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At the end of treatment, the rate of straining, incomplete evacuation sensation, finger evacuation and the number of defecation was significantly lower in the group C (P 0.04). Bristol score were significantly improved in group B (P = 0.029) in compare to other groups. The total quality of life score was also significantly improved in the group C (P = 0.028). A combination of abdominal massage and PEG is safe, tolerable and more effective than each one of the treatments alone. A combination of abdominal massage and PEG is safe, to
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