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Cost is the biggest barrier, but I do feel that there is still a lot of stigma and discrimination in regard to treating obesity, and therefore having that pushed underground somewhat is a consequence of that, she said

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Anorectal function testing: to evaluate for defecatory disorders Balloon expulsion test Anorectal manometry Defecography (barium or MRI) Colon transit studies: to differentiate between normal transit constipation and slow transit constipation Approach This section details the management of patients with acute constipation (with no red flag features) and chronic primary constipation