ArticleIndian journal of gastroenterology : official journal of the Indian Society of Gastroenterology2018
Clinical predictors and gender-wise variations in dyssynergic defecation disorders.
Article in Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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7 citing papers in PubMed, 11 citations in OpenAlex.
- Efficacy of Biofeedback Therapy in Patients With Dyssynergic Defecation: A Hospital-Based Study in Eastern India.Cureus · 2026Article
- A simple four symptom-based BEDS score to predict dyssynergic defecation in patients with chronic constipation.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2025Observational
- Age- and Gender-Based Differences in Anorectal Function, Gastrointestinal Symptoms, and Constipation-Specific Quality of Life in Patients with Chronic Constipation.Digestive diseases and sciences · 2023Article
- Clinical and anorectal manometry profile of patients with functional constipation and constipation-predominant irritable bowel syndrome.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2019Article
- Fecal evacuation disorders in anal fissure, hemorrhoids, and solitary rectal ulcer syndrome.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2019Article
- Indian consensus on chronic constipation in adults: A joint position statement of the Indian Motility and Functional Diseases Association and the Indian Society of Gastroenterology.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2018Article
- Dyssynergic defecation: The not so hidden partner in constipation.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2018Article
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4 authors at 2 institutions in 1 country.
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Abstract
backgroundThere is insufficient data from India regarding clinical predictors of dyssynergic defecation.
aimTo identify demography, symptom, and colonoscopic parameters that can predict dyssynergic defecation (DD) among patients with chronic constipation (CC) and to compare the profile among male and female patients with DD.
methodsData collected from three centers during June 2014 to May 2017 included age, gender, symptom duration, form and consistency of stools, digital examination, colonoscopy, and anorectal manometry (ARM). Patients were grouped based on ARM diagnosis: group I (normal study) and group II (DD). The two groups were compared for demography, symptom profile, and colonoscopy findings. Gender-wise subset analysis was done for those with the normal and abnormal ARM using chi-square and unpaired t tests.
resultsOf 236 patients with CC evaluated, 130 (55%) had normal ARM and 106 (45%) had DD. Male sex, straining during defecation, bleeding per rectum, and abnormal colonoscopic diagnosis were significantly more common in group II. While bleeding per rectum and absence of urge to defecate were more common in males (p < 0.02), straining, digital evacuation, and hard stools were commoner in females with DD.
conclusionStraining during defecation, bleeding per rectum, and abnormal colonoscopy findings were more common in patients with DD. Symptoms of bleeding per rectum and absence of urge to defecate in men and straining during defecation in female patients were significantly associated with DD. Symptoms differ in males and females with DD.
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