Red, with out exclusion. Patients’ records were reviewed. The information collection integrated: gender, age, medical history, the results ofDiagnosis and treatmentThe abdominal examination was standard in many of the patients in each study periods, and the physical signs had been also related among the groups. A rectal digital examination was performed in 89.six and 99.three on the sufferers within the first and second periods, respectively (P , 0.0001) (Table 2).submit your manuscript | dovepressInternational Journal of General Medicine 2013:DovepressDovepressEnema and perforationTable 1 Clinical dataPeriod 1 Number of total ED visits per year Number of sufferers with constipation referred to ED Average age ?SD (years) Age 20?9 years 50?4 years 65?3 years Sex Female Male Shifts Morning (07:00?four:59) Evening (15:00?two:59) Night (23:00?6:59) Length of stay at ED: typical ?SD (hours) 97,500 269 (0.27 ) 64.five ?21.eight 62 (23.0 ) 42 (15.6 ) 165 (61.3 ) 142 (52.eight ) 127 (47.2 ) 118 (43.eight ) 118 (43.1310680-18-2 Purity 9 ) 33 (12.3 ) 9.1 ?five.7 Period two 99,000 286 (0.29 ) 62.eight ?22.7 78 (27.2 ) 51 (17.8 ) 157 (54.9 ) 142 (49.six ) 144 (50.4 ) 127 (44.4 ) 133 (46.5 ) 26 (9.1 ) five.5 ?4.two NS NS NS NS NS NS NS NS NS NS ,0.0001 PTable 2 Indicators, symptoms, and laboratory test resultsPeriod 1 N Crucial signs (mean ?SD) Pulse Fever VAS discomfort score Blood stress Systole, mean ?SD Diastole, imply ?SD Abdominal examination performed in ED Abdominal tenderness Abdominal distention Suspected incarcerated hernia Abdominal fullness Standard abdominal examination Digital rectal examination performed in ED Refused rectal examination Fecal stone External hemorrhoids Rectal SOL Benign prostate hypertrophy Regular PR examination Blood tests (mean ?SD) Hemoglobin WBC Creatinine Abdominal X-ray performed in ED Paralytic ileus Expansion of bowel loops 269 81 ?15 36.7 ?0.3 four.two ?3.2 138 ?26 72 ?15 265 (98.five ) 17 (6.four ) 16 (six.0 ) 1 (0.4 ) 12 (four.5 ) 223 (84.1 ) 241 (89.6 ) six (two.two ) 22 (9.1 ) three (1.two ) 4 (1.6 ) 2 (0.eight ) 232 (96.three ) 12.1 ?1.4 8596 ?3543 0.9 ?0.five 260 (96.6 ) 3 (1.1 ) 7 (two.7 ) Period two 286 82 ?16 36.7 ?0.four three.7 ?3.1 138 ?24 73 ?12 286 (one hundred.0 ) 19 (six.6 ) 13 (four.five ) 0 five (1.7 ) 249 (87.1 ) 284 (99.three ) 4 (1.four ) 15 (five.three ) five (1.eight ) 1 (0.3 ) 3 (1.0 ) 258 (90.8 ) 12.two ?1.6 8064 ?2535 0.9 ?0.three 285 (99.56 ) 1 (0.3 ) 5 (1.7 ) NS NS 0.062 NS NS NS NS NS NS 0.095 NS ,0.0001 NS NS NS NS NS NS NS PAbbreviations: ED, Emergency Division, NS, not important; SD, standard deviation.Fecal stones were identified in 37 individuals plus a rectal tumor in five.1370535-33-3 web Hemoglobin, white blood cell count, and creatinine levels have been similar in each periods.PMID:23329650 More X-ray studies have been performed inside the second period. Paralytic ileus was demonstrated in 4 sufferers and was suspected in 12 individuals. Cleansing enema was performed in 76.9 and 57.7 on the sufferers within the first and second period in the study, respectively (P , 0.0001) (Table 3). Inside the initially period, only Fleet?Enema (phospho-soda) (Fleet Co, Inc, Lynchburg, VA, USA) was employed, and within the second period, this was changed to Simple Go enema (Gilco Pharm Ltd, Rishon Le-Zion, Israel) that is certainly no cost of sodium and phosphate. Age, renal function, blood stress, or drugs (like ACE inhibitors and ACE antagonists) were not taken into consideration prior to remedy with Fleet Enema. A mixture therapy of cleansing enema and oral laxative was used in additional sufferers throughout the first period of study; laxative with no more enema was utilised in much more patients throughout the second period.0.045 NS NSAbbreviations: ED,.