Low fiber intake, inadequate amounts of fluids, poor ambulation or immobility, or medications can contribute to constipation. Once the presence of constipation is identified based on a culmination of the symptoms described above, then the cause of constipation should be figured out. Separating non-life-threatening from serious causes may be partly based on symptoms. For example, colon cancer may be suspected if a person has a family history of colon cancer, fever, weight loss, and rectal bleeding. Other alarming signs and symptoms include family or personal history of inflammatory bowel disease, age of onset over 50, change in stool caliber, nausea, vomiting, and neurological symptoms like weakness, numbness and difficulty urinating. Examination
A physical examination should involve at least an abdominal exam and rectal exam. Abdominal exam may reveal an abdominal mass if there is significant stool burden and may reveal abdominal discomfort. Rectal examination gives an impression of the anal sphincter tone and whether the lower rectum contains any feces or not. Rectal examination also gives information on the consistency of the stool, the presence of hemorrhoids, blood and whether any perineal irregularities are present including skin tags, fissures, anal warts. Physical examination is done manually by a physician and is used to guide which diagnostic tests to order. Diagnostic tests
Functional constipation is common and does not warrant diagnostic testing. Imaging and laboratory tests are typically recommended for those with alarm signs or symptoms.The laboratory tests performed depends on the suspected underlying cause of the constipation.
The ellipsis ... (, also known informally as dot dot dot) is a series of dots that indicates an intentional omission of a word, sentence, or whole section from a text without altering its original meaning. The plural is ellipses. The term originates from the Ancient Greek: ἔλλειψις, élleipsis meaning leave out.Opinions differ as to how to render ellipses in printed material. According to The Chicago Manual of Style, it should consist of three periods, each separated from its neighbor by a non-breaking space: . . .. According to the AP Stylebook, the periods should be rendered with no space between them: .... A third option is to use the Unicode character U+2026 … HORIZONTAL ELLIPSIS. Background
The ellipsis is also called a suspension point, points of ellipsis, periods of ellipsis, or (colloquially) "dot-dot-dot". Depending on their context and placement in a sentence, ellipses can indicate an unfinished thought, a leading statement, a slight pause, an echoing voice, or a nervous or awkward silence. Aposiopesis is the use of an ellipsis to trail off into silence—for example: "But I thought he was..." When placed at the end of a sentence, an ellipsis may be used to suggest melancholy or longing.The most common forms of an ellipsis include a row of three periods or full points ... or a precomposed triple-dot glyph, the horizontal ellipsis …. Style guides often have their own rules governing the use of ellipses.