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is Guideline attempts to define principles of practice that should produce high-quality patient
care. It is applicable to specialists, primary care, and providers at all levels. is Guideline
should not be considered exclusive of other methods of care reasonably directed at obtaining the
same results. e ultimate judgment concerning the propriety of any course of conduct must be
made by the clinician aer consideration of each individual patient situation.
Neither IGC, the medical associations, nor the authors endorse any product or service associated
with the distributor of this clinical reference tool.
AGACON17012e
Source
Bharucha A E , Dorn SD, Lembo A, Pressman A. American Gastroenterological
Association Medical Position Statement on Constipation. Gastroenterolog y
2013;14 4:211–217.
Rao SS, Mudipalli RS, Stessman M, Zimmerman B. Investigation of the utility of colorectal
function tests and Rome II criteria in dyssynergic defecation (anismus). Neurogastroenterol
Motil 2004;16:589.
Abbreviations
bid, twice a day; BSFS, Bristol Stool Form Scale; CBC, complete blood count; CC,
chronic constipation; DD, dyssynergic defecation; FAB, functional abdominal bloating ;
FAD, functional abdominal distention; FBD, functional bowel disorder; FC, functional
constipation; FDr, functional diarrhea; GI, gastrointestinal; IBD, inflammatory
bowel disease; IBS, irritable bowel syndrome; IBS-C, irritable bowel syndrome with
constipation; IBS-D, irritable bowel syndrome with diarrhea; IBS-M, irritable bowel
syndrome with constipation and diarrhea; IBS-U, irritable bowel syndrome unclassified;
MOM, milk of magnesia; MR, magnetic resonance; NTC, normal transit constipation;
OIC, opioid-induced constipation; PEG, polyethylene glycol; PRN, as needed; qd, daily;
qhs, at bedtime; SC, subcutaneous; STC, slow transit constipation; tid, three times a day
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AGA Institute Medical Position Statement on Constipation