Browsing by Subject "Defecation"

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    Normative values of the balloon expulsion test in healthy adults
    (2007) Dedeli Ö.; Turan I.; Öztürk R.; Bor S.
    Background/aims: Constipation is the most frequent complaint of the digestive tract. It has been reported that approximately half of the patients with constipation have functional defecation disorders (dyssynergic defecation). An important diagnostic tool for the diagnosis of functional defecation disorders is the balloon expulsion test. Normative values have not been widely determined in different populations. We aimed to determine the data which could be indicative of normative values of the balloon expulsion test for healthy individuals in our society. Methods: A total of 116 healthy volunteers were evaluated in the study (55 men). Subjects were classified into three subgroups according to age (20-39 yrs, 40-59 yrs, ≥60 yrs). Catheters with balloon and application room were standardized, and then a balloon expulsion test was performed in all groups. The results of the balloon expulsion test were statistically compared between groups. Results: The distribution of males/females according to age groups was: 20-39 yrs: 20/22, 40-59 yrs: 20/23, ≥60 yrs: 15/16. The balloon expulsion time was determined as 44.1±plusmn;19.0 seconds in male subjects and 56.4±plusmn;21.4 seconds in females (p=0.001). An increase in the balloon expulsion time was observed to be related with age in males (p=0.00001); however, no statistically significant difference was shown by age in female subjects (p=0.80). If the entire study group was considered, there was a significant correlation between age and balloon expulsion time (p=0.0001). Conclusions: The balloon expulsion test is a simple procedure to identify impaired evacuation in constipated patients. This study represents the first assessment of the balloon expulsion test in a healthy Turkish population. It has been demonstrated that expulsion should take less than 30 seconds for men younger than 40 years of age and less than 1 minute above 40 years. For women, expulsion should occur in 1 minute regardless of age. Our results could serve as a valuable resource of normative data.
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    An examination of the effect of castor oil packs on constipation in the elderly
    (2011) Arslan G.G.; Eşer I.
    This research, conducted at two rest homes in Manisa, Turkey, was undertaken to examine the effect of castor oil pack (COP) administrations on constipation in the elderly. Study participants were monitored for 7 days before, 3 days during, and 4 days after COP administration utilizing the Recall Bias and Visual Scale Analog (RB-VSAQ) as well as the Standard Diary developed by Pamuk et al. Wilcoxon Signed Ranks, Repeated Measures, Bonferroni, and Mann-Whitney U tests were used for data analysis. Eighty percent of study subjects had been constipated for 10 years or longer. COP administration did not have an effect on the number of bowel movements or amount of feces, but decreased the feces consistency score, straining during defecation and feeling of complete evacuation after a bowel movement, thus decreasing symptoms of constipation. We conclude that COP may be used for controlling symptoms of constipation. © 2010 Elsevier Ltd.