PATIENT PRESENTATION MARKER 

Incomplete emptying

What this marker measures

The degree to which the patient reported a feeling of incomplete bowel emptying in the last 3 months.

Health categories/Interpretations informed by this marker

Clinical features
‍● Lower GI symptoms: incomplete emptying is a commonly-reported lower gastrointestinal symptom that can affect quality of life.
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Interpreting the result

PRESENT
Questionnaire responses indicate a feeling of incomplete emptying more than 25% of the time.
PARTIALLY PRESENT
Questionnaire responses indicate a feeling of incomplete emptying 25% of the time or less.
NOT PRESENT
Questionnaire responses indicate no feeling of incomplete emptying.

Patient management insights

supplementation
Take PHGG: partially hydrolysed guar gum may improve bloating, stool frequency, stool form, straining, incomplete emptying sensation, abdominal pain and reliance on laxatives in patients with constipation, including those with slow transit.1–3
GRADE D

Tips for patients discussion

"Your questionnaire responses show that you often feel you haven't fully emptied your bowels. This is common and can affect how you feel day to day. One option we can try is a gentle fibre supplement called PHGG, and we'll look at your other results to see what else might help."

Source references for all clinical associations, interpretation definitions, and patient management insights on this card.

1. Kapoor, M. P. et al. Impact of partially hydrolyzed guar gum (PHGG) on constipation prevention: a systematic review and meta-analysis. J Funct Foods 33, 52–66 (2017).
2. Polymeros, D. et al. Partially hydrolyzed guar gum accelerates colonic transit time and improves symptoms in adults with chronic constipation. Dig Dis Sci 59, 2207–2214 (2014).
3. Russo, L. et al. Partially hydrolyzed guar gum in the treatment of irritable bowel syndrome with constipation: effects of gender, age, and body mass index. Saudi J Gastroenterol 21, 104–110 (2015).