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. 2004 Mar 22;141(8):1237–1248. doi: 10.1038/sj.bjp.0705741

Table 2.

Identifying key issues on constipation in the clinical history: factors that suggest a defecatory disorder

1. Prolonged straining to expel stool
2. Assuming unusual postures on the toilet to facilitate stool expulsion
3. Support of the perineum, digitations of the rectum, posterior vaginal pressure to facilitate rectal emptying
4. Inability to expel enema fluid
5. Constipation after subtotal colectomy for constipation