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IRCT138904074263N1 IRCT 2010-09-14 Drputy for Education and Research, Gonabad University of Medical Sciences Treatment of chronic constipation and hemorrhoid with colon washing and its conditioning The effect of colon washing and conditioning with low pressured irrigator in treatment of chronic constipation and secondary hemorrhoid on women aged 20-40 years 2010-09-23 anticipated 40 Complete https://irct.ir/trial/4528 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment. N/A Chronic constipation and secondary hemorrhoid. Intervention 1: Colon washing by irregator (Duration: 1-3 months, how to use of Irregator: with teaching by a psychologist and a physician). Intervention 2: Conditioning (duration 1-6 months, how to use: with doing colon washing precisely and orderly by Irregator at special time).
public Dr Ali Mohammadpour
Deputy for Education and Research, Gonabad University of Medical Sciences, Cento road
Gonabad Iran (Islamic Republic of) 9691793718 +98 53 3722 5027 amohammadpur@yahoo.com Gonabad University of Medical Sciences scientific Dr Jahanshir Tavakolizadeh
The board of basic science-Deputy for Education and Research, Gonabad University Medical Sciences, Cento road
Gonabad Iran (Islamic Republic of) 9691793718 +98 53 3722 5027 jahanshir_t@yahoo.com.au Gonabad University of Medical Sciences Iran (Islamic Republic of) Inclusion criteria: To be women and have been between 40-20 years old . –inclusion criteria of samples for chronic constipation have been done according to criteria in Table 2. inclusion criteria of hemorrhoid: Any hemorrhoid accompanied by constipation and it has been secondary. Table 1: Rome II criteria for chronic constipation (derived from Johnson KralStein, 2007) The presence of 2 or more of the following for at least 3 months, which need not be consecutive, in the past 12 months *: - straining during more than 25% of defecations - Lumpy or hard stool more than 25% of defecations - Sensation of incomplete evacuation more than 25% of of defecations - Sensation of anorectal obstruction / lockade more than 25% of defecations. - Manual maneuvers to facilitate more than 25% of defecations - Less than three defecations per week * loose stools not present, and criteria are insufficient for irritable bowel Syndrome . The Table from Johanson and Kralstein (2007) 22. Table 2 Rome III criteria for functional constipation: -Two or more of the following for the last 3 months: - straining during at least 25% of defecations - hard or Lumpy stools in at least 25% of defecations - Sensation of incomplete evacuation in at least 25% of defecations - Sense of anorectal obstruction in at least 25% of defecations. - Manual maneuvers to facilitate in at least 25% of defecations - Less than 3 bowel movements per week - loose stools are rarely present without the use of laxatives. criteria for irritable bowel Syndrome are not fullfilled The table derived from Choung, et al, 2007) Exclusion criteria: - no pregnant – the history of cancer disease or other organic diseases ( by physician diagnosis), such as (diverticulosis, inflammatory bowel disease, IBD and irritable bowel syndrome, IBS-C), by taking the observation from patient and examination by surgeon general is rule out. - the history of pathologies such as tumors of the colon area, that led to hemorrhoid are rejected, 20 years 40 years Female Treatment - Other Behavior Colon washing by irregator (Duration: 1-3 months, how to use of Irregator: with teaching by a psychologist and a physician) Conditioning (duration 1-6 months, how to use: with doing colon washing precisely and orderly by Irregator at special time) Chronic constipation. Timepoint: 6 months. Method of measurement: A rating scale. Secondry hemorhoid. Timepoint: 6 months. Method of measurement: A rating scale. Ordely defecation. Timepoint: 6 months. Method of measurement: A rating scale. Drputy for Education and Research, Gonabad University of Medical Sciences Approved 2010-08-21 Gonabad University of Medical Sciences Gonabad University of Medical Sciences , Sento road Gonabad Iran (Islamic Republic of)