Study of defecation disorders in elderly patients

Abstract

Introduction Defecation disorders, whether anal incontinence or chronic intestinal constipation, are frequent pelvic floor alterations in the general population and are more common in those with risk factors, i.e ., in the elderly, women with an obstetric background, and those with comorbidities, history of pelvic radiotherapy, diabetics, the bedridden, or those with history of orifice surgery, among others. Objective To analyze the incidence of defecation disorders in geriatric patients treated at the Medical Specialties Outpatient Service (MSOS) of Hospital Santa Marcelina. Methods Prospective, randomized study that interviewed the same patients in two moments: 1) subjective anamnesis through spontaneous history and 2) objective anamnesis with specific questionnaires to assess anal incontinence and chronic constipation. Results Between March 2016 and June 2017, 149 patients were analyzed, of whom 114 (76.5%) were female, with a similar mean age between genders; 51.67% had symptoms of anal incontinence and/or chronic constipation. Only 35.5% of patients with complaints of fecal leakage or flatus spontaneously reported them, while 87.1% of constipated patients did so. In the present study, no significant correlation was observed between the mode of delivery (p = 0.106), pregnancy (p = 0.099), and the number of deliveries (p = 0.126) with anal incontinence. In turn, there was no higher incidence of chronic intestinal constipation in females (p = 0.099) and most patients with this complaint had Bristol type 1 or 2 stools. Conclusion The incidence of defecation disorders in the geriatric population is high and, most notably, anal incontinence is not spontaneously reported by most patients.

Incidence of Intestinal Constipation During the COVID-19 Pandemic Period in Medical Students from a Private Institution in São Paulo, SP

“…Among these ways, the ROME III criteria 10 and feces consistency 13 are well-established methods in the scientific literature and were applied to all students in the present study. 2 3 4 7…”

“…Gastrointestinal disorders are highly prevalent in medical students around the world, as they can be associated to the duties and routine of academic life, behavioral changes, stress, alteration in eating habits, psychosomatic issues, and life quality of these young adults. [14][15][16][17][18][19] It is known that the general incidence of CIC is widely variable in the overall population due to many factors [1][2][3][4] and, among medical students, it can reach 34%, higher than the level of other university courses. 15,[20][21][22][23][24] Gallas et al, 25 in their pilot study involving medical students from Tunisia, revealed a CIC prevalence of 11.6%.…”

“…It is a multifactorial condition mainly related to age, female sex, low social economic level, low education, inadequate diet, endocrine and metabolic dysfunctions, physical inactivity, psychiatric disorders, medication use, idiopathic causes, and sedentary lifestyle; it is more frequently noted in industrialized countries. 1 2 3 4 5…”

“…5 6 7 On the other hand, the secondary CIC are related to gastrointestinal, metabolic and endocrine disorders, neurologic conditions, and medication use. 1 2 3…”

Experiências De Perda Dentária E Qualidade De Vida Em Pacientes Transplantados Renais Hospitalizados

“…O Guia alimentar para a população brasileira ressalta a importância da prática das refeições na companhia de amigos e/ou familiares. Sabe-se especialmente em pacientes com outros fatores de risco, como por exemplo, mobilidade prejudicada, acidente vascular cerebral, entre outros(CORRÊA NETO et al, 2020).No presente estudo, 40% das mulheres e 22,2% dos homens, foram classificados com constipação. Na literatura os estudos sobre frequência de constipação em idosos são escassos.…”