Cleveland Clinic Constipation Score (Wexner)
Cleveland Clinic (Wexner) Constipation Score (Agachan 1996): eight items summed 0-30 (frequency, difficulty, incomplete evacuation, pain, time in lavatory, assistance, failed attempts, duration).
Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.
Example
- Frequency
- 2
- Difficulty (painful effort)
- 3
- Feeling of incomplete evacuation
- 2
- Abdominal pain
- 2
- Time in lavatory per attempt
- 2
- Assistance
- 1
- Unsuccessful attempts per 24 h
- 2
- Duration of constipation
- 3
Result: Cleveland constipation 17 of 30 — above the > 15 cutoff.
The tool opens with these values already filled in. Replace them with your own.
What the result means
- Cutoff
- higher = more severe constipation; a score above 15 is the commonly cited cutoff (the derivation cohort all scored > 15), treated as advisory. Distinct from the Wexner fecal incontinence score.
What you enter
- Frequency: 0 (1-2/1-2 days), 1 (2/wk), 2 (1/wk), 3 (<1/wk), 4 (<1/month)
- Difficulty (painful effort): 0 never to 4 always
- Feeling of incomplete evacuation: 0 never to 4 always
- Abdominal pain: 0 never to 4 always
- Time in lavatory per attempt: 0 (<5 min) to 4 (>30 min)
- Assistance: 0 none, 1 stimulant laxatives, 2 digital/enema
- Unsuccessful attempts per 24 h: 0 never to 4 always
- Duration of constipation: 0 (0 y) to 4 (>20 y)
How this is calculated
- Items
- eight items summed 0-30: frequency, difficulty, incomplete evacuation, pain, time in lavatory, assistance, failed attempts, and duration; seven score 0-4 and assistance scores 0-2.
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. Read the source ↗
A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.