Understanding Mechanisms of Normal and Disordered Defecation

ConditionConstipation
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-80
SponsorMayo Clinic

About this trial

Researchers are trying to better understand why constipation occurs and improve the tests for diagnosing these conditions.

Eligibility criteria

Qualifiers

Male and female volunteers aged 18-80 years.

Able to provide written informed consent before participating in the study.

Able to communicate adequately with the investigator and to comply with the requirements for the entire study.

Individuals with chronic constipation for 1 year, with 2 or more of the following symptoms for 3 months or longer: <3 bowel motions/week, straining ≥ 25% of time, hard or lumpy stools ≥ 25% of time, anal digitation ≥ 25% of time, incomplete evacuation ≥ 25% of time, feeling of anorectal blockage ≥ 25% of time.

Disqualifiers

Clinical evidence of significant cardiovascular, respiratory, renal, hepatic, gastrointestinal, hematological, neurological, psychiatric or other disease that may interfere with the objectives of the study and/or pose safety concerns.

Current symptoms of a functional gastrointestinal disorder assessed by questionnaire.

Putative risk factors for pelvic floor trauma: i.e. six or more vaginal deliveries, birthweight >4500gms (macrosomia), or known 3rd or 4th degree perineal tear.

Medications that are likely to alter gastrointestinal motility: e.g., opiates and anticholinergic medications; a stable dose of thyroxine and low doses of tricyclic agents (e.g., up to amitriptyline (50 mg daily).

Trial design

Treatments tested in this trial

  • Rectal Barostat Study
  • Fecoflowmetry

Treatment groups

160 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Mayo Clinic

Lead sponsor

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

Collaborator