Exact(10)
The Rome criterion is an internationally recognized objective definition of constipation and focuses on 6 symptoms, including straining, lumpy or hard stools, sensation of incomplete evacuation, sensation of anorectal obstruction or blockage, manual maneuvers to facilitate evacuation, and two or fewer bowel movements per week.
Patients with a history of pelvic floor dyssynergia, the need to use manual maneuvers in order to achieve a bowel movement, surgery of the colon at any time, abdominal surgery within 60 days prior to entry into the study, or laxative abuse were excluded from the study.
The Rome III criteria also include straining, a feeling of incomplete evacuation and manual maneuvers to facilitate defecation.
(4) Sensation of anorectal obstruction or blockage for at least 25% of defecation; (5) Manual maneuvers to facilitate at least 25% of defecation (e.g. support of fingers or pelvic floor); (6) fewer than three spontaneous bowel movements (SBMs) per week.
Also, patients were excluded if they reported the need for manual maneuvers (digital insertion into the rectum, perianal pressure, or vaginal splinting) or frequent use of enemas to evacuate stool.
3– 5 The Rome III criteria use a combination of objective (stool frequency, manual maneuvers needed for defecation) and subjective (straining, lumpy or hard stools, incomplete evacuation, sensation of anorectal obstruction) symptoms to define constipation.
Similar(50)
During an encore, his solo on "Broken Boy Soldier" became a long, compulsive bonanza of downstrokes and the glitchy manual maneuvering of his instrument's toggle switches.
Twenty-eight hours after admission, suspecting lower extremity ischemia and compartment syndrome, we removed the sheath with a manual maneuver and performed fasciotomy.
Suspecting lower extremity ischemia and compartment syndrome, we removed the sheath with a manual maneuver and performed fasciotomy for the lower leg (Fig. 1b).
According to the Rome III criteria for constipation, a patient must have experienced at least 2 of the following symptoms over the preceding 3 months with symptom onset at least 6 months before diagnosis: fewer than 3 bowel movements per week, straining, lumpy or hard stools, sensation of anorectal obstruction, sensation of incomplete defecation, and/or manual maneuvering required to defecate.
Although classical benign paroxysmal positional vertigo has generally been resolvable by routine manual repositioning maneuvers, nevertheless resistant cases and variants remain a significant problem.
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