Constipation: An Overlooked, Unmanaged Symptom of XXXX with @entity1911 and @entity1823 .

@entity1 @entity295 @entity1911 @entity5 @entity10 @entity601 @entity3 @entity1823 @entity1063 @entity2661 @entity1142 @entity65
OBJECTIVE: @entity1911 ( @entity1911 ) and sympathetic @entity1823 ( @entity1823 ) are @entity5 that produce @entity2661 , predisposing @entity1 to @entity65 and gastrointestinal effects such as @entity1142 . OBJECTIVES: 1. Determine the prevalence of @entity1142 , its risk factors, and its impact on survival. 2. Identify whether a systematic combination of fiber, water, and laxatives, was effective for treatment of @entity1142 . DESIGN AND METHODS: We retrospectively studied 396 @entity1 with PH/PG diagnosed in 2005-2014. The study population was @entity1 with @entity1142 as a presenting symptom; the control group, @entity1 without @entity1142 as a presenting symptom. The @entity601 Anderson Symptom Inventory was used to assess @entity1142 and quality of life. RESULTS: Twenty-three @entity1 (6%) had @entity1142 . Constipation was associated with @entity10 , palpitations, diaphoresis, weight loss, and excessive @entity1063 production (p<0.0001). Eighteen of these @entity1 had non-metastatic @entity5 larger than 5 cm and/or extensive @entity3 . No statistically significant differences in age, sex, and genotype were noted between the study and control groups. In @entity1 without @entity3 , resection of the @entity5 led to symptom disappearance. A systematic combination of fiber, water, and laxatives was associated with symptom improvement. Two @entity1 who presented unmanaged @entity1142 died because of @entity295 from toxic megacolon. CONCLUSIONS: Constipation is a rare and potentially lethal complication in @entity1 with PH/ @entity1823 . Severe @entity1142 can be prevented by recognizing and treating mild symptoms.
