Abstract
Constipation is a common disorder worldwide, irrespective of age, sex, socioeconomic status, and ethnic background. Constipation adversely affects quality of life and consumes health system resources. It occurs as congenital disease (Hieschsprung disease) or as a result of secondary causes)bowel obstruction) or as a functional, medically unexplained, cause. Functional constipation (FC), also known as functional megacolon, is constipation that is not of an organic, anatomical, or iatrogenic origin. In this case report, we have searched the literature using functional, psychogenic, megacolon, constipation, functional megacolon, functional constipation as key words without any time limits. Then, titles were screened for inclusion in this paper. The evidence discussing the diagnosis and treatment approaches is bounded with no updated articles could be found. Specifically, Data on FC after a traumatic emotional trigger is scarce, and evidence for treatment approaches is limited. Our patient had fulfilled the criteria of ROME IV to diagnose FC. He has been treated by antidepressant medication and psychotherapy which lead to an increase in the number of times he is using the bathroom and decrease in the time spent in the toilet with better defecation outcome which according to the patient was a significant improvement. Our experience shows that limited data available about this condition although the prevalence of the disorder was constant around the world at a rate of 1% to 30%. The case we report herein adds to the diagnosis and management of FC area of knowledge. And it encourages the scientific community to have a standardized approach to manage the disorder.