Obstructed defecation

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Obstruction of bowel movements , is "difficulty in the evacuation or discharge of the rectum [which] can occur even with frequent visits to the toilet and even with soft movements". Conditions that can create symptoms are sometimes grouped together as a bowel disorder. Tenesmus symptom is a closely related topic. Other sources define evacuative dysfunction as "symptom constellations such as repetitive recurrent strains in bowel movements, incomplete evacuation sensations, and need for digital manipulation."

Some describe "stunted bowel syndrome", defining it as "difficulty in evacuation, which may or may not be associated with constipation"

Others do not exactly equate the bowel movement hindered by anismus. Although anismus is a type of bowel obstruction, stunted bowel movements have many other possible causes besides anismus.

Video Obstructed defecation

Signs and symptoms

• incomplete or unsuccessful attempts to evacuate,
• prolonged episodes in the toilet,
• anal pain,
• positioned,
• doubling or perineal massage to help defecate
• enema dependency

Fecal incontinence to gas, fluid, solid feces, or mucus with symptoms of defective obstruction may indicate hidden rectal prolapse (ie rectal intussusception), internal/external anal sphincter dysfunction, or decreased perineal syndrome.

Maps Obstructed defecation

Cause

One review states that the most common cause of disruption in the bowel cycle is associated with pregnancy and childbirth, gynecological descent or neurogenic disorders of the brain-intestinal axis. Patients with obstructive bowel movements appear to have impaired pelvic floor function.

Special causes include:

• Anismus and pelvic floor dysfunction
• Rectocele
• "Invagination of the rectum" (possibly referring to rectal intussusception)
• Internal anal sphincter hyster
• Rectal stenosis
• Impaction stool
• Anal cancer or rectum
• Perineal syndrome decreased

Evacuation incomplete

Stunted stools may be the cause of an incomplete evacuation of feces. The normal discharge of rectal contents is 90-100%. & lt; 90% of evacuation can be defined as an incomplete evacuation. The incomplete evacuation is also one of the factors involved in causing faecal leakage.

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Diagnosis

The two main characteristics of the stunted bowel movements are:

1. Inability to voluntarily evacuate rectal content
2. Normal colon transit time

The 5 item questionnaire was validated for the diagnosis and assessment of bowel obstruction syndrome. The parameters are:

1. Excessive stretching
2. Incomplete rectal evacuation
3. Use of enema and/or laxatives
4. Vaginal-anal-perineal digitations (need pressing on the back wall of the vagina or on the perineum to help defecate)
5. Abdominal pain and/or pain

Classification

Bowel obstruction is one of the causes of chronic constipation. Obstruction of bowel movements can be considered as a type of bowel obstruction, where it can be classified under obstruction of the colon. Obstruction of bowel movements often cause symptoms called tenesmus. Constipation, bowel obstruction and tenesmus are therefore all closely related topics.

Outlet obstruction can be classified into 4 groups.

• Functional outlet obstruction

• Inefficient inhibition of internal anal sphincter

• Short segment Hirschsprung's disease
• Chagas disease
• Internal sphincter myopathy

• Inefficient pelvic floor muscle relaxation

• Anismus (pelvic floor dysdynergia)
• Multiple sclerosis
• spinal cord lesions

• Mechanical outlet obstruction

• Internal intussusception
• Enterokel

• Style vector dissipation

• Rectocele
• Descending perineum
• Rectal prolapse

• Incorrect anal sensitivity

• Megarectum
• Rectal hyposensitivity

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Treatment

Obstruction defecation has many causes, so management in each case is specific to the cause of the symptoms. For the treatment of rectal internal intususception is surgical, either STARR or rectopexy. For rectocele STARR or mesh implantation. For anismus/dessynergia pelvic floor: biofeedback exercise.

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See also

• Tenesmus
• Constipation
• Defecography

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References

Source of the article : Wikipedia