Constipation assessment scale

Directions:
Circle the appropriate number to indicate whether, during the past 3 days, you have had NO PROBLEM, SOME PROBLEM, or a SEVERE PROBLEM with each of the items listed below.
Item	No problem	Some problem	Severe problem
1. Abdominal distention or bloating	0	1	2
2. Change in amount of gas passed rectally	0	1	2
3. Less frequent bowel movements	0	1	2
4. Oozing liquid stool	0	1	2
5. Rectal fullness or pressure	0	1	2
6. Rectal pain with bowel movement	0	1	2
7. Small stool size	0	1	2
8. Urge but inability to pass stool	0	1	2

Adapted from: McMillan, SC, Williams, F. Validity and reliability of the constipation assessment scale. Cancer Nursing 1989; 12:183; and McMillan, SC, Levy, D. Reassessment of the validity and reliability of the CAS (and unpublished study).

Graphic 62148 Version 2.0

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Constipation assessment scale