{"id":7053,"date":"2023-06-01T12:00:50","date_gmt":"2023-06-01T03:00:50","guid":{"rendered":"https:\/\/wp.meccari.jp\/?p=7053"},"modified":"2023-12-25T14:50:06","modified_gmt":"2023-12-25T05:50:06","slug":"menu_51","status":"publish","type":"post","link":"https:\/\/wp.meccari.jp\/eigocafe\/menu_51\/","title":{"rendered":"Menu 51\u3000\u4fbf\u79d8\u30fb\u4e0b\u75e2\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" src=\"\/wp-content\/uploads\/2023\/10\/eigocafe.jpg\" alt=\"\" width=\"1100\" height=\"275\"><\/p>\r\n\r\n<p><span style=\"font-size: large;\">\u3053\u3093\u306b\u3061\u306f\u3002\u300c<span style=\"color: #8b4513;\"><strong>\u533b\u5b66\u82f1\u8a9e\u30ab\u30d5\u30a7<\/strong><\/span>\u300d\u306b\u3088\u3046\u3053\u305d\uff01<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u3053\u3053\u306f\u300c\u30b3\u30fc\u30d2\u30fc1\u676f\u5206\u300d\u306e\u6642\u9593\u3067\u3001\u533b\u5b66\u82f1\u8a9e\u306b\u307e\u3064\u308f\u308b\u8a71\u3092\u6c17\u8efd\u306b\u697d\u3057\u3093\u3067\u3044\u305f\u3060\u304f\u30b3\u30fc\u30ca\u30fc\u3067\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u672c\u65e5\u306e\u30c6\u30fc\u30de\u306f\u300c<span style=\"color: #1e90ff;\"><strong>\u4fbf\u79d8\u30fb\u4e0b\u75e2\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe<\/strong><\/span>\u300d\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u300c<strong>\u4fbf\u79d8<\/strong>\u300d<strong>constipation<\/strong> \u3068\u300c<strong>\u4e0b\u75e2<\/strong>\u300d<strong>diarrhea<\/strong> \u306f\u8ab0\u3082\u304c\u7d4c\u9a13\u3057\u305f\u3053\u3068\u304c\u3042\u308b\u983b\u5ea6\u306e\u9ad8\u3044\u75c7\u72b6\u3067\u3059\u304c\u3001\u305d\u306e\u300c\u5b9a\u7fa9\u300d\u3068\u306a\u308b\u3068\u81ea\u4fe1\u3092\u6301\u3063\u3066\u7b54\u3048\u3089\u308c\u308b\u4eba\u306f\u5c11\u306a\u3044\u306e\u3067\u306f\u306a\u3044\u3067\u3057\u3087\u3046\u304b\uff1f\u307e\u305f\u3053\u308c\u3089\u306e\u75c7\u72b6\u3067\u306f\u300c<strong>\u5927\u4fbf<\/strong>\u300d<strong>stools<\/strong> \u306b\u95a2\u3057\u3066\u8a73\u7d30\u306b\u5c0b\u306d\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u305d\u306e\u969b\u306b\u306f\u3069\u306e\u3088\u3046\u306a\u82f1\u8a9e\u8868\u73fe\u3092\u4f7f\u3046\u3079\u304d\u306a\u306e\u3067\u3057\u3087\u3046\u304b\uff1f<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u305d\u3053\u3067\u4eca\u6708\u306f\u300c<strong>\u4fbf\u79d8\u30fb\u4e0b\u75e2<\/strong>\u300d\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe\u3068\u3001\u3053\u308c\u3089\u306e\u9451\u5225\u75be\u60a3\u3092\u3069\u306e\u3088\u3046\u306b\u8003\u3048\u3066\u3044\u3051\u3070\u826f\u3044\u304b\u3092\u3054\u7d39\u4ecb\u3057\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"color: #fe3d45;\"><span style=\"font-size: large;\"><strong>\u60a3\u8005\u3055\u3093\u306b\u4f7f\u3048\u308b\u300c\u5927\u4fbf\u300d\u306e\u82f1\u8a9e\u8868\u73fe\u306f\uff1f<\/strong><\/span><\/span><br \/>\r\n<span style=\"font-size: large;\">\u307e\u305a\u306f\u300c<strong>\u5927\u4fbf<\/strong>\u300d\u306e\u82f1\u8a9e\u8868\u73fe\u304b\u3089\u898b\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u300c<strong>\u80cc\u3082\u305f\u308c\u306e\u306a\u3044\u6905\u5b50<\/strong>\u300d\u306e\u3053\u3068\u3092\u82f1\u8a9e\u3067 <strong>stool<\/strong> \u3068\u8a00\u3044\u307e\u3059\u3002\u300c<strong>\u6d0b\u5f0f\u30c8\u30a4\u30ec<\/strong>\u300d<strong>flush toilet<\/strong> \u3067\u306f\u4fbf\u3092\u3059\u308b\u969b\u306b\u306f\u300c<strong>\u80cc\u3082\u305f\u308c\u306e\u306a\u3044\u6905\u5b50<\/strong>\u300d\u306b\u8170\u639b\u3051\u307e\u3059\u3002\u305d\u3053\u304b\u3089\u8ee2\u3058\u3066 <span style=\"background-color: #ffff33;\"><strong>stool<\/strong><\/span> \u306f\u300c<strong>\u4fbf<\/strong>\u300d\u3068\u3044\u3046\u610f\u5473\u3067\u3082\u4f7f\u308f\u308c\u307e\u3059\u3002\u672c\u6765\u3053\u306e stool \u306e\u610f\u5473\u306b\u306f\u300c\u6905\u5b50\u306b\u5ea7\u3063\u3066\u6392\u6cc4\u3059\u308b\u3082\u306e\u300d\u3068\u3057\u3066\u300c\u5927\u4fbf\u300d\u3060\u3051\u3067\u306a\u304f\u300c\u5c0f\u4fbf\u300d\u3082\u542b\u307e\u308c\u3066\u3044\u305f\u306e\u3067\u3059\u304c\u3001\u73fe\u5728\u3067\u306f\u300c<strong>\u5927\u4fbf<\/strong>\u300d\u3068\u3057\u3066\u4f7f\u308f\u308c\u3066\u3044\u307e\u3059\u3002\u60a3\u8005\u3055\u3093\u306b\u5927\u4fbf\u306e\u3053\u3068\u3092\u5c0b\u306d\u308b\u969b\u306b\u306f\u3053\u306e <strong>stool<\/strong> \u3068\u3044\u3046\u8868\u73fe\u304c\u6700\u3082\u4e00\u822c\u7684\u3067\u3059\u306e\u3067\u3001\u307e\u305a\u306f\u3053\u306e\u8868\u73fe\u3092\u899a\u3048\u3066\u304a\u304d\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u60a3\u8005\u3055\u3093\u3068\u4f1a\u8a71\u3059\u308b\u969b\u306b\u306f\u3053\u306e stool \u304c\u4f7f\u308f\u308c\u307e\u3059\u304c\u3001\u75c7\u4f8b\u5831\u544a\u306a\u3069\u4ed6\u306e\u533b\u5e2b\u3068\u306e\u30b3\u30df\u30e5\u30cb\u30b1\u30fc\u30b7\u30e7\u30f3\u3067\u306f <span style=\"background-color: #ffff33;\"><strong>feces<\/strong><\/span> \u3068\u3044\u3046\u8868\u73fe\u3082\u4f7f\u308f\u308c\u307e\u3059\u3002\u533b\u5b66\u82f1\u8a9e\u3067\u300c<strong>\u5931\u7981<\/strong>\u300d\u306f <strong>incontinence<\/strong> \u3068\u306a\u308a\u3001\u300c<strong>\u5c3f\u5931\u7981<\/strong>\u300d\u306f <strong>urinary incontinence<\/strong> \u3068\u3001\u305d\u3057\u3066\u300c\uff08\u5927\uff09<strong>\u4fbf\u5931\u7981<\/strong>\u300d\u306f\u4e00\u822c\u7684\u306a\u8868\u73fe\u3067\u3042\u308b stool \u3092\u4f7f\u3063\u305f stool incontinence \u3067\u306f\u306a\u304f\u3001\u533b\u5b66\u7684\u306a\u8868\u73fe\u3067\u3042\u308b fecal \u3092\u4f7f\u3063\u305f <span style=\"background-color: #ffff33;\"><strong>fecal incontinence<\/strong><\/span> \u3068\u306a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u3053\u306e\u4ed6\u306b\u3082\u300c<strong>\u6392\u6cc4\u7269<\/strong>\u300d\u3092\u610f\u5473\u3059\u308b <span style=\"background-color: #ffff33;\"><strong>excrement<\/strong><\/span> \u3068\u3044\u3046\u8868\u73fe\u3082\u3042\u308a\u307e\u3059\u304c\u3001\u3053\u308c\u306b\u306f urine\u300c\u5c3f\u300d \u3082\u542b\u307e\u308c\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u305d\u3057\u3066\u300c<strong>\u5927\u4fbf<\/strong>\u300d\u306b\u306f\u6570\u591a\u304f\u306e<strong>\u6163\u7528\u8868\u73fe<\/strong>\u304c\u5b58\u5728\u3057\u307e\u3059\u3002\u3053\u3053\u304b\u3089\u5148\u306f\u5c11\u3057\u300c\u6c5a\u3044\u300d\u8868\u73fe\u304c\u4e26\u3073\u307e\u3059\u306e\u3067\u3054\u6ce8\u610f\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u307e\u305a\u306f\u7686\u3055\u3093\u3082\u3088\u304f\u3054\u5b58\u77e5\u306e shit \u3067\u3059\u3002\u305f\u3060\u3053\u308c\u306f <strong>vulgar slang<\/strong>\u300c<strong>\u4e0b\u54c1\u306a\u30b9\u30e9\u30f3\u30b0<\/strong>\u300d\u3067\u3059\u306e\u3067\u3001\u3054\u81ea\u8eab\u3067\u4f7f\u3046\u3053\u3068\u306f\u907f\u3051\u3066\u304f\u3060\u3055\u3044\u3002\u3053\u306e shit \u3092\u4f7f\u3063\u305f bullshit (BS) \u3082 vulgar slang \u3067\u3059\u304c\u3001\u3053\u3061\u3089\u306f\u300c\u30c7\u30bf\u30e9\u30e1\u300d\u3084\u300c\u3075\u3056\u3051\u3093\u306a\uff01\u300d\u3068\u3044\u3046\u610f\u5473\u306b\u306a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u3053\u306e\u4ed6\u306b\u3082 dump\/crap\/turd \u3068\u3044\u3063\u305f vulgar slangs \u304c\u3042\u308a\u307e\u3059\u3002\u3053\u308c\u3089\u306f\u5168\u3066\u60a3\u8005\u3055\u3093\u306b\u4f7f\u3046\u306b\u306f\u4e0d\u9069\u5207\u306a\u8868\u73fe\u3067\u3059\u306e\u3067\u3001\u3054\u81ea\u8eab\u3067\u4f7f\u3046\u3053\u3068\u306f\u907f\u3051\u3066\u304f\u3060\u3055\u3044\u306d\u3002<\/span><\/p>\r\n<p><span style=\"color: #fe3d45;\"><span style=\"font-size: large;\"><strong>\u60a3\u8005\u3055\u3093\u306b\u4f7f\u3048\u308b\u300c\u6392\u4fbf\u300d\u306e\u82f1\u8a9e\u8868\u73fe\u306f\uff1f<\/strong><\/span><\/span><br \/>\r\n<span style=\"font-size: large;\">\u3067\u306f\u6b21\u306b\u300c<strong>\u6392\u4fbf<\/strong>\u300d\u306e\u82f1\u8a9e\u8868\u73fe\u3092\u898b\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u300c<strong>\u6392\u4fbf\u3059\u308b<\/strong>\u300d\u306f\u533b\u5b66\u82f1\u8a9e\u3067 <span style=\"background-color: #ffff33;\"><strong>defecate<\/strong><\/span> \u3068\u306a\u308a\u3001\u300c<strong>\u6392\u4fbf<\/strong>\u300d\u306f <span style=\"background-color: #ffff33;\"><strong>defecation<\/strong><\/span> \u3068\u306a\u308a\u307e\u3059\u3002\u3069\u3061\u3089\u3082\u82f1\u8a9e\u6bcd\u56fd\u8a9e\u8a71\u8005\u3067\u3042\u308c\u3070\u4e00\u822c\u306e\u65b9\u306b\u3082\u7406\u89e3\u3057\u3066\u3082\u3089\u3048\u308b\u8868\u73fe\u3067\u3059\u304c\u3001\u82f1\u8a9e\u304c\u6bcd\u56fd\u8a9e\u3067\u306a\u3044\u65b9\u306b\u306f\u901a\u3058\u306a\u3044\u5834\u5408\u304c\u3042\u308a\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u65e5\u672c\u8a9e\u306b\u3082\u300c<strong>\u304a\u901a\u3058<\/strong>\u300d\u3068\u3044\u3046\u5a49\u66f2\u8868\u73fe\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u3053\u308c\u306b\u76f8\u5f53\u3059\u308b\u82f1\u8a9e\u306e\u8868\u73fe\u304c <span style=\"background-color: #ffff33;\"><strong>bowel movement<\/strong><\/span> \u3067\u3059\u3002\u300c\u8178\u306e\u52d5\u304d\u300d\u3068\u3044\u3046\u308f\u304b\u308a\u3084\u3059\u3044\u8868\u73fe\u306a\u306e\u3067\u3059\u304c\u3001bowel \u306e\u767a\u97f3\u304c\u300c<strong>\u30d0<\/strong>\u30a5\u30eb\u300d\u306e\u3088\u3046\u306b\u306a\u308b\u306e\u3067\u6ce8\u610f\u3057\u3066\u304f\u3060\u3055\u3044\u3002\u3053\u3053\u304b\u3089\u300c<strong>\u304a\u901a\u3058\u304c\u3042\u308b<\/strong>\u300d\u306f\u3001 <span style=\"background-color: #ffff33;\"><strong>have a bowel movement<\/strong><\/span> \u3068\u3044\u3046\u8868\u73fe\u306b\u306a\u308a\u307e\u3059\u3002\u60a3\u8005\u3055\u3093\u3068\u4f1a\u8a71\u3092\u3059\u308b\u969b\u306b\u306f\u65e5\u672c\u8a9e\u3067\u3082\u300c\u304a\u901a\u3058\u300d\u3068\u3044\u3046\u8868\u73fe\u304c\u597d\u307e\u308c\u308b\u3088\u3046\u306b\u3001\u82f1\u8a9e\u3067\u3082\u3053\u306e bowel movement \u3068\u3044\u3046\u8868\u73fe\u304c\u597d\u307e\u308c\u307e\u3059\u306e\u3067\u3001\u60a3\u8005\u3055\u3093\u3068\u306e\u4f1a\u8a71\u3067\u306f\u3053\u306e bowel movement \u3092\u4f7f\u3046\u306e\u304c\u7121\u96e3\u3068\u8a00\u3048\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u305d\u3057\u3066\u3001\u3053\u306e\u300c<strong>\u6392\u4fbf<\/strong>\u300d\u306b\u3082\u5f53\u7136\u306e\u3088\u3046\u306b\u6570\u591a\u304f\u306e<strong>\u6163\u7528\u8868\u73fe<\/strong>\u304c\u5b58\u5728\u3057\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\"><a href=\"https:\/\/www.icrip.jp\/eigocafe\/2022\/03\/01\/menu_36\/\" target=\"_blank\" rel=\"noopener\"><span style=\"color: #3366ff; text-decoration: underline;\"><strong>Menu 36<\/strong><\/span><\/a>\u3067\u3082\u7d39\u4ecb\u3057\u305f\u3088\u3046\u306b\u3001\u65e5\u672c\u8a9e\u306e\u300c<strong>\u5c0f<\/strong>\u300d\u3068\u300c<strong>\u5927<\/strong>\u300d\u306b\u5339\u6575\u3059\u308b\u306e\u304c\u3001\u82f1\u8a9e\u306e <strong>number one<\/strong> \u3068 <strong>number two<\/strong> \u3067\u3059\u3002\u5b9f\u969b\u306b\u3053\u306e\u8868\u73fe\u3092\u5927\u4eba\u304c\u4f7f\u3046\u3053\u3068\u306f\u3042\u307e\u308a\u306a\u3044\u306e\u3067\u3059\u304c\u3001\u4eba\u524d\u3067\u5c0f\u3055\u306a\u5b50\u4f9b\u306b\u300c\u3069\u3063\u3061\u304c\u3057\u305f\u3044\u306e\uff1f\u300d\u3068\u805e\u304f\u6642\u306b\u306f\u3001 \u201cDo you need a <strong>number one<\/strong> or <strong>number two<\/strong>?\u201d \u306e\u3088\u3046\u306b\u4f7f\u3044\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u30b5\u30a4\u30b3\u30ed\u306e2\u306e\u76ee\u3084\u30c8\u30e9\u30f3\u30d7\u306e2\u306e\u672d\u3092\u82f1\u8a9e\u3067\u306f <strong>deuce<\/strong> \u3068\u8a00\u3044\u307e\u3059\u3002\u524d\u8ff0\u306e number two \u304b\u3089\u6d3e\u751f\u3057\u305f\u306e\u304b\u306f\u5b9a\u304b\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u304c\u3001\u82f1\u8a9e\u3067 <strong>drop a deuce<\/strong> \u3068\u8a00\u3046\u3068\u300c<strong>\u6392\u4fbf\u3059\u308b<\/strong>\u300d\u3068\u3044\u3046\u610f\u5473\u306b\u306a\u308b\u306e\u3067\u3059\u3002\u3082\u3061\u308d\u3093\u3053\u308c\u306f\u60a3\u8005\u3055\u3093\u306b\u4f7f\u3046\u306b\u306f\u9069\u5207\u306a\u3082\u306e\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u306e\u3067\u3001\u7686\u3055\u3093\u81ea\u8eab\u306f\u4f7f\u308f\u306a\u3044\u3088\u3046\u306b\u3057\u3066\u304f\u3060\u3055\u3044\u306d\u3002<\/span><\/p>\r\n<p><span style=\"color: #fe3d45;\"><span style=\"font-size: large;\"><strong>Tenesmus? Dysentery? \u899a\u3048\u3066\u304a\u304d\u305f\u3044\u4fbf\u306b\u95a2\u3059\u308b\u91cd\u8981\u306a\u533b\u5b66\u82f1\u8a9e<\/strong><\/span><\/span><br \/>\r\n<span style=\"font-size: large;\">\u300c<strong>\u5927\u4fbf<\/strong>\u300d\u3068\u300c<strong>\u6392\u4fbf<\/strong>\u300d\u306e\u82f1\u8a9e\u8868\u73fe\u3092\u7406\u89e3\u3057\u305f\u3068\u3053\u308d\u3067\u3001\u4fbf\u306b\u95a2\u3059\u308b\u91cd\u8981\u306a\u533b\u5b66\u82f1\u8a9e\u3082\u62bc\u3055\u3048\u3066\u304a\u304d\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u300c<strong>\u8840\u4fbf<\/strong>\u300d\u306f\u533b\u5b66\u82f1\u8a9e\u3067 <span style=\"background-color: #ffff33;\"><strong>hematochezia<\/strong><\/span> \u3068\u306a\u308a\u3001\u300c<strong>\u9ed2\u8272\u4fbf<\/strong>\u300d\u306f <span style=\"background-color: #ffff33;\"><strong>melena<\/strong><\/span> \u3068\u306a\u308a\u307e\u3059\u3002\u3053\u308c\u3089\u306e\u6709\u7121\u3092\u60a3\u8005\u3055\u3093\u306b\u5c0b\u306d\u308b\u969b\u306b\u306f \u201c<span style=\"background-color: #ffff33;\"><strong>Have you noticed any change in the color of your stools?<\/strong><\/span>\u201d \u306e\u3088\u3046\u306a\u958b\u653e\u578b\u306e\u8cea\u554f\u3092\u4f7f\u3046\u3068\u826f\u3044\u3067\u3057\u3087\u3046\u3002\u305d\u3057\u3066 hematochezia \u306e\u6709\u7121\u3092\u5177\u4f53\u7684\u306b\u5c0b\u306d\u308b\u969b\u306b\u306f\u3001 \u201cHave you noticed <strong>any bright red blood in your bowel movements<\/strong>?\u201d \u306e\u3088\u3046\u306b\u3001\u305d\u3057\u3066 melena \u306e\u6709\u7121\u3092\u5177\u4f53\u7684\u306b\u5c0b\u306d\u308b\u969b\u306b\u306f\u3001 \u201cHave you noticed <strong>any dark, black, or tarry stools<\/strong>?\u201d \u306e\u3088\u3046\u306b\u5c0b\u306d\u308b\u3068\u826f\u3044\u3067\u3057\u3087\u3046\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u4fbf\u79d8\u3084\u4e0b\u75e2\u306b\u95a2\u3059\u308b\u91cd\u8981\u306a\u533b\u5b66\u82f1\u8a9e\u3068\u3057\u3066\u306f\u3001\u3053\u308c\u4ee5\u5916\u306b\u3082 <strong>tenesmus<\/strong> \u3084 <strong>dysentery<\/strong> \u306a\u3069\u304c\u3042\u308a\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\"><span style=\"background-color: #ffff33;\"><strong>tenesmus<\/strong><\/span> \u3068\u306f persistent feeling of needing to pass stool, even after having a bowel movement \u306e\u3053\u3068\u3067\u3001\u65e5\u672c\u8a9e\u306e\u300c<strong>\u3057\u3076\u308a\u8179<\/strong>\u300d\u306b\u76f8\u5f53\u3057\u307e\u3059\u3002\u3053\u306e tenesmus \u306f\u300c\u30c6<strong>\u30cd<\/strong>\u30ba\u30de\u30b9\u300d\u306e\u3088\u3046\u306b\u767a\u97f3\u3057\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\"><span style=\"background-color: #ffff33;\"><strong>dysentery<\/strong><\/span> \u3068\u306fa gastrointestinal infection that causes severe diarrhea containing blood or mucus \u306e\u3053\u3068\u3067\u3001\u65e5\u672c\u8a9e\u306e\u300c<strong>\u8d64\u75e2<\/strong>\u300d\u306b\u76f8\u5f53\u3057\u307e\u3059\u3002\u3053\u306e dysentery \u306f\u300c<strong>\u30c7\u30a3<\/strong>\u30b9\u30f3\u30c6\u30ea\u30a3\u300d\u306e\u3088\u3046\u306b\u767a\u97f3\u3057\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u307e\u305f\u4fbf\u79d8\u3068\u4e0b\u75e2\u3092\u8003\u3048\u308b\u4e0a\u3067\u3001\u5927\u4fbf\u306e\u5f62\u72b6\u30927\u6bb5\u968e\u3067\u8a18\u8f09\u3059\u308b <span style=\"background-color: #ffff33;\"><strong><a href=\"https:\/\/en.wikipedia.org\/wiki\/Bristol_stool_scale\" target=\"_blank\" rel=\"noopener\"><span style=\"color: #3366ff; text-decoration: underline;\"><strong>Bristol Stool Chart<\/strong><\/span><\/a><\/strong><\/span> \u3082\u6975\u3081\u3066\u91cd\u8981\u3068\u8a00\u3048\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">Type 1: Separate hard <strong>lumps<\/strong><\/span><br \/>\r\n<span style=\"font-size: large;\">Type 2: Sausage-shaped, but <strong>lumpy<\/strong><\/span><br \/>\r\n<span style=\"font-size: large;\">Type 3: Like a <strong>sausage<\/strong> but with <strong>cracks<\/strong> on its surface<\/span><br \/>\r\n<span style=\"font-size: large;\">Type 4: Like a sausage or snake, smooth and soft <\/span><br \/>\r\n<span style=\"font-size: large;\">Type 5: Soft <strong>blobs<\/strong> with clear cut edges<\/span><br \/>\r\n<span style=\"font-size: large;\">Type 6: <strong>Fluffy<\/strong> pieces with ragged edges, a <strong>mushy<\/strong> stool <\/span><br \/>\r\n<span style=\"font-size: large;\">Type 7: Watery, no solid pieces, entirely liquid <\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u4e00\u822c\u7684\u306b <strong>Type 1 &amp; 2<\/strong> \u3092 <strong>constipation<\/strong> \u3068\u8003\u3048\u3001<strong>Type 6 &amp; 7<\/strong> \u3092 <strong>diarrhea<\/strong> \u3068\u8003\u3048\u307e\u3059\u3002<strong>Type 4\u304c\u5065\u5eb7\u7684\u306a\u5927\u4fbf<\/strong>\u3067\u3042\u308a\u3001Type 3 \u304c\u786c\u3081\u3001Type 5 \u304c\u67d4\u3089\u304b\u3081\u3001\u3068\u899a\u3048\u3066\u304a\u304f\u3068\u3044\u3044\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u3053\u3053\u3067\u6ce8\u610f\u3057\u3066\u3044\u305f\u3060\u304d\u305f\u3044\u306e\u304c\u3001\u3053\u306e chart \u3067\u4f7f\u308f\u308c\u308b\u82f1\u8a9e\u306e\u8868\u73fe\u3067\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\"><strong>lump<\/strong> \u306f\u300c<strong>\u584a<\/strong>\u300d\u3067\u3059\u304c\u3001\u533b\u7642\u73fe\u5834\u3067\u306f\u300c<strong>\u3057\u3053\u308a<\/strong>\u300d\u3068\u3044\u3046\u610f\u5473\u3067\u3082\u4f7f\u308f\u308c\u307e\u3059\u3002\u305d\u3057\u3066Type 1 \u306e\u5927\u4fbf\u306f <strong>rabbit droppings<\/strong> \u300c<strong>\u30a6\u30b5\u30ae\u306e\u7cde<\/strong>\u300d\u3068\u3082\u5f62\u5bb9\u3055\u308c\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\"><strong>crack<\/strong> \u306f\u300c<strong>\u3072\u3073\u5272\u308c<\/strong>\u300d\u3067\u3042\u308a\u3001\u300c<strong>\u6bdb\u9aea\u9aa8\u6298<\/strong>\u300d<strong>hairline fracture<\/strong> \u306b\u304a\u3044\u3066\u3082 have a <strong>crack<\/strong> in the bone\u300c\u9aa8\u306b<strong>\u3072\u3073<\/strong>\u304c\u5165\u308b\u300d\u306e\u3088\u3046\u306b\u4f7f\u308f\u308c\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\"><strong>blob<\/strong> \u306f\u300c<strong>\u30c9\u30ed\u3063\u3068\u3057\u305f\u584a<\/strong>\u300d\u306e\u3088\u3046\u306a\u30a4\u30e1\u30fc\u30b8\u306e\u8868\u73fe\u3067\u3059\u3002Type 5 \u306e\u5927\u4fbf\u306f\u98df\u7269\u7e4a\u7dad\u306e\u6442\u53d6\u304c\u5c11\u306a\u3044\u6642\u306b\u751f\u3058\u308b\u3082\u306e\u3067\u3001\u82f1\u8a9e\u3067\u306f <strong>chicken nuggets<\/strong> \u3068\u305f\u3068\u3048\u3089\u308c\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\"><strong>fluffy<\/strong> \u306f\u300c<strong>\u6bdb\u7fbd\u3060\u3063\u305f<\/strong>\u300d\u306e\u3088\u3046\u306a\u30a4\u30e1\u30fc\u30b8\u306e\u8868\u73fe\u3067\u3059\u3002\u305d\u3057\u3066 <strong>mushy<\/strong> \u306b\u306f\u300c<strong>\u30c9\u30ed\u30c9\u30ed\u306e<\/strong>\u300d\u3068\u3044\u3046\u30a4\u30e1\u30fc\u30b8\u304c\u3042\u308a\u307e\u3059\u3002\u3067\u3059\u304b\u3089 Type 6 \u306f\u82f1\u8a9e\u3067\u306f <strong>porridge<\/strong>\u300c\u30aa\u30fc\u30c8\u30df\u30fc\u30eb\u3092\u716e\u305f\u304a\u304b\u3086\u306e\u3088\u3046\u306a\u98df\u3079\u7269\u300d\u306b\u3001\u305d\u3057\u3066 Type 7 \u306f <strong>gravy<\/strong>\u300c\uff08\u30ed\u30fc\u30b9\u30c8\u30d3\u30fc\u30d5\u306b\u304b\u3051\u308b\uff09\u30b0\u30ec\u30fc\u30d3\u30fc\u30bd\u30fc\u30b9\u300d\u306b\u305f\u3068\u3048\u3089\u308c\u308b\u306e\u3067\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u305d\u3057\u3066\u3001\u3053\u306e\u3088\u3046\u306a\u5927\u4fbf\u306e\u5f62\u72b6\u3092\u5c0b\u306d\u308b\u8868\u73fe\u304c \u201cWhat is the <span style=\"background-color: #ffff33;\"><strong>consistency<\/strong><\/span> of your stool?\u201d \u3068\u3044\u3046\u3082\u306e\u3067\u3059\u3002\u3053\u306e\u5834\u5408\u306e <strong>consistency<\/strong> \u3068\u306f\u300c<strong>\u3064\u306a\u304c\u308a\u5177\u5408<\/strong>\u300d\u3068\u3044\u3046\u30a4\u30e1\u30fc\u30b8\u3067\u3001Bristol Stool Chart \u3067\u5927\u4fbf\u306e\u5f62\u72b6\u3092\u5c0b\u306d\u308b\u306e\u306b\u3088\u304f\u4f7f\u308f\u308c\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u307e\u305f\u3001\u5927\u4fbf\u306e\u5f62\u72b6\u306b\u304a\u3044\u3066\u306f <span style=\"background-color: #ffff33;\"><strong>caliber<\/strong><\/span> \u3068\u3044\u3046\u8868\u73fe\u3082\u91cd\u8981\u3067\u3059\u3002\u3053\u308c\u306f\u5927\u4fbf\u306e\u300c<strong>\u592a\u3055\u30fb\u76f4\u5f84<\/strong>\u300d\u3092\u610f\u5473\u3059\u308b\u306e\u3067\u3059\u304c\u3001\u300c<strong>\u7d50\u8178\u76f4\u8178\u764c<\/strong>\u300d<strong>colorectal cancer<\/strong> \u306a\u3069\u3067\u306f <strong>decreased stool caliber<\/strong> \u304c\u91cd\u8981\u306a\u75c7\u72b6\u3068\u306a\u308a\u307e\u3059\u3002\u3067\u3059\u304b\u3089\u3053\u3046\u3044\u3063\u305f\u75be\u60a3\u3092\u60f3\u5b9a\u3057\u3066\u3044\u308b\u5834\u5408\u3001\u60a3\u8005\u3055\u3093\u306b\u306f \u201cHave you noticed <strong>any changes in the size or shape of your bowel movements<\/strong>? For example, have your stools been <strong>narrower or wider than usual<\/strong>?\u201d \u3068\u5c0b\u306d\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002\u305d\u3057\u3066 colorectal cancer \u3067 decreased stool caliber \u304c\u3042\u308b\u5834\u5408\u3001\u60a3\u8005\u3055\u3093\u306f \u201cMy stools are <span style=\"background-color: #ffff33;\"><strong>pencil-like<\/strong><\/span> in shape.\u201d \u3084 \u201cI&#8217;ve been having <span style=\"background-color: #ffff33;\"><strong>ribbon-like<\/strong><\/span> stools.\u201d \u306e\u3088\u3046\u306a\u8868\u73fe\u3092\u4f7f\u3046\u3053\u3068\u304c\u591a\u3044\u306e\u3067\u3001\u3053\u308c\u3089\u3082\u662f\u975e\u899a\u3048\u3066\u304a\u3044\u3066\u304f\u3060\u3055\u3044\u306d\u3002<\/span><\/p>\r\n<p><span style=\"color: #fe3d45;\"><span style=\"font-size: large;\"><strong>Constipation \u306e\u5b9a\u7fa9\u3068\u9451\u5225\u75be\u60a3<\/strong><\/span><\/span><br \/>\r\n<span style=\"font-size: large;\">\u3067\u306f\u3053\u3053\u304b\u3089\u3001\u300c<strong>\u4fbf\u79d8<\/strong>\u300d<span style=\"background-color: #ffff33;\"><strong>constipation<\/strong><\/span> \u306b\u3064\u3044\u3066\u8a73\u3057\u304f\u898b\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\"><strong>constipation<\/strong> \u306e\u5b9a\u7fa9\u306f\u69d8\u3005\u3067\u3059\u304c\u3001\u82f1\u8a9e\u570f\u306e primary care \u306e\u5834\u9762\u3067\u3088\u304f\u4f7f\u308f\u308c\u3066\u3044\u308b\u306e\u304c <span style=\"background-color: #ffff33;\"><strong>infrequent bowel movements less than 3 per week<\/strong><\/span> \u3068\u3044\u3046\u3082\u306e\u3067\u3059\u3002\u305d\u3057\u3066\u3053\u308c\u3060\u3051\u3067\u306a\u304f\u3001<span style=\"background-color: #ffff33;\"><strong>harder stools<\/strong><\/span> \u3084 <span style=\"background-color: #ffff33;\"><strong>straining<\/strong><\/span> \u3068\u3044\u3063\u305f\u75c7\u72b6\u3092\u4f34\u3046\u3053\u3068\u304c\u4e00\u822c\u7684\u3067\u3059\u3002\u3061\u306a\u307f\u306b<strong>straining<\/strong> \u3068\u306f\u300c<strong>\u5f37\u304f\u3044\u304d\u3080\u3053\u3068<\/strong>\u300d\u3067\u3042\u308a\u3001\u300c<strong>\u6012\u8cac<\/strong>\uff08\u3069\u305b\u304d\uff09\u300d\u3068\u3082\u547c\u3070\u308c\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">constipation \u306e\u3042\u308b\u60a3\u8005\u3055\u3093\u306f \u201cI have constipation.\u201d \u306e\u4ed6\u3001 \u201cI have been <span style=\"background-color: #ffff33;\"><strong>constipated<\/strong><\/span>.\u201d \u3084 \u201cI have been <span style=\"background-color: #ffff33;\"><strong>clogged up<\/strong><\/span>.\u201d \u306e\u3088\u3046\u306a\u8868\u73fe\u3082\u4f7f\u3044\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">constipation \u306ehistory of present illness (HPI) \u3067\u306f\u305d\u306e <strong>duration<\/strong> \u3082\u91cd\u8981\u3067\u3059\u306e\u3067\u3001 \u201cHow long have you been having constipation?\u201d \u3068\u8cea\u554f\u3057\u307e\u3057\u3087\u3046\u3002\u4e00\u822c\u7684\u306b <strong>&lt; 3 months<\/strong> \u306f <span style=\"background-color: #ffff33;\"><strong>acute<\/strong><\/span> <strong>constipation<\/strong> \u3068\u3001\u305d\u3057\u3066 <strong>\u2265 3 months<\/strong> \u306f <span style=\"background-color: #ffff33;\"><strong>chronic<\/strong><\/span> <strong>constipation<\/strong> \u3068\u306a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u300c\u533b\u5b66\u6559\u80b2\u30e2\u30c7\u30eb\u30fb\u30b3\u30a2\u30fb\u30ab\u30ea\u30ad\u30e5\u30e9\u30e0\u300d\u306b\u306f\u3001constipation \u306e\u9451\u5225\u75be\u60a3\u3068\u3057\u3066\u6b21\u306e7\u3064\u306e\u75be\u60a3\uff08\u75c5\u614b\uff09\u304c\u8a18\u8f09\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/span><br \/>\r\n<span style=\"font-size: large;\"><strong><em>\u3000<\/em>\u2022<em>\u3000<\/em><\/strong> Parkinson\u2019s disease\u300c\u30d1\u30fc\u30ad\u30f3\u30bd\u30f3\u75c5\u300d<\/span><br \/>\r\n<span style=\"font-size: large;\"><strong><em>\u3000<\/em>\u2022<em>\u3000<\/em><\/strong> hypothyroidism\u300c\u7532\u72b6\u817a\u6a5f\u80fd\u4f4e\u4e0b\u75c7\u300d<\/span><br \/>\r\n<span style=\"font-size: large;\"><strong><em>\u3000<\/em>\u2022<em>\u3000<\/em><\/strong> functional constipation\u300c\u4fbf\u79d8\u75c7\u300d<\/span><br \/>\r\n<span style=\"font-size: large;\"><strong><em>\u3000<\/em>\u2022<em>\u3000<\/em><\/strong> irritable bowel syndrome (IBS)\u300c\u904e\u654f\u6027\u8178\u75c7\u5019\u7fa4\u300d<\/span><br \/>\r\n<span style=\"font-size: large;\"><strong><em>\u3000<\/em>\u2022<em>\u3000<\/em><\/strong> bowel obstruction\u300c\u8178\u9589\u585e\u300d<\/span><br \/>\r\n<span style=\"font-size: large;\"><strong><em>\u3000<\/em>\u2022<em>\u3000<\/em><\/strong> colorectal cancer\u300c\u5927\u8178\u764c\u300d<\/span><br \/>\r\n<span style=\"font-size: large;\"><strong><em>\u3000<\/em>\u2022<em>\u3000<\/em><\/strong> drug-induced constipation\u300c\u85ac\u5264\u6027\u4fbf\u79d8\u75c7\u300d<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u305d\u308c\u3092\u75c5\u614b\u751f\u7406\u7684\u306b\u5927\u5225\u3059\u308b\u3068\u4e0b\u8a18\u306e\u3088\u3046\u306b\u306a\u308a\u307e\u3059\u3002\uff08\u592a\u5b57\u306e\u3082\u306e\u304c\u30e2\u30c7\u30eb\u30fb\u30b3\u30a2\u30fb\u30ab\u30ea\u30ad\u30e5\u30e9\u30e0\u306b\u8a18\u8f09\u3055\u308c\u3066\u3044\u308b\u3082\u306e\u3067\u3059\u3002\uff09<\/span><\/p>\r\n<p><span style=\"font-size: large;\"><strong>Causes of Constipation<\/strong> <\/span><br \/>\r\n<span style=\"font-size: large;\"><strong>\u2022<em>\u3000<\/em> <span style=\"background-color: #ffff33;\">Decreased Peristalsis<\/span>: functional constipation, irritable bowel syndrome <br \/>\r\n\u3000\u3000(IBS), drug-induced constipation, hypothyroidism,<\/strong> and <strong>Parkinson\u2019s disease<\/strong><\/span><br \/>\r\n<span style=\"font-size: large;\"><strong>\u2022<em>\u3000<\/em> <span style=\"background-color: #ffff33;\">Hard Stools<\/span>:<\/strong> low-fiber diet and dehydration<\/span><br \/>\r\n<span style=\"font-size: large;\"><strong>\u2022<em>\u3000<\/em> <span style=\"background-color: #ffff33;\">Obstruction<\/span>: bowel obstruction<\/strong><\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u3053\u306e <span style=\"background-color: #ffff33;\"><strong>peristalsis<\/strong><\/span> \u306f\u300c<strong>\u8815\u52d5<\/strong>\uff08\u904b\u52d5\uff09\u300d\u3067\u3001\u591a\u304f\u306e\u9451\u5225\u75be\u60a3\u304c\u3053\u306e peristalsis \u3092\u963b\u5bb3\u3059\u308b\u3053\u3068\u3067 constipation \u3092\u5f15\u304d\u8d77\u3053\u3057\u307e\u3059\u3002drug-induced constipation \u3068\u3057\u3066\u306f opioids \u3084 iron supplements \u304c\u4ee3\u8868\u7684\u3067\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\"><a href=\"https:\/\/www.icrip.jp\/eigocafe\/2020\/04\/01\/menu_13\/\" target=\"_blank\" rel=\"noopener\"><span style=\"color: #3366ff; text-decoration: underline;\"><strong>Menu 13<\/strong><\/span><\/a> \u3067\u3082\u3054\u7d39\u4ecb\u3057\u307e\u3057\u305f\u304c\u3001\u300c<strong>\u8178\u9589\u585e<\/strong>\u300d\u306e\u82f1\u8a9e\u306b\u306f\u6ce8\u610f\u304c\u5fc5\u8981\u3067\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u65e5\u672c\u3067\u306f\u300c\u30a4\u30ec\u30a6\u30b9\u300d\u3092\u300c\u8178\u9589\u585e\u300d\u3068\u3044\u3046\u610f\u5473\u3067\u4f7f\u3044\u3001\u300c\u6a5f\u68b0\u6027<strong>\u30a4\u30ec\u30a6\u30b9<\/strong>\u300d\u3084\u300c\u9ebb\u75fa\u6027<strong>\u30a4\u30ec\u30a6\u30b9<\/strong>\u300d\u306e\u3088\u3046\u306a\u8868\u73fe\u3092\u4f7f\u3044\u307e\u3059\u304c\u3001\u82f1\u8a9e\u570f\u3067\u306f\u300c<strong>\u8178\u9589\u585e<\/strong>\u300d\u306e\u3053\u3068\u3092 <span style=\"background-color: #ffff33;\"><strong>bowel obstruction<\/strong><\/span> \u3068\u8868\u73fe\u3057\u307e\u3059\u3002\u305d\u3057\u3066\u65e5\u672c\u3067\u8a00\u3046\u300c<strong>\u6a5f\u68b0\u6027\u30a4\u30ec\u30a6\u30b9<\/strong>\u300d\u306e\u3053\u3068\u3092 <span style=\"background-color: #ffff33;\"><strong>mechanical bowel obstruction<\/strong><\/span> \u3068\u3001\u300c<strong>\u9ebb\u75fa\u6027\u30a4\u30ec\u30a6\u30b9<\/strong>\u300d\u306e\u3053\u3068\u3092 <span style=\"background-color: #ffff33;\"><strong>ileus<\/strong><\/span> \u3082\u3057\u304f\u306f <span style=\"background-color: #ffff33;\"><strong>paralytic bowel obstruction<\/strong><\/span> \u3084 <strong>pseudo-obstruction<\/strong> \u3068\u8868\u73fe\u3059\u308b\u306e\u3067\u3059\u3002\u3064\u307e\u308a\u82f1\u8a9e\u3067 <span style=\"background-color: #ffff33;\"><strong>ileus<\/strong><\/span>\uff08\u300c<strong>\u30a4\u30a3<\/strong>\u30ea\u30a1\u30b9\u300d\u306e\u3088\u3046\u306b\u767a\u97f3\uff09 \u3068\u8a00\u3063\u305f\u3089\u3001\u305d\u308c\u306f\u65e5\u672c\u3067\u8a00\u3046\u3068\u3053\u308d\u306e\u300c<strong>\u9ebb\u75fa\u6027\u30a4\u30ec\u30a6\u30b9<\/strong>\u300d\u306b\u306a\u3063\u3066\u3057\u307e\u3046\u306e\u3067\u3001\u5341\u5206\u306b\u6ce8\u610f\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u307e\u305f\u3001\u4fbf\u79d8\u306e\u969b\u306b\u4f7f\u308f\u308c\u308b\u300c<strong>\u4e0b\u5264<\/strong>\u300d\u306f\u82f1\u8a9e\u3067\u306f <span style=\"background-color: #ffff33;\"><strong>laxative<\/strong><\/span> \u3068\u306a\u308a\u307e\u3059\u306e\u3067\u3001\u77e5\u3089\u306a\u304b\u3063\u305f\u65b9\u306f\u3053\u3061\u3089\u3082\u899a\u3048\u3066\u304a\u3044\u3066\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n<p><span style=\"color: #fe3d45;\"><span style=\"font-size: large;\"><strong>Diarrhea \u306e\u5b9a\u7fa9\u3068\u9451\u5225\u75be\u60a3<\/strong><\/span><\/span><br \/>\r\n<span style=\"font-size: large;\">\u3067\u306f\u6700\u5f8c\u306b\u300c<strong>\u4e0b\u75e2<\/strong>\u300d<span style=\"background-color: #ffff33;\"><strong>diarrhea<\/strong><\/span> \u306b\u3064\u3044\u3066\u8a73\u3057\u304f\u898b\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\"><strong>diarrhea<\/strong> \u306e\u5b9a\u7fa9\u306f constipation \u3068\u540c\u69d8\u306b\u69d8\u3005\u3067\u3059\u304c\u3001\u82f1\u8a9e\u570f\u306e primary care \u306e\u5834\u9762\u3067\u3088\u304f\u4f7f\u308f\u308c\u3066\u3044\u308b\u306e\u304c <span style=\"background-color: #ffff33;\"><strong>frequent loose bowel movements more than 3 per day<\/strong><\/span> \u3068\u3044\u3046\u3082\u306e\u3067\u3059\u3002\uff08constipation \u3068\u540c\u69d8\u306b 3\u3068\u3044\u3046\u6570\u5b57\u304c\u91cd\u8981\u306a\u76ee\u5b89\u3068\u306a\u3063\u3066\u3044\u307e\u3059\u3002\uff09\u305d\u3057\u3066\u3053\u308c\u3060\u3051\u3067\u306a\u304f\u3001<span style=\"background-color: #ffff33;\"><strong>softer stools<\/strong><\/span> \u3084 <span style=\"background-color: #ffff33;\"><strong>urgency<\/strong><\/span> \u3068\u3044\u3063\u305f\u75c7\u72b6\u3092\u4f34\u3046\u3053\u3068\u304c\u4e00\u822c\u7684\u3067\u3059\u3002\u3061\u306a\u307f\u306b <strong>urgency<\/strong> \u3068\u306f\u300c<strong>\u4fbf\u610f\u5207\u8feb<\/strong>\u300d\u306e\u3053\u3068\u3067\u3001\u300c\u6392\u4fbf\u3092\u3057\u305f\u5f8c\u3067\u3082\u4fbf\u610f\u304c\u5f37\u304f\u3042\u308b\u300d\u3068\u3044\u3046 tenesmus \u3068\u306f\u610f\u5473\u304c\u7570\u306a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">diarrhea \u306e\u3042\u308b\u60a3\u8005\u3055\u3093\u306f \u201cI have diarrhea.\u201d \u306e\u4ed6\u3001 \u201cI\u2019ve had <span style=\"background-color: #ffff33;\"><strong>the runs<\/strong><\/span>.\u201d \u306e\u3088\u3046\u306a\u8868\u73fe\u3082\u4f7f\u3044\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">diarrhea \u306ehistory of present illness (HPI) \u3067\u306f\u305d\u306e <strong>duration<\/strong> \u3082\u91cd\u8981\u3067\u3059\u306e\u3067\u3001 \u201cHow long have you been having diarrhea?\u201d \u3068\u8cea\u554f\u3057\u307e\u3057\u3087\u3046\u3002\u4e00\u822c\u7684\u306b <strong>&lt; 2 weeks<\/strong> \u306f <span style=\"background-color: #ffff33;\"><strong>acute<\/strong><\/span> <strong>diarrhea<\/strong> \u3068\u3001<strong>2-4 weeks<\/strong> \u306f <span style=\"background-color: #ffff33;\"><strong>persistent<\/strong><\/span> <strong>diarrhea<\/strong>\u3068\u3001\u305d\u3057\u3066 <strong>\u2265 4 months<\/strong> \u306f <span style=\"background-color: #ffff33;\"><strong>chronic<\/strong><\/span> <strong>diarrhea<\/strong> \u3068\u306a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u300c\u533b\u5b66\u6559\u80b2\u30e2\u30c7\u30eb\u30fb\u30b3\u30a2\u30fb\u30ab\u30ea\u30ad\u30e5\u30e9\u30e0\u300d\u306b\u306fdiarrhea \u306e\u9451\u5225\u75be\u60a3\u3068\u3057\u3066\u6b21\u306e5\u3064\u306e\u75be\u60a3\uff08\u75c5\u614b\uff09\u304c\u8a18\u8f09\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/span><br \/>\r\n<span style=\"font-size: large;\"><strong><em>\u3000<\/em>\u2022<em>\u3000<\/em><\/strong> hyperthyroidism\u300c\u7532\u72b6\u817a\u6a5f\u80fd\u4ea2\u9032\u75c7\u300d<\/span><br \/>\r\n<span style=\"font-size: large;\"><strong><em>\u3000<\/em>\u2022<em>\u3000<\/em><\/strong> acute gastroenteritis\u300c\u6025\u6027\u80c3\u8178\u708e\u300d<\/span><br \/>\r\n<span style=\"font-size: large;\"><strong><em>\u3000<\/em>\u2022<em>\u3000<\/em><\/strong> inflammatory bowel disease (IBD)\u300c\u708e\u75c7\u6027\u8178\u75be\u60a3\u300d<\/span><br \/>\r\n<span style=\"font-size: large;\"><strong><em>\u3000<\/em>\u2022<em>\u3000<\/em><\/strong> irritable bowel syndrome (IBS)\u300c\u904e\u654f\u6027\u8178\u75c7\u5019\u7fa4\u300d<\/span><br \/>\r\n<span style=\"font-size: large;\"><strong><em>\u3000<\/em>\u2022<em>\u3000<\/em><\/strong> drug-induced diarrhea\u300c\u85ac\u5264\u6027\u4e0b\u75e2\u75c7\u300d<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u305d\u308c\u3092\u75c5\u614b\u751f\u7406\u7684\u306b\u5927\u5225\u3059\u308b\u3068\u4e0b\u8a18\u306e\u3088\u3046\u306b\u306a\u308a\u307e\u3059\u3002\uff08\u592a\u5b57\u306e\u3082\u306e\u304c\u30e2\u30c7\u30eb\u30fb\u30b3\u30a2\u30fb\u30ab\u30ea\u30ad\u30e5\u30e9\u30e0\u306b\u8a18\u8f09\u3055\u308c\u3066\u3044\u308b\u3082\u306e\u3067\u3059\u3002\uff09<\/span><\/p>\r\n<p><span style=\"font-size: large;\"><strong>Causes of Diarrhea<\/strong> <\/span><br \/>\r\n<span style=\"font-size: large;\"><strong>\u2022<em>\u3000<\/em> <span style=\"background-color: #ffff33;\">Increased Peristalsis<\/span>: irritable bowel syndrome (IBS), drug-induced<br \/>\r\n\u3000\u3000diarrhea,<\/strong> and <strong>hyperthyroidism<\/strong><\/span><br \/>\r\n<span style=\"font-size: large;\"><strong>\u2022<em>\u3000<\/em> <span style=\"background-color: #ffff33;\">Inflammatory<\/span>: acute gastroenteritis, inflammatory bowel disease (IBD),<br \/>\r\n<\/strong>\u3000\u3000and <strong>celiac disease<\/strong><\/span><br \/>\r\n<span style=\"font-size: large;\"><strong>\u2022<em>\u3000<\/em> <span style=\"background-color: #ffff33;\">Malabsorption<\/span>: drug-induced diarrhea<\/strong> and lactose intolerance<\/span><\/p>\r\n<p><span style=\"font-size: large;\">irritable bowel syndrome (IBS) \u306f\u3001 peristalsis \u3092\u4f4e\u4e0b\u3055\u305b\u3066 constipation \u3092\u5f15\u304d\u8d77\u3053\u3059\u3060\u3051\u3067\u306a\u304f\u3001\u4ea2\u9032\u3055\u305b\u3066 diarrhea \u3082\u5f15\u304d\u8d77\u3053\u3057\u307e\u3059\u3002\u305d\u3057\u3066\u524d\u8005\u3092 <span style=\"background-color: #ffff33;\"><strong>IBS with constipation<\/strong><\/span> (<span style=\"background-color: #ffff33;\"><strong>IBS-C<\/strong><\/span>) \u3001\u5f8c\u8005\u3092<span style=\"background-color: #ffff33;\"><strong>IBS with diarrhea<\/strong><\/span> (<span style=\"background-color: #ffff33;\"><strong>IBS-D<\/strong><\/span>) \u3068\u547c\u3073\u307e\u3059\u3002\u3053\u308c\u4ee5\u5916\u306b\u3082 IBS with alternating constipating and diarrhea \u306f <span style=\"background-color: #ffff33;\"><strong>mixed IBS<\/strong><\/span> (<span style=\"background-color: #ffff33;\"><strong>IBS-M<\/strong><\/span>) \u3001\u305d\u3057\u3066 defecation \u306b\u3088\u3063\u3066 abdominal pain \u304c\u6539\u5584\u3057\u306a\u3044 IBS \u3092 <span style=\"background-color: #ffff33;\"><strong>unsubtyped IBS<\/strong><\/span> (<span style=\"background-color: #ffff33;\"><strong>IBS-U<\/strong><\/span>) \u3068\u547c\u3093\u3067\u3044\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u3053\u306e IBS \u306f\u7565\u8a9e\u3060\u3051\u3067\u898b\u308b\u3068\u300c<strong>\u708e\u75c7\u6027\u8178\u75be\u60a3<\/strong>\u300d\u306e IBD \u3068\u3088\u304f\u4f3c\u3066\u3044\u307e\u3059\u304c\u3001<span style=\"background-color: #ffff33;\"><strong>IBD<\/strong><\/span> \u306f <span style=\"background-color: #ffff33;\"><strong>inflammatory bowel disease<\/strong><\/span> \u306e\u7565\u3067\u3042\u308a\u3001IBS \u3068\u306f\u5168\u304f\u7570\u306a\u308b\u75be\u60a3\u3067\u3059\u3002\u305d\u3057\u3066\u3053\u306e IBD \u3067\u3042\u308b <span style=\"background-color: #ffff33;\"><strong>Crohn\u2019s disease<\/strong><\/span> (<span style=\"background-color: #ffff33;\"><strong>CD<\/strong><\/span>) \u300c<strong>\u30af\u30ed\u30fc\u30f3\u75c5<\/strong>\u300d\u3068 <span style=\"background-color: #ffff33;\"><strong>ulcerative colitis<\/strong><\/span> (<span style=\"background-color: #ffff33;\"><strong>UC<\/strong><\/span>) \u300c\u6f70\u760d\u6027\u5927\u8178\u708e\u300d\u306e\u9451\u5225\u306f\u81e8\u5e8a\u7684\u306b\u6975\u3081\u3066\u91cd\u8981\u306b\u306a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u85ac\u5264\u306b\u3088\u3063\u3066\u306f peristalsis \u3092\u4ea2\u9032\u3055\u305b\u308b\u3082\u306e\u3084 malabsorption \u3092\u5f15\u304d\u8d77\u3053\u3059\u3082\u306e\u304c\u3042\u308a\u307e\u3059\u306e\u3067\u3001<strong>drug-induced diarrhea<\/strong> \u306b\u306f\u6ce8\u610f\u304c\u5fc5\u8981\u3067\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u65e5\u672c\u8a9e\u3067\u306f\u300c<strong>\u30bb\u30ea\u30a2\u30c3\u30af\u75c5<\/strong>\u300d\u3068\u547c\u3070\u308c\u308b <span style=\"background-color: #ffff33;\"><strong>celiac disease<\/strong><\/span> \u3067\u3059\u304c\u3001\u3053\u308c\u306f <strong>gluten<\/strong> \u3068\u547c\u3070\u308c\u308b\u30bf\u30f3\u30d1\u30af\u306b\u3088\u3063\u3066\u5f15\u304d\u8d77\u3053\u3055\u308c\u308b\u81ea\u5df1\u514d\u75ab\u75be\u60a3\u3067\u3001\u5f53\u7136\u3067\u3059\u304c belly\u300c\u304a\u8179\u300d\u306b\u75c7\u72b6\u304c\u73fe\u308c\u307e\u3059\u3002\u82f1\u8a9e\u306e <strong>celiac<\/strong> \u306f\u5143\u6765\u3053\u306e \u201c<strong>belly<\/strong>\u201d \u3092\u610f\u5473\u3059\u308b\u3068\u3053\u308d\u304b\u3089 celiac disease \u3068\u547c\u3070\u308c\u3066\u3044\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u300c<strong>\u4e73\u7cd6\u4e0d\u8010\u75c7<\/strong>\u300d\u3067\u3042\u308b <span style=\"background-color: #ffff33;\"><strong>lactose intolerance<\/strong><\/span> \u3067\u7528\u3044\u3089\u308c\u308b intolerance \u306f\u3001<strong>cold intolerance<\/strong> \u3084 <strong>heat intolerance<\/strong> \u306e\u3088\u3046\u306b\u3082\u4f7f\u308f\u308c\u307e\u3059\u3002\u65e5\u672c\u8a9e\u3067\u306f\u3053\u308c\u3089\u3092\u300c\u5bd2\u51b7\u4e0d\u8010\u75c7\u300d\u3084\u300c\u6e29\u6696\u4e0d\u8010\u75c7\u300d\u3068\u306f\u8868\u73fe\u305b\u305a\u3001\u5358\u306b\u300c<strong>\u5bd2\u304c\u308a<\/strong>\u300d\u3084\u300c<strong>\u6691\u304c\u308a<\/strong>\u300d\u306e\u3088\u3046\u306b\u8868\u73fe\u3057\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u307e\u305f\u3001\u4e0b\u75e2\u306e\u969b\u306b\u4f7f\u308f\u308c\u308b\u300c<strong>\u4e0b\u75e2\u6b62\u3081\u30fb\u6b62\u75e2\u5264<\/strong>\u300d\u306f\u82f1\u8a9e\u3067\u306f <span style=\"background-color: #ffff33;\"><strong>antidiarrheal<\/strong><\/span> \u3068\u306a\u308a\u307e\u3059\u306e\u3067\u3001\u77e5\u3089\u306a\u304b\u3063\u305f\u65b9\u306f\u3053\u3061\u3089\u3082\u899a\u3048\u3066\u304a\u3044\u3066\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u3055\u3066\u3001\u305d\u308d\u305d\u308d\u30ab\u30c3\u30d7\u306e\u30b3\u30fc\u30d2\u30fc\u3082\u6b8b\u308a\u308f\u305a\u304b\u3067\u3059\u3002\u6700\u5f8c\u306b constipation \u3068 diarrhea \u306e\u9451\u5225\u75be\u60a3\u306e\u5206\u985e\u30ea\u30b9\u30c8\u3092\u3082\u3046\u4e00\u5ea6\u307e\u3068\u3081\u3066\u304a\u304d\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\"><strong>Causes of Constipation<\/strong> <\/span><br \/>\r\n<span style=\"font-size: large;\"><strong>\u2022<em>\u3000<\/em> <span style=\"background-color: #ffff33;\">Decreased Peristalsis<\/span>: functional constipation, irritable bowel syndrome<br \/>\r\n\u3000\u3000(IBS), drug-induced constipation, hypothyroidism,<\/strong> and <strong>Parkinson\u2019s disease<\/strong><\/span><br \/>\r\n<span style=\"font-size: large;\"><strong>\u2022<em>\u3000<\/em> <span style=\"background-color: #ffff33;\">Hard Stools<\/span>:<\/strong> low-fiber diet and dehydration<\/span><br \/>\r\n<span style=\"font-size: large;\"><strong>\u2022<em>\u3000<\/em> <span style=\"background-color: #ffff33;\">Obstruction<\/span>: bowel obstruction<\/strong><\/span><\/p>\r\n<p><span style=\"font-size: large;\"><strong>Causes of Diarrhea<\/strong> <\/span><br \/>\r\n<span style=\"font-size: large;\"><strong>\u2022<em>\u3000<\/em> <span style=\"background-color: #ffff33;\">Increased Peristalsis<\/span>: irritable bowel syndrome (IBS), drug-induced<br \/>\r\n\u3000\u3000diarrhea,<\/strong> and <strong>hyperthyroidism<\/strong><\/span><br \/>\r\n<span style=\"font-size: large;\"><strong>\u2022<em>\u3000<\/em> <span style=\"background-color: #ffff33;\">Inflammatory<\/span>: acute gastroenteritis, inflammatory bowel disease (IBD),<\/strong><br \/>\r\n\u3000\u3000and <strong>celiac disease<\/strong><\/span><br \/>\r\n<span style=\"font-size: large;\"><strong>\u2022<em>\u3000<\/em> <span style=\"background-color: #ffff33;\">Malabsorption<\/span>: drug-induced diarrhea<\/strong> and lactose intolerance<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u3067\u306f\u3001\u307e\u305f\u306e\u3054\u6765\u5e97\u3092\u304a\u5f85\u3061\u3057\u3066\u304a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n<p><span style=\"font-size: large;\">\u300cDr. \u62bc\u5473\u306e\u533b\u5b66\u82f1\u8a9e\u30ab\u30d5\u30a7\u300d\u3067\u306f\u7686\u3055\u3093\u304b\u3089\u6271\u3063\u3066\u6b32\u3057\u3044\u30c8\u30d4\u30c3\u30af\u3092\u52df\u96c6\u3044\u305f\u3057\u307e\u3059\u3002<a href=\"https:\/\/55auto.biz\/mec-form\/regires.php?tno=275\" target=\"_blank\" rel=\"noopener\"><span style=\"color: #3366ff; text-decoration: underline;\"><strong>\u3053\u3061\u3089\u306e\u30ea\u30f3\u30af<\/strong><\/span><\/a>\u304b\u3089\u3053\u306e\u30ab\u30d5\u30a7\u3067\u6271\u3063\u3066\u6b32\u3057\u3044\u3068\u601d\u3046\u533b\u5b66\u82f1\u8a9e\u306e\u30c8\u30d4\u30c3\u30af\u3092\u3054\u81ea\u7531\u306b\u8a18\u8f09\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n<p style=\"text-align: right;\">\u56fd\u969b\u533b\u7642\u798f\u7949\u5927\u5b66\u533b\u5b66\u90e8 \u533b\u5b66\u6559\u80b2\u7d71\u62ec\u30bb\u30f3\u30bf\u30fc \u6559\u6388\u3000\u62bc\u5473 \u8cb4\u4e4b<\/p>\r\n","protected":false},"excerpt":{"rendered":"\u3053\u3093\u306b\u3061\u306f\u3002\u300c\u533b\u5b66\u82f1\u8a9e\u30ab\u30d5\u30a7\u300d\u306b\u3088\u3046\u3053\u305d\uff01 \u3053\u3053\u306f\u300c\u30b3\u30fc\u30d2\u30fc1\u676f\u5206\u300d\u306e\u6642\u9593\u3067\u3001\u533b\u5b66\u82f1\u8a9e\u306b\u307e\u3064\u308f\u308b\u8a71\u3092\u6c17\u8efd\u306b\u697d\u3057\u3093\u3067\u3044\u305f\u3060\u304f\u30b3\u30fc\u30ca\u30fc\u3067\u3059\u3002 \u672c\u65e5\u306e\u30c6\u30fc\u30de\u306f\u300c\u4fbf\u79d8\u30fb\u4e0b\u75e2\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe\u300d\u3002 \u300c\u4fbf\u79d8\u300dconstipation ","protected":false},"author":1,"featured_media":6878,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"onecolumn-960.php","format":"standard","meta":{"_acf_changed":false,"_jin_ogp_image_url":"","_jin_last_featured_id":0,"footnotes":""},"categories":[63],"tags":[],"class_list":["post-7053","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-eigocafe"],"acf":[],"_links":{"self":[{"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts\/7053","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/comments?post=7053"}],"version-history":[{"count":1,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts\/7053\/revisions"}],"predecessor-version":[{"id":7059,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts\/7053\/revisions\/7059"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/media\/6878"}],"wp:attachment":[{"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/media?parent=7053"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/categories?post=7053"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/tags?post=7053"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}