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What Test for Worsened Constipation?

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A 65-year-old multiparous woman presents complaining of having to spend up to 30 minutes on the commode with difficulty evacuating stool. Which of the following tests should be performed next?

A 65-year-old multiparous woman presents complaining of having to spend up to 30 minutes on the commode with difficulty evacuating stool. The problem began with menopause and worsened after a hysterectomy 2 years ago. A routine screening colonoscopy 2 years earlier was unremarkable. Which of the following tests should be performed next?

A. Repeated colonoscopy
B. Anorectal manometry
C. MR defecography
D. Colonic transit study

Please click here for the answer and discussion.

 Please click here for the answer and discussion.

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