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Constipation Index

 

  • Personal Information

  • MM slash DD slash YYYY
  • Obstructive Defecation Subscale

  • Straining/Difficulty having a bowel movement

  • Colonic Inertia Subscale

  • Infrequent bowel movements

    Infrequent bowel movements are defined as less than 1 bowel movement every 3 days.
  • Lack of urge to have a bowel movement

  • Pain Subscale

    Rectal/anal pain due to your bowel movements
  • This field is for validation purposes and should be left unchanged.