Table 4 Cleveland clinic constipation score (CCCS).

From: Dyssynergic patterns of defecation in constipated adolescents and young adults with anorectal malformations

Item

Score

0

1

2

3

4

Frequency of bowel movements

1–2 times/1–2 days

2X/week

1X/week

 < 1X/week

 < 1X/month

Painful evacuation effort

Never

Rarely

Sometimes

Usually

Always

Incomplete evacuation

Never

Rarely

Sometimes

Usually

Always

Abdominal pain

Never

Rarely

Sometimes

Usually

Always

Time for evacuation attempt/ min

 < 5

5–10

10–20

20–30

 > 30

Unsuccessful evacuation attempts per day

Never

1–3

3–6

6–9

 > 9

Duration of constipation/years

0

1–5

5–10

10–20

 > 20

  1. The content of the table is adapted from: Agachan et al.29.