transit time. In patients with formed stools (scores 1-4) and normal or slow transit frequent defecation and urgency are actually pseudodiarrhoea, presumably due to an irritable or hyperreactive rectum, and constipating agents should be avoided. As patients with slow and fast transit may respond differently to high fibre diets and bulking agents, respectively, perhaps they should be asked to record their stool form so that the doctor can assess the transit rate and plan treatment.
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Wilkinson et al. (1990) studied this question.
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