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Constipation Score Calculator

Cleveland Clinic Constipation Score (Agachan-Wexner)

The Cleveland Clinic Constipation Score (Agachan-Wexner, 1996) quantifies constipation severity through 8 questions that assess stool frequency, straining, incomplete evacuation and the need for interventions. Particularly useful for patients with postoperative bowel dysfunction or obstructed defecation syndrome.

Answer all 8 questions. Total score: 0-30. Score >15 suggests significant constipation.

0 of 8 questions answered
1 How often do you go to the toilet to pass stool?
2 Do you have difficulty or pain on defecation (excessive straining)?
3 Do you feel incomplete evacuation after defecation?
4 Do you have abdominal pain associated with constipation?
5 How long do you spend on the toilet for each attempt?
6 What kind of help do you use to defecate?
7 How many unsuccessful defecation attempts do you have in 24 hours?
8 How long have you had these constipation symptoms?

For stool form

Identify your stool type using the Bristol scale — an international visual reference for stool classification.

Bristol Stool Chart →

Scientific reference

Agachan F, Chen T, Pfeifer J, Reissman P, Wexner SD. A constipation scoring system to simplify evaluation and management of constipated patients. Dis Colon Rectum. 1996;39(6):681-685. PubMed