For the diagnosis of constipation, an individual must present with the following four symptoms, such as having fewer than three bowel movements in a week, straining to initiate or complete defecation, consistency of a hard stool, and the feeling of incomplete emptying (Thakare, 2020). The patient in the provided case study presented with symptoms of constipation and bloating for about a month. She presented with one bowel movement for an entire week, with straining feelingsthat lasted for up to 10 minutes before initiating or completing a bowel movement. She also confirmed that her stool was extremely hard. Consequently, the patient complained of incidences of heartburn about three to four times every week. Looking at the causative aspects that might have contributed to the patients constipation, to confirm the diagnosis, she has been involved in limited exercise and physical activity, in addition to taking naproxen with can also result in constipation (Thakare, 2020). Other signs and symptoms of constipation not presented by the patient include the feeling that one has not completely emptied his or her rectum, and the need for help such as using your hands to empty your rectum.
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