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Functional constipation
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== Causes == To be considered functional constipation, symptoms must be present at least a fourth of the time.<ref name="ACG" /> Possible causes are: * [[Anismus]] * [[Descending perineum syndrome]] * Other inability or unwillingness to control the [[external anal sphincter]], which normally is under [[volition (psychology)|voluntary]] control * A poor [[diet (nutrition)|diet]] * An unwillingness to defecate * Nervous reactions, including prolonged and/or chronic stress and anxiety, that close the [[Sphincter ani internus muscle|internal anal sphincter]], a [[muscle]] that is not under voluntary control * Deeper [[psychosomatic]] disorders which sometimes affect [[digestion]] and the [[absorption (small intestine)|absorption]] of [[water]] in the [[Colon (anatomy)|colon]] There is also possibility of presentation with other comorbid symptoms such as headache, especially in children.<ref>{{cite journal|title=Comorbidity of headache and functional constipation in children: a cross-sectional survey.|journal=Turk J Gastroenterol|pmid=25417610|doi=10.5152/tjg.2014.6183|volume=25|issue=5|year=2014|vauthors=Inaloo S, Dehghani SM, Hashemi SM, Heydari M, Heydari ST|pages=508β11}}</ref>
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