Chronic idiopathic constipation (CIC) and irritable bowel syndrome with constipation (IBS-C) are complex conditions involving a range of abdominal and bowel symptoms, including bloating, straining, abdominal pain, and hard stools. Effective symptom reporting is essential for diagnosis and individualized treatment, yet many patients delay seeking care due to embarrassment, dissatisfaction with prior healthcare encounters, or inadequate communication with providers. A strong clinician–patient relationship is critical to overcoming these barriers, enabling more accurate symptom reporting, improving health-related quality of life, and enhancing satisfaction with care. Patient-centered communication, shared understanding of symptom experiences, and education on symptom terminology are key components of successful long-term management.

Monitoring treatment response in CIC and IBS-C is equally important. Various patient-reported symptom scales—ranging from global assessments to detailed individual symptom tracking—can help clinicians evaluate treatment efficacy and refine care strategies. While global assessments offer a broad view of symptom burden, individualized symptom tools provide granular insights that guide more tailored treatment decisions. Including patients in discussions about their most bothersome symptoms, treatment expectations, and long-term care goals can improve adherence, outcomes, and overall satisfaction.

Reference: Kassebaum-Ladewski A, Poppers DM, Brenner DM. Effective Communication Strategies and Tools for Improving Treatment Outcomes in Patients With Chronic Idiopathic Constipation and Irritable Bowel Syndrome With Constipation. Am J Gastroenterol. 2022 Apr 1;117(4S):S14-S20. doi: 10.14309/ajg.0000000000001686. PMID: 35354771.