Patients with constipation-predominant irritable bowel syndrome (C-IBS) report infrequent bowel movements, hard or lumpy stools, a sensation of incomplete rectal evacuation and excessive straining. Approximately 20 percent of IBS patients have this pattern. The definition of constipation as having fewer than 3 bowel movements per week is based upon epidemiological studies of large numbers of people.
However, many who report that they have constipation have bowel movements on a daily basis while complaining of straining during defecation or of being unable to completely empty the rectum.
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