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Haemorrhoids, constipation and faecal incontinence: is there any relationship?
MedLine Citation:
PMID:  21689320     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Aim:  Little is known about the association of haemorrhoids and anorectal function. Moreover, available data on the impact of constipation on the presence of haemorrhoids are conflicting. The present study aimed to assess any potential relationship between haemorrhoids and anorectal dysfunction. Method:  All participants who attended the Austrian national wide health care programme for colorectal cancer screening at four medical institutions were enrolled prospectively between 2008 and 2009. A colonoscopy and detailed anorectal examination were performed on all patients. Haemorrhoids were classified according to an international grading system. Faecal incontinence was defined as the involuntary loss of solid stool, liquid stool or gas, at least once a month. Constipation was recorded by a constipation scoring system. Results:  Of 976 participants, 380 (38.9 percent) were found to have haemorrhoids. There was an association between healthy individuals, patients with symptomatic and patients with asymptomatic haemorrhoids and incontinence to liquid stool. No association was found regarding incontinence for solid stool and gas. The median constipation score was significantly higher in those patients with haemorrhoids (grade I to IV) in contrast to patients without haemorrhoids (2.5 points (range: 0-19) and 3 points (range: 0-19); p=0.0113). "Painful evacuation effort" and "assistance for defaecation (stimulant laxatives, digital assistance or enema)" showed a significant correlation with haemorrhoids (p=0.0394 and p=0.0143). Conclusion:  Although the median constipation score was low in both groups, there was a significant association between constipation and haemorrhoids in adult patients.
Authors:
Stefan Riss; Friedrich Anton Weiser; Katrin Schwameis; Martina Mittlböck; Anton Stift
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-3-29
Journal Detail:
Title:  Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland     Volume:  -     ISSN:  1463-1318     ISO Abbreviation:  -     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-6-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100883611     Medline TA:  Colorectal Dis     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 The Association of Coloproctology of Great Britain and Ireland.
Affiliation:
Medical University of Vienna, Department of Surgery, Austria Endoscopic Center Anton-Baumgartner-Straße 44, A-1230 Vienna, Austria Medical University of Vienna, Center for Medical Statistics, Informatics and Intelligent Systems.
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