability or difficulty to empty the bowel at defecation, even if the bowel contents have already been evacuated. Tenesmus indicates the feeling of a residue, and is not always correlated with the actual presence of residual fecal matter in the rectum.
Symptoms of ileus include, but are not limited to: [citation needed] moderate to severe, diffuse abdominal pain; constipation; abdominal distension; nausea/vomiting, especially after meals; vomiting of bilious fluid (green or yellowish-green in colour) flatulence and/or lack of bowel movement; excessive belching
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