---
tags: year 3,clinical,surgery
---

# 💩Functional Constipation

*Diagnostic criteria*

***Must include two or more of the following:***

1. ==Straining== during more than ¼ (25%) of defecations
2. Lumpy or ==hard stools== (Bristol Stool Form Scale 1-2) more than ¼ (25%) of defecations
3. Sensation of ==incomplete evacuation== more than ¼ (25%) of defecations
4. Sensation of ==anorectal obstruction==/blockage more than ¼ (25%) of defecations
5. ==Manual maneuvers== to facilitate more than ¼ (25%) of defecations (e.g., digital evacuation, support of the pelvic floor)
6. ==Fewer than three== SBM per week
<br>

<style>
table, th, td {
border:1px solid black;
border-collapse: collapse;
}
</style>

<h4>Mnemonic - DO SHIT</h2>

<table style="width:100%">
<tr>
<th>D</th>
<th>O</th>
<th>S</th>
<th>H</th>
<th>I</th>
<th>T</th>
</tr>
<tr>
<td>Digital evacuation</td>
<td>Obstruction</td>
<td>Straining</td>
<td>Hard stool</td>
<td>Incomplete evacuation</td>
<td>Three times per week</td>
</tr>
</table>

<p style="text-align:left;"> <h4 style="position: relative; top: 30px;">Bristol Stool Chart</h4>
<img src="https://theromefoundation.org/wp-content/uploads/11-02a-FM11.jpg" alt="Bristol Stool Chart" style="width:600px;">
</p>