The Prevalence of Constipation and Its Associated Complications in Aseer Region by Using Wexner Scale

Abstract

Background: Constipation is a common condition in the community which represents a significant burden for both individuals and health care systems. For the individual, constipation is associated with pain and symptoms which negatively impact quality of life. Constipation is a common gastrointestinal problem, which causes many expenses for the community with an estimated prevalence of 1% to 80%, worldwide. Aim: to assess the prevalence of constipation and its associated complications in Asser region, Saudi Arabia, by using Wexner Constipation Scoring System. Methodology: A descriptive cross-sectional survey was used targeting all groups of population in Aseer region for at least 6 months, aged 18 years or more, and who agreed to participate in the study. Data was collected using structured questionnaire included person’s sociodemographic data, in addition to constipation severity as assessed using Wexner constipation scoring system. The final questionnaire was uploaded using social media platforms and answers were included consecutively till no more answers were obtained. Results: 939 participants completed the survey; 23.2% of participants had a score of (11-10) = mild constipation, and only 1.3% had a score (21-30) = moderate to severe constipation. The most common complications related to constipation and high Wexner score were: Hemorrhoid then hernia then rectal prolapse and anal fissure. In regard to most behaviors related to constipation and high Wexner score: change in daily routine was the highest correlated behavior with Wexner constipation score, followed by “smoking”. The clinical status related with constipation and high Wexner score: Chronic diseases and frequent use of medications. For marital status, being widowed or divorced was associated with a significantly higher score in Wexner constipation than being single or married. Doing exercises each day was associated with a lower score in Wexner constipation. Conclusions: In conclusion, the current study showed that chronic constipation was not a common health problem among the study population with higher severity score among old aged participants who were married and in the working group. Key words: Constipation, prevalence, population, Wexner score, risk factors, complications, Saudi Arabia.