Defecation

Publication Title: 
Acupuncture in Medicine: Journal of the British Medical Acupuncture Society

OBJECTIVES: To assess the effectiveness of electroacupuncture (EA) relative to conventional medication in functional constipation (FC). DESIGN: Systematic review and meta-analysis. SETTING: To be included, studies needed to: (1) have been randomised controlled trials; (2) have recruited adult patients diagnosed with FC according to the Rome II/III criteria or the American Gastroenterological Association guideline for chronic FC; and (3) have randomised patients to be treated with EA or anti-constipation medication.

Author(s): 
Zhou, Sheng-Li
Zhang, Xiu-Lai
Wang, Jing-Hua
Publication Title: 
BMJ open

INTRODUCTION: Functional constipation (FC) is a common gastrointestinal disease. Systematic reviews indicate that acupuncture may be effective for patients with FC. However, this conclusion is not convincing due to the quality, sample size and methodological heterogeneity of the studies included by these systematic reviews. Therefore, it is necessary for us to conduct a meta-analysis of individual patient data (IPD) from high-quality clinical trials to determine whether acupuncture is effective for patients with FC.

Author(s): 
Zheng, Qianhua
Zheng, Hui
Lu, Lingyun
Leng, Jincheng
Zhou, Siyuan
Zheng, Huabin
Huang, Wenjing
Liu, Zhishun
Zhu, Bing
Li, Ying
Publication Title: 
Pharmaceutical Biology

Context Chebulae Fructus is used as an herbal remedy for diarrhoea in traditional Chinese medicine. However, there is no scientific evidence to support its antidiarrhoeal activity. Objective This study evaluates the antidiarrhoeal properties of Chebulae Fructus aqueous extract (CFAE) and determines the active fraction. Materials and methods The antidiarrhoeal effect of CFAE (200-800?mg/kg) was investigated by determining the wet dropping, intestinal transit in BALB/c mice and enteropooling in Wister rats.

Author(s): 
Sheng, Zunlai
Yan, Xin
Zhang, Ruili
Ni, Huilin
Cui, Yuanxu
Ge, Junwei
Shan, Anshan
Publication Title: 
The American Journal of Gastroenterology

OBJECTIVES: Hypnotherapy has been shown to be effective in the treatment of irritable bowel syndrome in a number of previous research studies. This has led to the establishment of the first unit in the United Kingdom staffed by six therapists that provides this treatment as a clinical service. This study presents an audit on the first 250 unselected patients treated, and these large numbers have also allowed analysis of data in terms of a variety of other factors, such as gender and bowel habit type, that might affect outcome.

Author(s): 
Gonsalkorale, Wendy M.
Houghton, Lesley A.
Whorwell, Peter J.
Publication Title: 
Gut

BACKGROUND AND AIMS: There is now good evidence from several sources that hypnotherapy can relieve the symptoms of irritable bowel syndrome in the short term. However, there is no long term data on its benefits and this information is essential before the technique can be widely recommended. This study aimed to answer this question. PATIENTS AND METHODS: 204 patients prospectively completed questionnaires scoring symptoms, quality of life, anxiety, and depression before, immediately after, and up to six years following hypnotherapy.

Author(s): 
Gonsalkorale, W. M.
Miller, V.
Afzal, A.
Whorwell, P. J.
Publication Title: 
Gut

BACKGROUND: IBS affects 5-11% of the population of most countries. Prevalence peaks in the third and fourth decades, with a female predominance. AIM: To provide a guide for the assessment and management of adult patients with irritable bowel syndrome. METHODS: Members of the Clinical Services Committee of The British Society of Gastroenterology were allocated particular areas to produce review documents.

Author(s): 
Spiller, R.
Aziz, Q.
Creed, F.
Emmanuel, A.
Houghton, L.
Hungin, P.
Jones, R.
Kumar, D.
Rubin, G.
Trudgill, N.
Whorwell, P.
Clinical Services Committee of The British Society of Gastroenterology
Publication Title: 
Eastern Mediterranean Health Journal = La Revue De Santé De La Méditerranée Orientale = Al-Majallah Al-?i???yah Li-Sharq Al-Mutawassi?

This study investigated whether hypnotherapy provides a significant therapeutic effect in Saudi Arabian patients with irritable bowel syndrome. Patients (n=26) were consecutively recruited at a psychiatry outpatient clinic after diagnosis by a gastroenterologist and a medical evaluation for irritable bowel syndrome. Each patient had 12 sessions of hypnotherapy over a period of 12 weeks (1 session per week). Patients completed a scale measuring symptom severity before and 3 months after the trial.

Author(s): 
Al Sughayir, M. A.
Publication Title: 
Complementary Therapies in Clinical Practice

PURPOSE: The purpose of this study was to verify the effect of aroma massage on constipation in advanced cancer patients. METHODS: This study employed a randomized control group pre- and post test design and included an aroma massage group, plain massage group, and control group. To evaluate the effect of aromatherapy, the degree of constipation was measured using a constipation assessment scale, severity level of constipation and the frequency of bowel movements.

Author(s): 
Lai, T. K. T.
Cheung, M. C.
Lo, C. K.
Ng, K. L.
Fung, Y. H.
Tong, M.
Yau, C. C.
Publication Title: 
Urology

OBJECTIVE: To evaluate the association between complementary and alternative medicine (CAM) use, satisfaction with treatment, and patient-reported outcomes after treatment. METHODS: The Prostate CAncer Therapy Selection Study prospectively surveyed patients newly diagnosed with localized prostate cancer about their treatment decision-making process and outcomes. The Prostate CAncer Therapy Selection Study recruited patients from 3 geographic areas through hospital-based urology clinics and community urology practices.

Author(s): 
Ramsey, Scott D.
Zeliadt, Steven B.
Blough, David K.
Fedorenko, Catherine R.
Fairweather, Megan E.
McDermott, Cara L.
Penson, David F.
Van Den Eeden, Stephen K.
Hamilton, Ann S.
Arora, Neeraj K.
Publication Title: 
Physical Therapy

BACKGROUND AND PURPOSE: Constipation is a prevalent condition in the United States, with typical treatment consisting of diet modification, stool softeners, and laxatives. These interventions, however, are not always effective. The purpose of this case report is to describe the use of abdominal massage in physical therapist management for a patient with constipation. CASE DESCRIPTION: An 85-year-old woman with constipation was referred for physical therapy following unsuccessful treatment with stool softeners.

Author(s): 
Harrington, Kendra L.
Haskvitz, Esther M.

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