[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.205.176.107. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
November 3, 1917

RECTAL CONDITIONS IN CHRONIC CONSTIPATION

Author Affiliations

Captain, Medical Reserve Corps, U. S. Army INDIANAPOLIS

JAMA. 1917;LXIX(18):1515-1520. doi:10.1001/jama.1917.02590450035013
Abstract

Prima facie, nothing appears easier than the diagnosis of chronic constipation. Nevertheless, in not a few cases, it may be an exceedingly difficult task to determine accurately the etiologic factor. Many cases are due to mechanical causes which, not infrequently, are never recognized or even suspected. With the improved modern methods of examination at our command, physical, gastric analysis, examination of the stool, roentgenology, and proctologic examination, to which is added the clinical subjective signs and symptoms, an accurate diagnosis can and should be made in the majority of cases.

No case of chronic constipation is diagnosed correctly or should ever be treated as such, until a thorough proctologic examination has been made. The rectum, in many cases, is found distended with feces, the patient not experiencing the slightest sensation of its presence and having no desire whatever for stool. This rectal stasis may be atonic in character, or it

First Page Preview View Large
First page PDF preview
First page PDF preview
×