Chronic Constipation is a syndrome based on symptoms defined as unsatisfactory defecation that results from difficult stool passage or infrequent stools, hard stools, or feeling of incomplete defecation, which can occur individually or secondarily to an underlying diseas.
According to self-reported, it is characterized by subjective complaint influenced by cultural habits(2).
According to the Rome III criteria, CC is defined as the presence of two or more of the following symptoms for the last three months, with onset at least 6 months before diagnosis: straining during at least 25% of defecations, lumpy or hard stools in at least 25% of defecations, sensation of incomplete evacuation for at least 25% of defecations, sensation of anorectal obstruction/blockage for at least 25% of defecations, manual maneuvers to facilitate at least 25% of defecations (e.g., digital evacuation and support of the pelvic floor), and lesser than three defecations per week.
In addition to these, two more symptoms of constipation are considered: stools that occur rarely without the use of laxatives, and non-fulfillment of the criteria for irritable bowel syndrome associated factors obtained here have never been investigated