Associated Symptoms

Setting, Persons at Risk

Duration of a few days, possibly Nausea, vomiting, periumbilical cramping pain. Often travel, a common food source, or an longer. Lactase deficiency may Temperature normal or slightly elevated epidemic lead to a longer course.

An acute illness of varying duration

Lower abdominal cramping pain and often rectal urgency, tenesmus; fever

Travel, contaminated food or water. Men and women who have had frequent anal intercourse.

Acute, recurrent, or chronic Possibly nausea; usually little if any pain

Prescribed or over-the-counter medications

Often worse in the morning. Diarrhea rarely wakes the patient at night.


Onset ranges from insidious to acute. Typically recurrent, may be persistent. Diarrhea may wake the patient at night.

Insidious onset, chronic or recurrent. Diarrhea may wake the patient at night.

Crampy lower abdominal pain, abdominal distention, flatulence, nausea, constipation

Change in usual bowel habits, crampy lower abdominal pain, constipation

Crampy lower or generalized abdominal pain, anorexia, weakness, fever

Crampy periumbilical or right lower quadrant (enteritis) or diffuse (colitis) pain, with anorexia, low fever, and/or weight loss. Perianal or perirectal abscesses and fistulas

Young and middle-aged adults, especially women

Middle-aged and older adults, especially over 55 yr

Often young people

Often young people, especially in the late teens, but also in the middle years. More common in people of Jewish descent

Onset of illness typically insidious

Follows the ingestion of milk and milk products; is relieved by fasting

Variable Variable

Anorexia, weight loss, fatigue, abdominal distention, often crampy lower abdominal pain. Symptoms of nutritional deficiencies such as bleeding (vitamin K), bone pain and fractures (vitamin D), glossitis (vitamin B), and edema (protein)

Crampy abdominal pain, abdominal distention, flatulence

Often none

Weight loss, dehydration, nausea, vomiting, and cramping abdominal pain

Variable, depending on cause

African Americans, Asians, Native Americans

Persons with anorexia nervosa or bulimia nervosa

Variable depending on cause

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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