0 stringlengths 12 494 | embeddings listlengths 384 384 |
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however,\tmore\tthan\t30%\tof\tcases\tare\tidiopathic.\tNumerous\tclasses\tof\tclinical\tconditions\tare\nassociated\twith\tgastroparesis,\tincluding\tacid-peptic\tdiseases,\tgastritis,\tpostgastric\tsurgery,\tdisorder\nof\tgastric\tsmooth\tmuscle,\tpsychogenic\tdisorders,\tlong-term\tuncontrolled\tdiabetes,\tand\tneur... | [
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disorders.\nPathophysiology\nClinical\tsymptoms\tmay\tinclude\tabdominal\tbloating,\tdecreased\tappetite\tand\tanorexia,\tnausea\tand\nvomiting,\tfullness,\tearly\tsatiety,\thalitosis,\tand\tpostprandial\thypoglycemia.\tThe\tgold-standard\nmeasure\tof\tgastric\temptying\trate\tis\t\nscintigraphy\n,\ta\tnuclear\ttest\to... | [
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scintigraphy\n,\ta\tnuclear\ttest\tof\tgastric\temptying.\tThis\tconsists\nof\tthe\tpatient\tingesting\ta\tradionucleotide-labeled\tmeal\t(such\tas\tan\tegg\tlabeled\t\n90m\ntechnetium),\tand\nscintigraphic\n\timages\tare\ttaken\tover\ttime\t(generally\t4\thours)\tto\tassess\tthe\trate\tof\tgastric\temptying. | [
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Gastric\temptying\tis\tabnormal\twhen\tgreater\tthan\t50%\tof\tthe\tmeal\tis\tretained\tafter\t2\thours\tof\tstudy\nor\twhen\tgreater\tthan\t10%\tof\tthe\tmeal\tis\tretained\tafter\t4\thours.\nMedical\tmanagement\nNumerous\tsymptoms\tof\tgastroparesis\tcan\taffect\toral\tintake,\tand\tthe\tmanagement\tof\tthese\tsympto... | [
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generally\timproves\tnutrition\n\tstatus.\tTreatment\tof\tnausea\tand\tvomiting\tis\tperhaps\tthe\tmost\tvital,\tand\nprokinetics\tand\tantiemetics\tare\tthe\tprimary\tmedical\ttherapies\t(see\t\nTable\t26.3\n).\tMetoclopramide\tand\nerythromycin\tare\tmedications\tthat\tmay\tbe\tused\tto\tpromote\tgastric\tmotility.\t... | [
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brake\t(the\tslowing\teffect\tof\tintestinal\ttransit\tof\tundigested\tfood,\toften\tfat,\treaching\tthe\tileum),\tor\nformation\tof\ta\t\nbezoar\n\t(concentration\n\tof\tundigested\tmaterial\tin\tthe\tstomach)\tare\tother\tfactors\tthat\nmay\taffect\tnutritional\tstatus.\tIn\ta\tselect\tpatient\tpopulation,\timplantat... | [
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be\tadvantageous\tto\timprove\tgastric\temptying\t(\nRoss\tet\tal,\t2014\n).\nBezoar\tformation\tmay\tbe\trelated\tto\tundigested\tfood\tsuch\tas\tcellulose,\themicellulose,\tlignin\tand\nfruit\ttannins\t(phytobezoars),\tor\tmedications\t(pharmacobezoars)\tsuch\tas\n\tcholestyramine,\tsucralfate, | [
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cholestyramine,\tsucralfate,\nenteric-coated\taspirin,\taluminum-containing\tantacids,\tand\tbulk-forming\tlaxatives.\tTreatment\tof\nbezoars\tincludes\tenzyme\ttherapy\t(such\tas\tpapain,\tbromelain,\tor\tcellulase),\tlavage,\tand\tsometimes\nendoscopic\ttherapy\tto\tmechanically\tbreak\tup\tthe\tbezoar.\tMost\tpatien... | [
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of\tmedication\tand\tdietary\tintervention;\thowever,\tunresponsive\tand\tmore\tsevere\tcases\n\tmay\tbenefit\nfrom\tplacement\tof\tan\tenteral\ttube\tinto\tthe\tsmall\tintestine,\tsuch\tas\ta\tnasoenteric\tsmall\tbowel\tfeeding\ntube\t(for\tless\tthan\t4-week\tneed)\tor\tpercutaneous\tendoscopic\tgastrostomy\twith\tje... | [
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(PEG/J)\t(for\tmore\tthan\t4-week\tneed).\tThe\tlatter\tallows\tfor\tnutrition\tto\tbypass\tthe\tstomach\twhile\nproviding\tan\talternative\troute\tfor\tventing\tof\tgastric\tsecretions,\twhich\tmay\trelieve\tnausea\tand\nvomiting.\nMedical\tnutrition\ttherapy\nThe\tprimary\tdietary\tfactors\tthat\taffect\tgastric\temp... | [
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hyperglycemia,\tfiber,\tfat,\tand\tosmolality.\tGenerally,\tpatients\tbenefit\tfrom\tsmaller,\tmore\tfrequent\nmeals,\tas\tlarger\tvolumes\tof\tfood\tthat\tcreate\tstomach\tdistention\tcould\tdelay\tgastric\temptying\tand\nincrease\tsatiety.\tPatients\twith\tgastroparesis\toften\tcontinue\tto\n\tempty\tliquids,\tas\tth... | [
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by\tgravity\tand\tdo\tnot\trequire\tantral\tcontraction.\nShifting\tthe\tdiet\tto\tmore\tpureed\tand\tliquefied\tfoods\tis\toften\tuseful.\tA\tnumber\tof\tmedications\t(such\nas\tnarcotics\tand\tanticholinergics)\tslow\tgastric\temptying\tand\tshould\tbe\tavoided\tif\tpossible.\tModerate\nto\tsevere\thyperglycemia\t(se... | [
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motility,\twith\n\tlong-term\tdetrimental\teffects\ton\tgastric\tnerves\tand\tmotility.\tLaboratory\tdata\nconsidered\tin\tinitial\tassessment\tinclude\tglycosylated\themoglobin\tA1C\t(if\tdiabetes\tis\tpresent),\nferritin,\tvitamin\tB\n12\n,\tand\t25-OH\tvitamin\tD\t(see\t\nChapter\t29\n).\nFiber,\tparticularly\tpecti... | [
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patients\twho\tare\tsusceptible.\tIt\tis\tprudent\tto\tadvise\tpatients\tto\n\tavoid\thigh-fiber\tfoods\tand\tfiber\nsupplements.\tThe\tsize\tof\tthe\tfibrous\tparticles,\tnot\tthe\tamount\tof\tfiber,\tis\tmore\timportant\tin\tbezoar\nrisk\t(e.g.,\tpotato\tskins\tversus\tbran).\tThis\tand\tthe\tresistance\tto\tchewing\... | [
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formation.\tExamination\tof\tthe\tpatient’s\tdentition\tis\tvery\timportant\tbecause\tpatients\twho\thave | [
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missing\tteeth,\ta\tpoor\tbite,\tor\tare\tedentulous\tare\tat\tgreater\trisk.\tEven\tpeople\n\twith\tgood\tdentition\nhave\tswallowed\tand\tpassed\tfood\tparticles\tup\tto\t5\tto\t6\tcm\tin\tdiameter\t(potato\tskins,\tseeds,\ttomato\nskins,\tpeanuts).\nAlthough\tfat\tis\ta\tpowerful\tinhibitor\tof\tstomach\temptying\tp... | [
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many\tpatients\ttolerate\tfat\twell\tin\tliquid\tform.\tFat\tshould\tnot\tbe\trestricted\tin\tpatients\twho\tare\nstruggling\tto\tmeet\ttheir\tdaily\tcaloric\tneeds.\n\t\nFocus\tOn\nNew\tGI\tDisorders\tClassified\tby\tRome\tIV\tCriteria\nWith\tthe\tupdated\tRome\tcriteria,\tsome\timportant\tadditions\thave\tbeen\tinclu... | [
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definition\tof\tdisorders\tof\tgut-brain\tinteraction\t(DGBIs)\tdue\tto\ttheir\teffect\ton\tthe\tcentral\tnervous\nsystem\t(CNS).\tThese\tconditions\tare\tof\timportant\tnote\tgiven\tthe\tongoing\tuse\tof\topioids\tfor\tpain\nmanagement,\tand\talso\tgiven\tthe\tmore\trecent\tlegalization\n\tand\tincreased\tuse\tof\tmar... | [
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states.\tThe\tnew\tdiagnoses\tinclude:\n•\t\nNarcotic\tbowel\tsyndrome\t(NBS)\tor\topioid-induced\tgastrointestinal\t(GI)\thyperalgesia\tis\nclassified\tas\ta\tcentrally\tmediated\tdisorder\tof\tGI\tpain.\tIronically,\tnarcotics\tcan\tlead\tto\tmore\ndiscomfort\tin\tthose\twith\tfunctional\tGI\tdisorders,\twho\tpresent... | [
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nausea,\tbloating,\tperiodic\tvomiting,\tabdominal\n\tdistention,\tand\tconstipation.\tOver\ttime,\tpain\ncan\tworsen\tor\tincompletely\tresolve\twith\tincreased\tdoses\tof\tnarcotics.\n•\t\nOpioid-induced\tconstipation\tis\tclassified\tas\ta\tbowel\tdisorder\tand\tconsidered\tthe\tmost\ncommon\tadverse\tside\teffect\t... | [
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severe.\n•\t\nCannabinoid\thyperemesis\tsyndrome\n\tis\tclassified\tas\ta\tgastroduodenal\tdisorder\tand\nincluded\twith\n\tother\tnausea\tand\tvomiting\tdisorders.\tIt\tis\ta\tsyndrome\tof\tcyclic\tvomiting\nassociated\twith\tcannabis\tuse,\twith\ta\tcommon\treport\tof\tsymptom\timprovement\twith\thot\nbathing,\tand\t... | [
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bathing,\tand\trelief\tof\tsymptoms\twith\tcessation\tof\tcannabis\tuse.\nInternational\tFoundation\tfor\tFunctional\tGastrointestinal\tDisorders:\t\nNarcotic\tBowel\tSyndrome\n\t(website),\n2018.\t\nhttps://www.iffgd.org/other-disorders/narcotic-bowel-syndrome.html\n.\tSchmulson\tand\tDrossman, | [
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.\tSchmulson\tand\tDrossman,\n2017;\tSorrenson\tCJ,\tDeSanto\tK\tet\tal:\tCannabinoid\tHyperemesis\tSyndrome:\tDiagnosis,\tPathophysiology,\nand\tTreatment\t–\ta\tSystematic\tReview,\tJ\t\nMed\tToxicol\n\t13(1):71-87,\t2017.\nCLINICAL\tCASE\tSTUDY\nSuzie\tis\ta\t55-year-old\tfemale\twho\tis\treferred\tto\tthe\toutpatie... | [
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has\tstarted\tto\tinterfere\twith\ther\tdaily\tlife.\tShe\ttravels\tfor\twork,\tand\tkeeping\n\tup\twith\ther\tbusy\nschedule\thas\tbecome\tmore\tdifficult\twith\tsymptoms\tat\tunpredictable\ttimes\twhen\tshe\tneeds\tto\tbe\ndriving\tor\tin\ta\tmeeting.\tA\tnutrition\tconsultation\twith\ta\tregistered\tdietitian\tspeci... | [
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gastrointestinal\tdisorders\tis\trequested\tby\ther\tthoracic\tsurgeon\tto\thelp\twith\trelief\tof\tsymptoms.\nNutrition\tassessment\n•\t\nMedical\tHistory:\n\ta\tshort\tbout\twith\tdumping\tsyndrome\tin\t2014\tafter\n\ta\tNissen\tfundoplication\nfor\ta\thiatal\thernia\tthat\tresolved\ta\tshort\tperiod\tafter\tsurgery.... | [
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surgery\tto\tredo\tthe\tfundoplication\tin\tearly\t2018,\tshe\tbegan\texperiencing\tit\tagain\tbut\twith\nmore\tseverity.\tSymptoms\tinclude\tsudden\tweakness,\tshakiness,\tand\thunger.\tShe\thas\noccasional\tnausea\tduring\tepisodes,\tbut\tno\tvomiting.\tSuzie\talso\thas\ta\tnew\tdiagnosis\tof\ngastroparesis,\tdiscove... | [
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0.08578911423683167,
0.03329634293913841,
0.014979860745370388,
-0.00221... |
before\ther\tsecond\tfundoplication.\tUpon\tdiscovering\tthis,\ther\nsurgeon\talso\tdid\ta\tpyloroplasty\tduring\ther\tsecond\tfundoplication\tsurgery\tto\ttry\tand\thelp\nwith\tgastroparesis,\tand\tshe\twill\thave\tanother\tgastric\temptying\tstudy\tin\t3\tmonths.\tOther\nhistory\tincludes\televated\tblood\tpressure\t... | [
-0.019253389909863472,
-0.015174455009400845,
0.06770554929971695,
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-0.12331040948629379,
0.001789410482160747,
0.06300676614046097,
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0.033738285303115845,
0.12321880459785461,
0.011399694718420506,
0.031539276242256165,
-0.00... |
and\tblood\tglucose\tlevels\twithin\tnormal\tlimits\tunless\tshe\tis\thaving\ta\tdumping\n\tepisode,\twhen\nit\tdips\tas\tlow\tas\t30\tmg/dL.\tShe\talso\treports\toccasional\tnumbness\tand\ttingling\tin\ther\thands\nand\tfeet.\n•\t\nMedications:\n\tReglan,\tTums,\tand\tOmeprazole.\n•\t\nNutrition\tHistory:\n\tSuzie\ttr... | [
0.0003648977435659617,
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0.04751242697238922,
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0.12478334456682205,
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0.12954378128051758,
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0.053414829075336456,
0.... |
eating\tmostly\tpackaged\tand\tprepared\tfoods\ton\tthe\tgo,\tand\tfrozen\tdinners\tat\thome\tsince\tshe\nlives\talone\tand\tdoes\tnot\tenjoy\tcooking.\tImmediately\n\tafter\ther\tfundoplication\tsurgery\tshe\tate\nonly\tsoft\tfoods\tbut\thas\trecently\tgraduated\tto\tsome\tmore–normal\ttexture\tfoods\tafter\tok\tfrom | [
0.00978049635887146,
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0.14223633706569672,
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0.005235164426267147,
-0.0504... |
her\tsurgeon\tto\tdo\tso.\tShe\tis\tunable\tto\tdetermine\tany\tfood\ttriggers\tfor\ther\tdumping\twith\ther\nfood\tjournal\tand\thas\tnot\tdocumented\thow\tsoon\tan\tepisode\thappens\tafter\teating.\tShe\ttries\tto\neat\t6\tsmaller\tmeals\tper\tday\tbecause\ther\tdoctor\ttold\ther\tthis\twould\tbe\tbetter.\tShe\talso\... | [
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0.12104051560163498,
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0.07979557663202286,
0.10857171565294266,
-0.030222756788134575,
0.038169682025909424,
-0.01... |
stays\nwell\thydrated,\tdrinking\tat\tleast\tone\t24-ounce\twater\tbottle\twith\teach\tmeal.\tShe\tmet\twith\ta\nregistered\tdietitian\tonce\tbut\tsays\tthe\tdietician\tdid\tnot\tspecialize\tin\tthis\tcondition,\tso\tit\twas\nnot\tas\thelpful\tas\tshe\twould\thave\thoped.\tShe\tis\tmostly\tvegetarian\tbut\toccasionally... | [
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0.07044892758131027,
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0.06256469339132309,
0.09486968070268631,
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0.04918792471289635,
-0.028... |
chicken.\tShe\tsays\tshe\tis\tnot\topposed\tto\teating\tmeat\tbut\tmostly\tavoids\tcooking\tit.\tShe\tis\topen\nto\tnutrition\trecommendations\n\tand\tarrives\tat\tthe\tappointment\tready\tto\tlearn.\n•\t\nDietary\trecall:\n•\t\nBreakfast:\tShe\thas\tcoffee\twith\tcream\tand\tone\tslice\tof\ttoast\twith\tbutter\tor\tja... | [
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0.06790333241224289,
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0.05695585906505585,
0.029560992494225502,
-0.0011008920846506953,
0.03675036504864693,
0.0... |
leaving\tto\tdrive\tto\tan\tadjacent\tcity\tfor\ta\tfew\thours\tfor\tmeetings.\n•\t\nSnack:\tIn\tthe\tcar,\tshe\thas\ta\tcooler\tpacked\twith\tapplesauce,\tpeach\tcups,\tor\ta\tbanana,\tof | [
0.011404741555452347,
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0.14208310842514038,
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0.036930568516254425,
0.0407244935631752,
0.07266616821289062,
-0.032269883900880814,
0.03963670879602432,
0.0335941... |
27\nMedical\tnutrition\ttherapy\tfor\nlower\tgastrointestinal\ttract\ndisorders\nDeeAnna\tWales\tVanReken,\tMS,\tRDN,\tCD,\tIFNCP,\tRachel\tE.\tKay,\tMS,\tRDN,\tCD,\tCNSC,\tCarol\tS.\tIreton-\nJones,\tPhD,\tRDN,\tLD,\tCNSC,\tFASPEN,\tFAND\nKEY\tTERMS\naerophagia\nantibiotic-associated\tdiarrhea\t(AAD)\nClostridium\tdif... | [
0.008174628019332886,
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-0.01135342475026846,
-0.04368942975997925,
-0.11976136267185211,
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0.011440946720540524,
0.0941464975476265,
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0.09071827679872513,
0.08433263003826141,
-0.023837191984057426,
0.0903717428445816,
0.07373... |
infection\t(CDI)\nceliac\tdisease\t(CD)\ncolitis,\tcollagenous\ncolitis,\tlymphocytic\ncolitis,\tmicroscopic\ncolostomy\nconstipation\nCrohn’s\tdisease\ndermatitis\therpetiformis\ndiarrhea\ndietary\tfiber\ndiverticulitis\ndiverticulosis\nenterocutaneous\tfistula\t(ECF)\neructation\nfecal\tmicrobiota\ttransplant\t(FMT)\... | [
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0.05667610466480255,
0.0694383755326271,
-0.009775425307452679,
0.07004208862781525,
0.090... |
fistula\nflatulence\nflatus\nFODMAPs\nfructose\tmalabsorption\nglutamine\ngluten\ngluten\tintolerance\ngluten-sensitive\tenteropathy\ngluten\tsensitivity\nhigh-fiber\tdiet\nhigh-output\n\tstoma\t(HOS)\nhypolactasia\nileal\tJ-pouch\nileal\tpouch\tanal\tanastomosis\t(IPAA)\nileostomy\ninflammatory\tbowel\tdisease\t(IBD)\... | [
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0.02170475386083126,
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0.028681090101599693,
0.08953609317541122,
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0.056... |
irritable\tbowel\tsyndrome\t(IBS)\nKoch\tpouch\nlactose\tintolerance\nmedium-chain\ttriglycerides\t(MCTs)\nmicrobiota\nneurogenic\tbowel\noral\trehydration\tsolution\t(ORS)\nosmotic\tagents\nostomy\nostomy,\tend\nostomy,\tloop\npolyp\npouchitis\nprebiotic\nprimary\tconstipation\nprobiotic\nproctocolectomy\nrefractory\t... | [
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0.0355631485581398,
0.02775568515062332,
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0.03874432295560837,
0.10139259696006775,
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0.05506717413663864,
0.02517911046743393,
-0.014417719095945358,
0.05853065848350525,
0.052594661... |
refractory\tceliac\tdisease\nRome\tIV\tcriteria\nshort-bowel\tsyndrome\t(SBS)\nshort-chain\tfatty\tacids\t(SCFAs)\nsmall\tintestinal\tbacterial\tovergrowth\t(SIBO)\nsoluble\tfiber\nS-pouch\nsteatorrhea\nstimulant\tlaxatives\nstool\tsofteners\nsynbiotics\ntropical\tsprue\nulcerative\tcolitis\t(UC)\nW-pouch\nThe\tlower\t... | [
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0.0003354422515258193,
0.06370505690574646,
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0.02236468344926834,
0.10532580316066742,
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0.014174427837133408,
... |
W-pouch\nThe\tlower\tgastrointestinal\t(GI)\ttract\tis\tdefined\tas\tthe\n\tportion\tof\tthe\talimentary\tcanal\tincluding\tthe\njejunum\tand\tileum\tof\tthe\tsmall\tintestine,\tas\twell\tas\tthe\tentire\tlarge\tintestine.\tDietary\tinterventions\nfor\tdiseases\tof\tthis\tpart\tof\tthe\tdigestive\tsystem\thave\ttypical... | [
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0.007968617603182793,
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0.04748238995671272,
0.11286098510026932,
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0.03435715287923813,
0.068874... |
symptoms\tand\tto\tcorrect\tnutrient\tdeficiencies.\tA\tcomprehensive\tnutritional\tassessment\tshould\tbe\nperformed\tto\tdetermine\tthe\tnature\tand\tseverity\tof\n\tthe\tGI\tproblem\tto\tdetermine\tthe\tbest\tapproach\nfor\teach\tindividual.\tInformation\tobtained\tshould\tinclude\ta\thistory\tof\tweight\ttrends,\tm... | [
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0.08513612300157547,
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0.05... |
supplements,\tpresence\tof\tGI\tand\tother\tsymptoms\tthat\tmay\taffect\toral\tintake\tor\tfluid\tloss,\tand\npotential\tsigns\tand\tsymptoms\tof\tmicronutrient\tdeficiencies.\nCommon\tintestinal\tproblems\nIt\tis\timportant\tto\tunderstand\tsome\tof\tthe\tcommon\tGI\tprocesses\tthat\n\toccur\tin\thealthy\tpeople\tbefo... | [
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0.10512179881334305,
0.05737387016415596,
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0.01906682923436165,
0.094228096306324,
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0.01335423905402422,
0.0368576... |
occur\tin\thealthy\tpeople\tbefore\ndiscussing\tdiseases\trelating\tto\tthe\tlower\tGI\ttract.\tDietary\tramifications\tsuch\tas\tintestinal\tgas,\nflatulence,\tconstipation,\tand\tdiarrhea\tare\toften\tconsidered\tin\tthe\tmanagement\tof\tmore\tserious\tGI\ndisorders.\nIntestinal\tgas\tand\tflatulence\nPathophysiology | [
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0.08582127839326859,
0.12895168364048004,
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0.05... |
disorders.\nIntestinal\tgas\tand\tflatulence\nPathophysiology\nThe\tdaily\tvolume\tof\thuman\tintestinal\tgas\tis\tabout\t200\tmL,\tand\tit\tis\tderived\tfrom\tcomplex\tphysiologic\nprocesses,\n\tincluding\t\naerophagia\n\t(swallowed\tair)\tand\tbacterial\tfermentation\tby\tthe\tintestinal\ttract.\nIntestinal\tgases\ti... | [
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0.0... |
2\n),\toxygen\t(O\n2\n),\tnitrogen\t(N\n2\n),\thydrogen\t(H\n2\n),\tand\nsometimes\tmethane\t(CH\n4\n),\tand\tare\teither\texpelled\tthrough\t\neructation\n\t(belching)\tor\tpassed\trectally\nas\t\nflatus\n.\tDetectable\tlevels\tof\tCH\n4\n\tproduced\tvia\tanaerobic\tfermentation\tby\thuman\tenteric\nmicroflora\tof\tbo... | [
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0.07908129692077637,
0.08259516209363937,
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0.0017940958496183157,
0... |
and\texogenous\tcarbohydrates\thave\tbeen\tfound\tin\t30%\tto\t62%\tof\nhealthy\tadult\tindividuals\t(\nSahakian\tet\tal,\t2010\n).\tThis\tremains\tcompelling,\tas\tabnormal\tCH\n4\nproduction\thas\tbeen\tconsidered\tin\tthe\tpathogenesis\tof\tseveral\tintestinal\tdisorders,\tincluding\tcolon\ncancer,\tinflammatory\tbo... | [
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0.046978890895843506,
0.09193462133407593,
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0.031221356242895126,
0.083106... |
(\nTriantafyllou\tet\tal,\t2014\n).\nWhen\tpatients\tcomplain\n\tabout\t“excessive\tgas”\tor\t\nflatulence\n,\tthey\tmay\tbe\treferring\tto\tincreased\nvolume\tor\tfrequency\tof\tbelching\tor\tpassage\tof\trectal\tgas.\tThey\tmay\talso\tcomplain\tof\tabdominal | [
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0.026673316955566406,
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0.030975908041000366,
0.010665171779692173,
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0.06606242805719376,
0.0004399229947011918,
0.04398929327726364,
0.063... |
distention\tor\tcramping\tassociated\twith\tthe\taccumulation\tof\tgases\tin\tthe\tupper\tor\tlower\tGI\ttract.\tThe\namount\tof\tair\tswallowed\tincreases\twith\teating\tor\tdrinking\ttoo\tfast,\tsmoking,\tchewing\tgum,\tsucking\non\thard\tcandy,\tusing\ta\tstraw,\tdrinking\n\tcarbonated\tdrinks,\tand\twearing\tloose-... | [
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0.05357135087251663,
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0.11828964948654175,
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0.05189312621951103,
0.11254900693893433,
-0.024525711312890053,
0.05282653868198395,
0.0243... |
carbonated\tdrinks,\tand\twearing\tloose-fitting\tdentures.\tFoods\nthat\tproduce\tgas\tin\tone\tperson\tmay\tnot\tcause\tgas\tin\tsomeone\telse,\tdepending\ton\tthe\tmix\tof\nmicroorganisms\tin\tthe\tindividual’s\tcolon.\tInactivity,\tdecreased\tmotility,\taerophagia,\tdietary\ncomponents,\tand\tcertain\tGI\tdisorders... | [
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0.04250256344676018,
0.08659875392913818,
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0.05559143051505089,
0.0532755... |
symptoms.\nNormally,\tthe\tconcentration\tof\tbacteria\tin\tthe\tsmall\n\tintestine\tis\tsignificantly\tlower\tthan\tthat\tfound\nin\tthe\tcolon.\tVarious\tconditions\tcan\tlead\tto\tovergrowth\tof\tbacteria\tin\tthe\tsmall\tintestine,\tcausing\nbloating,\tdistention,\tnausea,\tdiarrhea,\tor\tother\tsymptoms.\tIn\ta\tn... | [
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0.035571224987506866,
0.0028406050987541676,
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0.00369643303565681,
0.03651389479637146,
0.05938497185707092,
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0.03379407897591591,
0.11251754313707352,
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0.005083051975816488,
0.092... |
such\tas\tgastric\tacid,\tintestinal\tperistalsis,\tthe\tileocecal\tvalve,\tbile\tacids,\tthe\tenteric\timmune\tsystem,\nand\tpancreatic\tenzyme\tsecretion\tall\twork\n\tin\tconcert\tto\tprevent\tthe\tovergrowth\tof\tbacteria\twithin\tthe\nsmall\tintestine.\nMedical\tnutrition\ttherapy\nWhen\tevaluating\ta\tpatient,\tc... | [
0.04155019298195839,
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0.05125075951218605,
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0.06209922209382057,
0.01053202897310257,
-0.011716541834175587,
0.06030132994055748,
0.16446436941623688,
-0.04322927072644234,
0.016342680901288986,
0.0265665... |
production\tof\tgas\tand\tgas\tthat\tis\tnot\tbeing\tpassed.\tIt\tis\talso\timportant\tto\tconsider\twhy\ta\tpatient\tmay\nhave\tnew\tor\tincreased\tsymptoms\tor\tif\tgas\tis\taccompanied\tby\tother\tsymptoms\tsuch\tas\tconstipation,\ndiarrhea,\tor\tweight\tloss.\tKeeping\ta\tfood\tdiary\tto\ttrack\teating\thabits\tand... | [
0.006212406326085329,
-0.06310560554265976,
0.015653494745492935,
0.02883041836321354,
-0.07489919662475586,
0.005814217031002045,
0.07955370098352432,
0.018735837191343307,
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0.04403328150510788,
0.14722569286823273,
-0.025065647438168526,
0.041064828634262085,
0.0418... |
specific\tfoods\tor\tbehaviors\tthat\tmay\tbe\tcontributing\tto\tgas\tproduction.\tCareful\treview\tof\tthe\tdiet\tand\nthe\tamount\tof\tburping\tor\tgas\tpassed\tmay\thelp\trelate\tspecific\tfoods\tto\tsymptoms\tand\tdetermine\tthe\nseverity\tof\tthe\tproblem.\tEating\tbehaviors\tto\tconsider\tcould\tinclude\twhether\... | [
0.03497966378927231,
-0.060836780816316605,
0.03150935098528862,
-0.014576630666851997,
-0.07533581554889679,
0.011032242327928543,
0.10271034389734268,
-0.008083678781986237,
-0.020944267511367798,
0.027622951194643974,
0.15519070625305176,
-0.04357831925153732,
0.02620903216302395,
0.024... |
food\n\twell,\teating\tslowly\tor\tunder\tstressful\tconditions,\tand\teating\tlarge\tamounts\tof\traw\tfoods\tthat\ncould\tbe\tcontributing\tto\texcess\tgas.\nIf\tmilk\tor\tmilk\tproducts\tare\tcausing\tgas,\ta\tpatient\tis\tevaluated\tfor\tlactose\tintolerance\t(see\tdetailed\ndiscussion\tlater\tin\tthis\tchapter\tfo... | [
-0.011632231995463371,
-0.060136713087558746,
0.061226896941661835,
0.014172474853694439,
-0.07980480045080185,
-0.024366235360503197,
0.11070502549409866,
-0.014762530103325844,
-0.04284010827541351,
0.019567318260669708,
0.1299755871295929,
-0.07135678827762604,
0.03581999987363815,
0.01... |
milk\tproducts\tfor\ta\tshort\ttime\tto\tsee\tif\tsymptoms\timprove.\n\tRecent\tviral\tor\tGI\tinfection\tmay\tinduce\ntemporary\tor\teven\tpermanent\timpairment\tin\tthe\tability\tto\tdigest\tlactose.\tIf\tintake\tis\tdesired\tor\ndifficult\tto\tavoid\tfor\tsome\treason,\tlactase\ttablets,\tdrops,\tand\tlactose-free\t... | [
-0.021265460178256035,
-0.0705689787864685,
0.013917378149926662,
-0.024655696004629135,
-0.07614480704069138,
0.004007380921393633,
0.08780352771282196,
0.028464319184422493,
-0.0296451598405838,
0.058125585317611694,
0.1209736093878746,
-0.04303106293082237,
0.04759965464472771,
0.030552... |
to\thelp\tdigest\tlactose\tand\treduce\tgas.\nInactivity,\tconstipation,\tintestinal\tdysmotility,\tor\tpartial\tbowel\tobstruction\tmay\tcontribute\tto\tthe\ninability\tto\n\tmove\tnormal\tamounts\tof\tgas\tproduced.\tFurther,\ta\tsudden\tchange\tin\tdiet,\tsuch\tas\ta\ndrastic\tincrease\tin\tfiber\tintake,\talso\tcan... | [
-0.03794654831290245,
-0.054946232587099075,
0.004588935524225235,
0.0007079257629811764,
-0.05957864969968796,
0.018793372437357903,
0.08377823233604431,
-0.009463846683502197,
-0.013004999607801437,
0.06709158420562744,
0.1478000432252884,
-0.05667643994092941,
0.038535114377737045,
0.03... |
complex\tsugar\tresistant\tto\tdigestion),\tsuch\tas\tbeans,\tcabbage,\tbroccoli,\tBrussels\tsprouts,\tasparagus,\nand\tsome\twhole\tgrains\tcan\tincrease\tgas\tproduction.\tChanges\tin\tthe\tintestinal\tflora\toccur\tover\ttime\nafter\tan\tincrease\n\tin\tdietary\tfiber.\tA\tgradual\tintroduction\tof\tfiber\twith\tade... | [
-0.008504768833518028,
-0.05572235584259033,
0.02272018976509571,
-0.017786838114261627,
-0.07418882846832275,
-0.027258004993200302,
0.0767672061920166,
0.0028173308819532394,
-0.02362746000289917,
0.04583641141653061,
0.08559592813253403,
-0.08088192343711853,
0.0401415191590786,
0.03438... |
appears\tto\treduce\tcomplaints\tof\tgas.\t\nBox\t27.1\n\toutlines\tfoods\tthat\tmay\tcause\tincrease\tin\tgas\nproduction.\nBOX\t27.1\nFoods\tThat\tMay\tIncrease\tIntestinal\tGas\tProduction\n1.\t\nBeans\t(legumes)\n2.\t\nVegetables\tsuch\tas\tbroccoli,\tcauliflower,\tcabbage,\tBrussels\tsprouts,\tonions,\tmushrooms,\... | [
-0.021576538681983948,
-0.042118676006793976,
-0.017704375088214874,
-0.012566989287734032,
-0.05991389602422714,
0.035721033811569214,
0.08994392305612564,
0.0034550216514617205,
-0.010912693105638027,
0.015301591716706753,
0.14701725542545319,
-0.062120139598846436,
0.05565561354160309,
... |
3.\t\nFruits\tsuch\tas\tpears,\tapples,\tand\tpeaches\n4.\t\nWhole\tgrains\tsuch\tas\twhole\twheat\tand\tbran\n5.\t\nSodas:\tfruit\tdrinks\tespecially\tapple\tjuice\tand\tpear\tjuice;\tand\tother\tdrinks\tthat\tcontain\thigh-\nfructose\tcorn\tsyrup,\ta\tsweetener\tmade\tfrom\tcorn\n6.\t\nMilk\tand\tmilk\tproducts\tas\t... | [
-0.028863193467259407,
-0.03365078940987587,
0.0403338223695755,
0.0027166642248630524,
-0.04403252899646759,
0.013127924874424934,
0.10083528608083725,
-0.02547643519937992,
-0.05606255307793617,
0.03365084528923035,
0.050788383930921555,
-0.022949405014514923,
0.016147710382938385,
-0.03... |
7.\t\nPackaged\tfoods\tsuch\tas\tbread,\tcereal,\tand\tsalad\tdressing\tthat\tcontain\tsmall\tamounts\tof\nlactose\t(milk\tsugar).\n8.\t\nSugar-free\tcandies\tand\tgums\tthat\tcontain\tsugar\talcohols\tsuch\tas\tsorbitol,\tmannitol,\nerythritol,\tand\txylitol\nFrom\tNational\tInstitute\tof\tDiabetes\tand\tDigestive\tan... | [
-0.04012542963027954,
-0.06566410511732101,
0.01644282229244709,
0.05076218768954277,
-0.029739784076809883,
0.01672370359301567,
0.10910363495349884,
0.021184589713811874,
-0.025347765535116196,
0.025095254182815552,
0.11848916858434677,
-0.05348452925682068,
0.04304541274905205,
0.002911... |
Digestive\tDiseases\tA-Z\n\t(website):\nhttp://digestive.niddk.nih.gov/\n.\nConstipation\nConstipation\tis\ta\tmajor\tproblem\tworldwide.\tIn\tthe\tUnited\tStates,\tchronic\tconstipation\tleads\tto\t8\nmillion\n\tvisits\tto\tmedical\tproviders\tper\tyear\t(\nWald,\t2016\n).\tIts\texact\tprevalence\tis\tdifficult\tto\ta... | [
0.0791487991809845,
-0.08089114725589752,
0.01976335048675537,
-0.0457540899515152,
-0.07315493375062943,
-0.08050362765789032,
0.029537776485085487,
-0.01255796942859888,
-0.001705871312879026,
-0.011634470894932747,
0.08439897000789642,
-0.03504736348986626,
-0.013408422470092773,
0.0091... |
Wald,\t2016\n).\tIts\texact\tprevalence\tis\tdifficult\tto\tascertain\nbecause\tonly\ta\tminority\tof\tpatients\tsuffering\tfrom\tconstipation\tseek\thealth\tcare.\tReports\tof\tits\nprevalence\thave\tvaried\twidely,\tranging\tfrom\t0.7%\tto\t29%\tin\tchildren\tand\tfrom\t2.5%\tto\t79%\tin\tadults\n(\nForootan\tet\tal,... | [
0.027258388698101044,
-0.046188317239284515,
0.023798957467079163,
-0.0721341148018837,
-0.1054057702422142,
0.01605294644832611,
0.05818495154380798,
0.02005116082727909,
0.004511632490903139,
0.009887022897601128,
0.0844964012503624,
-0.0006940285675227642,
0.020422980189323425,
0.033785... |
(\nForootan\tet\tal,\t2018\n;\t\nRajindrajith\tet\tal,\t2016\n).\tThis\tworldwide\tvariation\tin\tprevalence\trates\tarises\nfrom\tfactors\tsuch\tas\tcultural\tdiversity;\tgenetic,\tenvironmental,\tand\tsocioeconomic\tconditions;\tand\ndifferent\thealth\tcare\tsystems.\tConstipation\thas\ta\tsignificant\timpact\ton\tqu... | [
0.043303415179252625,
-0.02375706285238266,
0.05094637721776962,
-0.0446690171957016,
-0.06806521862745285,
-0.009246128611266613,
-0.032842401415109634,
-0.011951298452913761,
-0.017997413873672485,
0.042556870728731155,
0.10558949410915375,
-0.06979548186063766,
-0.016530854627490044,
0.... |
contributes\tto\thealth\tcare\tfinancial\tburden.\tFemale\tgender\tin\tadults,\tadvancing\tage,\thigh\tbody\tmass\nindex,\tand\tlow\tsocioeconomic\tstatus\tseem\tto\tbe\tassociated\twith\ta\thigher\tprevalence\tof\tconstipation\n(\nForootan\tet\tal,\t2018\n).\nEtiology | [
0.05670439079403877,
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0.03363562747836113,
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0.0387505441904068,
0.046997103840112686,
0.020505642518401146,
-0.01841016486287117,
0.07704132050275803,
0.08258587121963501,
-0.04144684225320816,
-0.012436583638191223,
0.0490... |
Constipation\n\tis\tdefined\tas\tdifficulty\twith\tdefecation\tcharacterized\tby\tinfrequent\tbowel\tmovements\nor\tdyschezia\t(painful,\thard,\tor\tincomplete\tevacuations).\tNormal\tbowel\tmovement\tfrequency\tcan\nrange\tfrom\tthree\ttimes\tper\tday\tto\tthree\ttimes\tper\tweek.\tStool\tweight\tis\tused\tmost\tfrequ... | [
0.017967790365219116,
-0.09761979430913925,
0.05930374190211296,
0.06438926607370377,
-0.11483608931303024,
-0.05806266516447067,
0.08981500566005707,
0.0013523177476599813,
-0.020409107208251953,
-0.013730897568166256,
0.06801460683345795,
0.016219282522797585,
0.023628612980246544,
0.041... |
medical\tpractice\tand\tclinical\tdescriptions\tas\tan\tobjective\tmeasure\tof\tthe\tamount\tor\tvolume\tof\tstool.\nA\tvolume\tof\tas\tlittle\tas\t200\tg\tdaily\tis\tconsidered\tnormal\tin\thealthy\tchildren\tand\tadults.\tThe\tBristol\nStool\tScale\t(\nFig.\t27.1\n)\twas\tfirst\tdeveloped\tin\tBristol,\tEngland,\tin\... | [
-0.02393725886940956,
0.013816860504448414,
0.09091369807720184,
-0.04152067378163338,
-0.11227905750274658,
0.023153377696871758,
0.11432119458913803,
0.0388820618391037,
0.002424275502562523,
0.03153393045067787,
0.06835248321294785,
-0.022272415459156036,
0.036610718816518784,
0.0385336... |
over\ttime\tbut\tremains\ta\tuseful\treference\tfor\tclinicians\tand\tpatients\tto\tidentify\tstool\tform\tor\nconsistency\t(\nLewis\tand\tHeaton,\t1997\n).\nFIG.\t27.1\nBristol\tStool\tScale\t(Wikimedia\tCommons:\tFile:\tBristolStoolChart.png\t(website),\n\t\nhttps://commons.wikimedia.org/wiki/File:BristolStoolChart.p... | [
-0.05961667373776436,
0.006133147981017828,
0.04149383306503296,
-0.07032988965511322,
-0.08489754050970078,
-0.039730850607156754,
0.026927080005407333,
0.04193483665585518,
0.02346786856651306,
-0.03220675140619278,
0.06388542801141739,
0.015141232870519161,
0.036924026906490326,
0.01560... |
,\tUpdated\tJune\t18,\t2018).\nThe\tcauses\tof\tconstipation\tare\tvaried\tand\tmay\tbe\tmultifactorial.\tInadequate\tfiber\tintake\thas\tbeen\ncited\tas\tthe\tprimary\tculprit\tsince\tthe\tearly\t1970s,\tbut\ttreatment\tof\tthe\tunderlying\tdisorder\tshould\nalways\tbe\tthe\tprimary\n\tcourse\tof\taction.\tIt\tis\tals... | [
0.00818575918674469,
-0.012720855884253979,
0.09064075350761414,
-0.04796215891838074,
-0.10985227674245834,
0.007906914688646793,
0.04999792203307152,
-0.019538315013051033,
0.02065994031727314,
0.07180672138929367,
0.06027526408433914,
-0.014850418083369732,
0.05828601494431496,
0.022277... |
classification\tof\tconstipation\tto\ttailor\ttherapy\tbased\ton\tthe\tunderlying\tpathophysiology.\t\nBox\t27.2\noutlines\tfactors\tand\tconditions\tknown\tto\tcause\tconstipation.\nBOX\t27.2\nCauses\tof\tConstipation\nLifestyle\tand\tdiet\nLack\tof\tfiber\tin\tdiet\nLow\ttotal\tcalorie\tand\tfluid\tintake\nIron\tand\... | [
-0.019962754100561142,
-0.08595164120197296,
0.04030594602227211,
-0.015518459491431713,
-0.09211485087871552,
-0.0019994042813777924,
0.08277161419391632,
0.00016281194984912872,
-0.03313359618186951,
0.03169238567352295,
0.030595559626817703,
-0.018143681809306145,
0.040048953145742416,
... |
Lack\tof\texercise\nImmobility\nLaxative\tabuse\nPostponing\turge\tto\tdefecate\nDysmotility\tdisorders\nChronic\tintestinal\tpseudoobstruction\nHypothyroidism\nColonic\tinertia\nGastroparesis\nHirschsprung\tdisease\nChagas\tdisease\nMetabolic\tand\tendocrine\tabnormalities\tsuch\tas\tdiabetes | [
0.05175565183162689,
-0.06822854280471802,
0.015336119569838047,
0.02917836792767048,
-0.1014896109700203,
0.012066763825714588,
0.031249944120645523,
0.040012821555137634,
-0.07374502718448639,
0.07072155177593231,
0.07540269196033478,
-0.07951205968856812,
0.016541657969355583,
0.0393327... |
Neurologic\tdiseases\nAmyotrophic\tlateral\tsclerosis\nMultiple\tsclerosis\nMuscular\tdystrophy\nParkinson’s\tdisease\nFriedrich\tataxia\nCerebral\tpalsy\nPara-\tor\tquadriplegia\nSpinal\tcord\tinjury\nCerebrovascular\tdisease\nBrain\ttrauma\nPelvic\tfloor\tdisorders\nPregnancy\nDyssynergic\tdefecation\nChronic\tuse\to... | [
0.023380855098366737,
-0.08345795422792435,
0.015771476551890373,
-0.015342696569859982,
-0.17649200558662415,
-0.040552202612161636,
-0.05035103112459183,
0.041303157806396484,
-0.048226624727249146,
0.04644409567117691,
0.030281061306595802,
0.046397946774959564,
0.0075446791015565395,
0... |
Chronic\tuse\tof\topiates\nOncology\tpatients\nChronic\tpain\tpatients\nNarcotic\tbowel\tsyndrome\nOther\tgastrointestinal\tdisorders\nDiseases\tof\tthe\tupper\tgastrointestinal\ttract\nDiseases\tof\tthe\tlarge\tbowel\tresulting\tin:\nFailure\n\tof\tpropulsion\talong\tthe\tcolon\t(colonic\tinertia)\nAnorectal\tmalforma... | [
0.015172413550317287,
-0.08942846208810806,
0.015544791705906391,
-0.004942945670336485,
-0.13585256040096283,
-0.025999072939157486,
0.04510173574090004,
0.017477503046393394,
-0.013811025768518448,
0.028839726001024246,
0.10099681466817856,
0.016577139496803284,
0.022158032283186913,
0.0... |
Anorectal\tmalformations\tor\toutlet\tobstruction\nIrritable\tbowel\tsyndrome\t(IBS)\tSmall\tIntestinal\tBacteria\tOvergrowth\t(SIBO)\nAnal\tfissure\nData\tfrom\tAndrews\tCN,\tStorr\tM,\t2011;\tLongstreth\tGF\tet\tal,\t2006;\tSchiller\tLR:\tNutrients\tand\tconstipation:\ncause\tor\tcure?\t\nPract\tGastroenterol\n\t32:4... | [
-0.0156312957406044,
-0.12005358934402466,
0.0066251507960259914,
-0.00012544984929263592,
-0.12683138251304626,
0.0000295200170512544,
0.04306259751319885,
0.0866483673453331,
0.008269695565104485,
0.03345498442649841,
0.09245327115058899,
-0.035789456218481064,
-0.024784285575151443,
0.0... |
32:4,\t2008.\nPathophysiology\nConstipation\tis\tcategorized\n\tas\teither\tprimary\tor\tsecondary.\t\nPrimary\tconstipation\n,\talso\tknown\tas\nidiopathic\tor\tfunctional\tconstipation,\tis\tcaused\tby\tphysical\tor\tfunctional\tproblems\twhen\tno\nunderlying\tdisorder\tcan\tbe\tidentified\t(\nBarco\tet\tal,\t2015\n)... | [
0.026795092970132828,
-0.0736675038933754,
0.054915353655815125,
-0.02663273923099041,
-0.11666996777057648,
-0.009518364444375038,
0.06488291174173355,
0.03875076398253441,
0.016843272373080254,
0.05724213644862175,
0.08554170280694962,
-0.06254826486110687,
0.0415559746325016,
0.05544615... |
Barco\tet\tal,\t2015\n).\tThe\tdifferent\tsubtypes\tof\tprimary\nconstipation\tcan\tbe\tcategorized\tas\tfollows\t(\nAndrews\tand\tStorr,\t2011\n):\n•\t\nNormal-transit\tconstipation:\tThis\tis\tmost\tcommon\tform\tof\tchronic\tconstipation\n\tseen\tby\nclinicians\tand\tis\talso\tknown\tas\tfunctional\tconstipation.\tS... | [
-0.00312449736520648,
-0.07120534032583237,
0.07037558406591415,
-0.04224323481321335,
-0.12483098357915878,
-0.015515752136707306,
0.07391297817230225,
-0.024221111088991165,
0.019886253401637077,
0.02999313361942768,
0.11828445643186569,
-0.02602868340909481,
0.027801666408777237,
0.0257... |
rate\tof\tabout\t5\tdays\tin\tpersons\twith\tnormal-transit\tconstipation.\tIn\tfunctional\tconstipation,\npatients\treport\tsymptoms\tthey\tbelieve\tto\tbe\tconsistent\twith\tconstipation\tsuch\tas\tthe\npresence\tof\thard\tstools\tor\ta\tperceived\tdifficulty\twith\tdefecation.\tHowever,\ton\ttesting,\tstool\ntransit... | [
0.020479897037148476,
-0.09245169907808304,
0.024873187765479088,
-0.04120844602584839,
-0.08610740303993225,
0.004486479330807924,
0.1048387661576271,
0.014865034259855747,
-0.007517562247812748,
0.04482284560799599,
0.11061492562294006,
-0.030162671580910683,
0.06030847877264023,
0.03406... |
transit\tis\tnot\n\tdelayed,\tand\tthe\tstool\tfrequency\tis\toften\twithin\tthe\tnormal\trange.\tPatients\tmay\nexperience\tbloating\tand\tabdominal\tpain\tor\tdiscomfort.\tSymptoms\tof\tfunctional\tconstipation\ntypically\trespond\twith\tdietary\tfiber\talone\tor\twith\tthe\taddition\tof\tan\tosmotic\tagent.\tThe | [
0.04945634305477142,
-0.04897989705204964,
0.07301770895719528,
-0.009481610730290413,
-0.06772070378065109,
-0.004805834032595158,
0.12106291949748993,
-0.01563267968595028,
0.01388882752507925,
0.02383500151336193,
0.12528550624847412,
0.0046472507528960705,
0.0327683687210083,
0.0460880... |
Rome\tIV\tcriteria\tfor\tthe\tdiagnosis\tof\tfunctional\tconstipation\tis\toutlined\tin\t\nBox\t27.3\n\t(\nSood\nand\tFord,\t2016\n).\n•\t\nSlow\ttransit\tconstipation:\n\tThis\tsubtype\tcauses\tinfrequent\tbowel\tmovements\t(typically\tless\nthan\tonce\tper\tweek).\tOften\tpatients\tdo\tnot\tfeel\tthe\turge\tto\tdefec... | [
-0.005020398646593094,
-0.058549992740154266,
0.062189891934394836,
-0.020709870383143425,
-0.1324148178100586,
0.021748047322034836,
0.053720131516456604,
0.023607052862644196,
-0.022976716980338097,
-0.018306128680706024,
0.10467150807380676,
-0.007072703447192907,
-0.013819685205817223,
... |
associated\tbloating\tand\tabdominal\tdiscomfort.\tSlowing\tof\tintestinal\tcontents\toccurs\tmore\ncommonly\tin\tthe\trectosigmoid\tcolon\tand\tresults\tin\tdecreased\twater\tcontent\tin\tthe\tstool\tand\nreduced\tpropulsive\taction.\tTreatment\ttypically\tuses\tan\taggressive\n\tlaxative\tregimen.\tWhen | [
0.039801325649023056,
-0.05273129418492317,
0.0741778314113617,
-0.027353718876838684,
-0.1087297722697258,
0.01582198031246662,
0.14984114468097687,
-0.010664249770343304,
0.0035551281180232763,
0.0360107421875,
0.0898633822798729,
-0.033293236047029495,
0.008943724445998669,
0.0500021837... |
laxative\tregimen.\tWhen\nsevere\tand\tnot\tresolved\tby\tother\tless\tinvasive\ttreatment\toptions,\tselect\tpatients\twith\tslow\ntransit\tconstipation\tmay\talso\tbe\tconsidered\tfor\tsurgical\tprocedures\tsuch\tas\tsubtotal\ncolectomy\tand\tileorectal\tanastomosis.\n•\t\nAnorectal\tdysfunction:\tThis\tsubtype\tis\t... | [
0.01053167786449194,
-0.10354199260473251,
0.07683258503675461,
0.014107631519436836,
-0.11693112552165985,
-0.028650999069213867,
0.08604542165994644,
0.03056987188756466,
-0.01575053110718727,
-0.029790237545967102,
0.07546022534370422,
0.07560399174690247,
0.005255880765616894,
0.054616... |
sensation,\tand\tdecreased\tluminal\tpressure\tin\tthe\tanal\tcanal.\n\tFrequently,\tlaxatives\tare\thighly\nineffective\tin\tanorectal\tdysfunction.\tThe\tuse\tof\tbiofeedback\ttherapy\tto\tretrain\tthe\tmuscles\ncan\tbe\tused\tby\tpatients\twith\tconstipation\tcaused\tby\tproblems\tin\tthe\tanorectal\tmuscles.\tIt | [
0.032633185386657715,
-0.10672768205404282,
0.08126457780599594,
-0.012874440290033817,
-0.16675329208374023,
-0.018678322434425354,
0.12944971024990082,
0.042599741369485855,
0.011228354647755623,
0.02347637712955475,
0.05916423723101616,
-0.035787757486104965,
0.02516181394457817,
0.0563... |
uses\ta\tcombination\tof\tdiaphragmatic\tmuscle\ttraining,\tsimulated\tdefecation,\tand\tmanometric\nor\telectromyogram\t(EMG)\tguided\tanal\tsphincter\tand\tpelvic\tmuscle\trelaxation,\twith\ta\tgoal\tof\nimproving\n\trecto-anal\tcoordination\tand\tsensory\tawareness\t(\nLee\tet\tal,\t2014\n).\tThe | [
0.01462953258305788,
-0.03356553614139557,
0.03107142262160778,
-0.10651662945747375,
-0.11623748391866684,
-0.03906124457716942,
0.07543930411338806,
0.019588766619563103,
0.05749008059501648,
0.052208758890628815,
0.09211966395378113,
-0.013687907718122005,
0.01948191598057747,
0.0597556... |
Lee\tet\tal,\t2014\n).\tThe\nmeasurements\tare\tdisplayed\ton\ta\tvideo\tscreen\tas\tline\tgraphs,\tand\tsounds\tindicate\twhen\tthe\npatient\tis\tusing\tthe\tcorrect\tmuscles. | [
0.02249409444630146,
0.02459452673792839,
0.052689891308546066,
-0.05248294770717621,
-0.08619764447212219,
0.02845389023423195,
0.10257437080144882,
-0.00614626519382,
0.01658651791512966,
0.10444170236587524,
0.06506554037332535,
-0.1356523483991623,
0.06034500524401665,
0.01590591296553... |
BOX\t27.3\nRome\tIV\tDiagnostic\tCriteria\tfor\tFunctional\tConstipation\nCriteria\tfulfilled\tfor\tthe\tlast\t3\tmonths,\twith\tsymptom\tonset\tat\tleast\t6\tmonths\tbefore\tdiagnosis\n1.\t\nMust\tinclude\ttwo\tor\tmore\n\tof\tthe\tfollowing:\na.\n\tStraining\tduring\tmore\tthan\t25%\tof\tdefecations\nb.\n\tLumpy\tor\... | [
0.00625896081328392,
-0.06839632242918015,
0.007606869097799063,
-0.0588708370923996,
-0.13268287479877472,
-0.005307777319103479,
0.0294690802693367,
-0.015191756188869476,
-0.043863002210855484,
-0.006392785347998142,
0.013458491303026676,
-0.011417555622756481,
0.037313174456357956,
0.0... |
c.\n\tSensation\tof\tincomplete\tevacuation\tfor\tmore\tthan\t25%\tof\tdefecations\nd.\n\tSensation\tof\tanorectal\tobstruction/blockage\tfor\tmore\tthan\t25%\tof\tdefecations\ne.\n\tManual\tmaneuvers\tto\tfacilitate\tmore\tthan\t25%\tof\tdefecations\t(i.e.,\tdigital\tevacuation,\nsupport\n\tof\tthe\tpelvic\tfloor)\nf.... | [
0.03835991397500038,
-0.0784471184015274,
-0.020454945042729378,
-0.05104301497340202,
-0.09950868040323257,
0.01494585257023573,
0.08369371294975281,
0.013592520728707314,
0.007001074030995369,
0.053444135934114456,
0.08000807464122772,
-0.03364340215921402,
0.049478720873594284,
0.020706... |
of\tthe\tpelvic\tfloor)\nf.\n\tFewer\tthan\tthree\tdefecations\tper\tweek\n2.\t\nLoose\tstools\tare\trarely\tpresent\twithout\tthe\tuse\tof\tlaxatives.\n3.\t\nThere\tare\tinsufficient\tcriteria\tfor\tirritable\tbowel\tsyndrome.\nSood\tR,\tFord\tAC:\tDiagnosis:\trome\tIV\tcriteria\tfor\tFGID’s\t–\tan\timprovement\tor\tm... | [
-0.0023278254084289074,
-0.038581397384405136,
0.04812298342585564,
-0.05955811217427254,
-0.10195125639438629,
0.008338242769241333,
0.06890826672315598,
-0.014320049434900284,
0.017747072502970695,
0.01894373632967472,
0.05363788083195686,
-0.024179518222808838,
0.056239936500787735,
0.0... |
Nat\tRev\nGastroenterol\tHepatol\n\t13:501–502,\t2016.\nSecondary\tconstipation\tcan\tresult\tfrom\ta\twide\tvariety\n\tof\tfactors.\tThe\tmost\tcommon\tof\tthese\tare\nlack\tof\tdietary\tfiber,\tinactivity,\tor\tlow\tfluid\tintake.\tOther\tcauses\tcan\tinclude\tbut\tare\tnot\tlimited\tto\nmedications,\tlifestyle,\tmec... | [
-0.02620561048388481,
-0.062426310032606125,
0.011960708536207676,
-0.0711701437830925,
-0.04162788391113281,
-0.02067241258919239,
0.04448821768164635,
0.026524880900979042,
-0.0213718693703413,
0.034140605479478836,
0.056139279156923294,
-0.044639647006988525,
0.019818516448140144,
0.049... |
psychogenic\tfactors\tsuch\tas\tanxiety,\tdepression,\tdementia,\tor\teating\tdisorders,\tor\tmetabolic\nabnormalities\tsuch\tas\telectrolyte\timbalance\tand\tdiabetes.\tConditions\n\tsuch\tas\tobesity,\tpregnancy,\nirritable\tbowel\tsyndrome\t(IBS),\tsmall\tintestinal\tbacteria\tovergrowth\t(SIBO),\tor\tceliac\tdiseas... | [
-0.008314996026456356,
-0.06073124334216118,
0.008177332580089569,
0.044588204473257065,
-0.09269765019416809,
0.006141924299299717,
0.07459378242492676,
0.06728389114141464,
-0.01937803439795971,
0.04883050546050072,
0.07735727727413177,
-0.047702815383672714,
-0.03507747873663902,
0.0347... |
also\tcontribute\tto\tsecondary\tconstipation\tand\tshould\tbe\tconsidered\tin\tclinicians\taddressing\tthe\nproblem\t(\nBarco\tet\tal,\t2015\n).\t\nNeurogenic\tbowel\n\tis\ta\ttype\tof\tbowel\tdysfunction\tcaused\tby\tnerve\nmalfunction\tafter\tspinal\tcord\tinjury\tor\tnerve\tdiseases\tincluding\tbut\tnot\tlimited\n\... | [
-0.017876164987683296,
-0.10159437358379364,
0.09805666655302048,
-0.003165347268804908,
-0.10585765540599823,
-0.0009211857686750591,
0.12340918183326721,
0.02152683399617672,
-0.045465461909770966,
0.06036821007728577,
0.09538541734218597,
-0.013200273737311363,
0.01321476697921753,
0.03... |
to\tmultiple\tsclerosis\n(MS)\tor\tamyotrophic\tlateral\tsclerosis\t(ALS)\tthat\tdamages\tnerves\tassociated\twith\tcontrolling\tthe\nlower\tcolon.\tThe\ttwo\tmain\ttypes\tof\tneurogenic\tbowel\tinclude\treflex\t(spastic)\tbowel\tor\tflaccid\tbowel,\nwhich\tboth\tlead\tto\tconstipation\tfor\tvarious\treasons\t(\nCedars... | [
-0.004405774641782045,
-0.09185513854026794,
0.06513893604278564,
-0.02731987088918686,
-0.12391994893550873,
0.028688179329037666,
0.07850631326436996,
0.007405408192425966,
-0.0074903653003275394,
0.05710833519697189,
0.08508283644914627,
-0.017713772132992744,
0.040459901094436646,
0.06... |
Cedars\tSinai,\t2018\n)\nIBS\tmay\talso\tbe\tassociated\twith\tchronic\tconstipation.\tA\tlow\tFODMAP\tdiet\tis\toften\thelpful.\tMore\ninformation\n\ton\tIBS\tand\ta\tlow\tFODMAP\tdiet\tis\tfound\tlater\tin\tthis\tchapter.\nMedical\tmanagement\tfor\tadults\nA\tthorough\tand\tmeticulous\thistory\tis\tmost\thelpful\tin\... | [
-0.007437871303409338,
-0.00561876967549324,
0.046770550310611725,
-0.040001850575208664,
-0.10463765263557434,
-0.011108459904789925,
0.06344056874513626,
-0.04482591524720192,
-0.004668009467422962,
0.06772417575120926,
0.1071745827794075,
-0.03866713121533394,
0.03910813108086586,
-0.00... |
medications\tor\tother\tunderlying\tmedical\tillness.\tAfter\tthis\tis\tdone,\tthe\tfirst\tapproach\tto\ttreat\tmild\nand\tfunctional\tconstipation\tis\tto\tensure\tadequate\tdietary\tfiber\tand\tfluid\tintake,\texercise,\tand\nheeding\tthe\turge\n\tto\tdefecate.\tPatients\twho\tdepend\ton\tlaxatives\tare\tencouraged\t... | [
-0.008311256766319275,
-0.061922404915094376,
0.05357348546385765,
-0.025950508192181587,
-0.11354782432317734,
-0.015513326972723007,
0.10120260715484619,
0.10304076969623566,
-0.010470990091562271,
-0.01754303090274334,
0.016293130815029144,
0.032745301723480225,
0.02575484663248062,
0.0... |
medical\tprofessional\tand\tconsider\ta\ttransition\tto\tsomething\tmilder\tsuch\tas\tmagnesium\tcitrate\twhen\nmedically\tappropriate\tand\treducing\tthe\tlaxative\tdose\tuntil\twithdrawal\tis\tcomplete.\nWhen\tconstipation\tpersists\tdespite\tlifestyle\tand\tdietary\tmodifications,\tmedications\tthat\tpromote\nregula... | [
0.021148698404431343,
-0.012683672830462456,
0.06631365418434143,
0.0013245402369648218,
-0.06424465030431747,
-0.0012279038783162832,
0.14324556291103363,
0.0056829084642231464,
-0.009960273280739784,
0.025779809802770615,
0.106001116335392,
-0.02324926294386387,
0.002409165259450674,
0.0... |
regular\tbowel\tmovements\tmay\tbe\tprescribed.\n\tAgents\tused\tin\tthe\ttreatment\tof\tconstipation\tare\ncategorized\tbroadly\tas\teither\tstool\tsofteners\tor\tstimulants.\n•\t\nStool\tsofteners\n\t(i.e.,\tdocusate\tsodium)\tare\tanionic\tsurfactants\twith\tan\temulsifying\ndetergent-like\tproperty\tthat\tincreases... | [
-0.009688100777566433,
-0.004857209511101246,
0.05126701667904854,
-0.008923829533159733,
-0.06086447462439537,
-0.017800863832235336,
0.10678862780332565,
-0.010923908092081547,
-0.019172951579093933,
0.031307343393564224,
0.0800660029053688,
-0.030416669324040413,
0.07063187658786774,
0.... |
easier\tto\tpass.\n•\t\nOsmotic\tagents\n\tsuch\tas\tmagnesium\thydroxide,\tsorbitol,\tlactulose,\tand\tpolyethylene\tglycol\ncontain\tpoorly\tabsorbed\tor\tnonabsorbable\tsugars\tand\twork\tby\tpulling\tfluid\tinto\tthe\nintestinal\tlumen.\n•\t\nStimulant\tlaxatives\n\tsuch\tas\tbisacodyl\tand\tsenna\tincrease\tperist... | [
0.008997700177133083,
-0.0362975113093853,
0.008035647682845592,
-0.02075670287013054,
-0.0866817981004715,
-0.011293790303170681,
0.07680078595876694,
0.018064221367239952,
0.003993235528469086,
0.0572110079228878,
0.07170122861862183,
-0.013913730159401894,
0.00918374303728342,
0.0765506... |
motility\tand\tact\tto\tprevent\twater\tabsorption.\tChronic\tuse\tof\tlaxatives\tis\tassociated\twith\nabdominal\tcramping\tand\tfluid\timbalance.\nLubiprostone\t(Amitiza)\tis\ta\tmedication\tthat\thas\tbeen\tapproved\tby\tthe\n\tFDA\tfor\tidiopathic\nconstipation\tand\tto\ttreat\tIBS\twith\tconstipation\tin\tadults.\... | [
0.003152103628963232,
-0.0751737505197525,
0.05758943036198616,
-0.03502727672457695,
-0.11157957464456558,
-0.01984250918030739,
0.14062824845314026,
0.02698408253490925,
0.011079281568527222,
0.04986988380551338,
0.1091216430068016,
-0.05307967588305473,
0.01952408067882061,
0.0824098065... |
that\tincreases\tintestinal\tfluid\tsecretion\tand\tmobility\twithout\taltering\tsodium\tor\tpotassium\nelectrolytes\t(\nBailes\tand\tReeve,\t2013\n).\tIt\tincreases\tspontaneous\tbowel\tmovements\tbut\tis\ncontraindicated\tin\tpatients\twith\tsuspected\tor\tknown\tmechanical\tGI\tobstruction.\tIt\tis\trecommended\ntha... | [
0.009868435561656952,
-0.025915000587701797,
0.08371730148792267,
-0.025715310126543045,
-0.07618092745542526,
-0.010665393434464931,
0.14382526278495789,
0.035109300166368484,
-0.0161898210644722,
0.06310386210680008,
0.09643390774726868,
-0.05860054865479469,
0.0077113742008805275,
0.073... |
that\n\tpatients\ttake\t1500\tto\t2000\tmL\tof\tfluids\tper\tday\tand\ta\thigh-fiber\tdiet\tin\taddition\tto\tthe\nmedication\t(\nPronsky\tet\tal,\t2015\n).\tFurther\tdata\ton\tefficacy\tof\tany\tmedication\tshould\tbe\tevaluated\tas\nnutrition\tintervention,\tpositioning\tfor\tdefecation,\tand\tphysical\ttherapy\tmay\... | [
0.023699572309851646,
-0.022887347266077995,
0.06773293018341064,
-0.026323260739445686,
-0.1063324585556984,
-0.02166544646024704,
0.10153283178806305,
0.01495637372136116,
-0.02458420768380165,
0.04191853106021881,
0.1284584105014801,
-0.008520959876477718,
0.03397234529256821,
0.0522413... |
Medical\tmanagement\tfor\tinfants\tand\tchildren\nConstipation\tis\toften\tespecially\ttroubling\tin\tinfants\tand\n\tyoung\tchildren.\tApproximately\t3%\tto\t5%\tof\nall\tpediatric\tvisits\tare\trelated\tto\tchronic\tconstipation.\tSome\tpatients\thave\tsymptoms\tthat\tpersist\tfor | [
0.011350177228450775,
-0.02828317880630493,
0.06366314738988876,
-0.026259571313858032,
-0.08372271806001663,
-0.0017684806371107697,
0.13698460161685944,
0.03968450799584389,
0.005267051048576832,
0.018086612224578857,
0.08100547641515732,
-0.04921779781579971,
-0.0044717383570969105,
0.0... |
6\tmonths\tor\tmore.\tConstipation\tin\tthis\tlife\tstage\tmay\tbe\trelated\tto\tinadequate\tintake\tof\tfiber\tor\tfluid,\nside\teffects\tof\tmedication,\tinactivity,\tor\tdisordered\tbowel\tmotility.\tHistorically,\ta\thigh-fiber\tdiet\thas\nbeen\trecommended\tfor\tchildren\twith\tconstipation,\n\tbut\tfew\tstudies\t... | [
-0.0356711782515049,
-0.08896274864673615,
0.058452069759368896,
-0.04185289517045021,
-0.10212618112564087,
0.0020168358460068703,
0.08131948113441467,
0.002167463768273592,
-0.019803807139396667,
0.05566861480474472,
0.0794791430234909,
0.014117451384663582,
0.022740419954061508,
0.01915... |
but\tfew\tstudies\tdocument\tbenefit\t(\nKranz\tet\tal,\n2012\n).\tA\tthorough\thistory\tand\tphysical\texamination,\tparent-child\teducation,\tbehavioral\tand\nnutritional\tintervention,\tand\tappropriate\tuse\tof\tlaxatives\toften\tlead\tto\tdramatic\timprovement. | [
0.012054434046149254,
0.021692859008908272,
0.08597032725811005,
-0.0045759789645671844,
-0.07932160794734955,
0.01797199621796608,
0.06281325966119766,
-0.0038438739720731974,
0.0077695599757134914,
0.06918118894100189,
0.099223792552948,
-0.019738798961043358,
0.0014223115285858512,
0.03... |
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