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Is there a solution for difficulty in emptying the bowel fully?

 

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Is there a solution for difficulty in emptying the bowel fully?

Some people get a sensation of incomplete emptying after visiting the toilet. They put up with it as they think it is not curable or because of embarrassment to seek help. If you are suffering silently, then no need to do so. It can be cured with simple interventions.

What is the reason for incomplete emptying?

If there are associated symptoms of Irritable Bowel Syndrome (IBS), then IBS might be reason. Please see the blog “Is it acidity? Or is it IBS?”

It might be due to a condition called Obstructive Defecation Syndrome (ODS). It is characterized by obstruction to the flow of feaces by a part of the rectum or cervix or bladder. This is caused be weak pelvic muscles.

Who suffers from this condition the most?

Usually, it is found in females after child birth, but can affect anyone. Men are very rarely affected.

How is it diagnosed? 

Initially colonoscopy is done to rule out serious problems such as extra growth in the colon.

Once colonoscopy is normal, then the defecating proctogram will be diagnostic of this condition.

What do people do to empty bowel in this condition?

Some people press the buttocks to empty the bowel. Some people use fingers to empty fully.

What are the simple/home remedies?

  1. Use of Indian toilet so that the rectum comes in straight position to empty fully.
  2. Pelvic physiotherapy to strengthen the pelvic muscles to pass motion fully.
  3. Suppositories: These are small tablets that are inserted into the back passage that stimulate the rectum and help in evacuating fully.
  4. Bio feed back: This is designed to train the body to recognize the sensation to empty the bowel and empty it fully.

What if all the above measures fail?

If all of the above measures fail to resolve the issue, then laparoscopic ventral mesh rectopexy will solve the problem. This will straighten the rectum and help one pass motion normally.