Posted on 27th December, 2024 at 4:54:30 AM
Do you strain during bowel movements without complete evacuation? This could be a symptom of dyssynergic defecation, a condition affecting the muscles responsible for elimination. While it might sound complex, treatment is available to help regain control and perform regular bowel movements.
Dr. Samrat Jankar is a renowned gastroenterologist & colorectal surgeon in Pune, with more than 15 years of experience in diagnosing and treating patients suffering from Dyssynergic Defecation.
Dr. Samrat Jankar’s holistic approach to Dyssynergic Defecation Treatment in Pune, Maharashtra focuses on managing the underlying causes of the condition and improving overall bowel function and quality of life for his patients. If you or someone you know is struggling with symptoms of Dyssynergic Defecation, don’t hesitate to seek expert evaluation and treatment from Dr. Jankar and his experienced team and take the first step toward improving your bowel function and quality of life.
What is Dyssynergic Defecation?
Anismus, also called dyssynergic defecation. During a bowel movement, your abdominal muscles contract to push stool out, while your pelvic floor muscles relax to allow passage. In dyssynergic defecation (Anismus), these muscles don’t work together properly. Instead of relaxing, the pelvic floor muscles tighten, making it difficult to empty your bowels completely.
What are the Symptoms of Dyssynergic Defecation(anismus)?
While constipation is a common symptom of anismus, it’s not the only one. Here are some symptoms that you might have dyssynergic defecation:
Straining during bowel movements
Difficulty having a bowel movement
Incomplete evacuation
Less than three bowel movements a week
The need to help remove stools out with fingers
Feeling like you still need to go to the bathroom after a bowel movement
Frequent bowel movements
Pelvic floor discomfort
Passing stool in small pieces
Difficulty controlling gas
Leaking of stool
What Causes of Dyssynergic Defecation(anismus)?
The exact cause of dyssynergic defecation is not fully understood, but several aspects are thought to contribute, including:
Childbirth: Injury to the pelvic floor muscles during childbirth can disrupt proper coordination.
Chronic constipation: Straining during constipation can lead to pelvic floor dysfunction.
Neurological conditions: Conditions like spinal cord injury or multiple sclerosis can affect nerve signals to the pelvic floor.
Surgery: Pelvic surgery can injure nerves or muscles involved in defecation.
Psychological factors: Stress, anxiety, and depression can sometimes exacerbate symptoms of anismus.
How is dyssynergic defecation (anismus) diagnosed?
If you suspect you might have dyssynergic defecation, it’s important to consult with Dr. Samrat Jankar for diagnosis. They will ask you about your signs, medical history, and lifestyle habits. A physical exam, including a digital rectal exam, may also be performed.
Anorectal manometry: This test measures pressure differences in the rectum and anus during tried a bowel movement.
Balloon expulsion test: A small balloon is inserted into the rectum to see how well you can remove it, simulating a bowel movement.
Colonoscopy: While not particularly for diagnosing dyssynergic defecation, this method can rule out other bowel conditions.
Defecography: A specialized X-ray examination that assesses the anatomy and function of the rectum and pelvic floor muscles during defecation.
How is Dyssynergic Defecation (Anismus) Treated?
Dyssynergic defecation treatment aims to manage the underlying dysfunction of pelvic floor muscles and improve bowel function. The best Dyssynergic Defecation Specialist in Pune, Dr. Samrat Jankar may recommend the following approaches:
1)Lifestyle changes:
Diet: Increase fiber intake through fruits, vegetables, and whole grains to soften stool and encourage regularity.
Hydration: Drink plenty of fluids throughout the day to keep stool smooth.
Pelvic floor exercises: Specific exercises can aid in strengthening and coordinating the pelvic floor muscles, promoting better control during bowel movements.
Establish a regular bathroom routine: Try to have a bowel motion at the same time each day, even if you don’t feel a strong urge. This can aid regulate your bowels.
Avoid straining: Straining can worsen symptoms. If you’re unable to have a bowel movement within 15 minutes, try again later.
Pelvic floor physical therapy: A qualified therapist can teach you exercises to strengthen and coordinate your pelvic floor muscles.
Laxatives: In some cases, Dr. Jankar may recommend laxatives to soften stool and make it more comfortable to pass. However, these should be used under a doctor’s supervision and not as a long-term solution.
2) Biofeedback Therapy: Biofeedback is a highly effective treatment for dyssynergic defecation. It uses sensors placed on the abdomen and rectum to provide real-time feedback on muscle activity. With biofeedback training, you learn to relax the pelvic floor muscles and coordinate them with abdominal muscles during defecation. Studies show biofeedback has a success rate of 70–80% in improving signs of dyssynergic defecation.
3) Medications:
In some cases, medications like laxatives or pelvic floor relaxants may be used to soften stool or relieve muscle tension during bowel movements. However, these are typically used alongside other therapies like biofeedback for optimal results.
4) Other Procedures:
In rare cases, if other treatments are not successful, Dr. Samrat Jankar might consider options like:
Botox injections: Injecting Botox into the anal sphincter can temporarily relax the muscle, causing the passage of stool easier.
Surgery: Surgical techniques are usually a last resort and may involve repairing or removing injured pelvic floor muscles.
Living with Dyssynergic Defecation:
Dyssynergic defecation can be frustrating, but with proper diagnosis and treatment, you can regain control and enhance your quality of life. Here are some additional tips for managing dyssynergic defecation:
Be patient: Treatment takes time and dedication. Don’t get frustrated if you don’t see results instantly.
Maintain a regular toileting routine: Try to go to the toilet at a similar time each day, even if you don’t feel the urge.
Allow enough time: Don’t rush your bowel movements. Take your time and allow your body to relax.
Manage stress: Stress can aggravate symptoms of dyssynergic defecation. Relaxation methods like deep breathing and meditation can be helpful.
Find a support group: Connecting with others who understand your situation can be a source of encouragement and information.
Maintain a healthy lifestyle: Continue with the dietary and exercise habits that stimulate regularity.
Communicate with your doctor: Be open about your signs and improvement.
How to prevent Dyssynergic Defecation?
To prevent Dyssynergic Defecation:
Maintain a balanced diet rich in fiber and stay hydrated.
Practice good toilet habits, including avoiding straining and taking your time during bowel motions.
Engage in regular physical activity to promote healthy bowel function.
Seek prompt treatment for any underlying gastrointestinal issues.
Avoid holding in bowel motions when you feel the urge to go.
If experiencing signs of dyssynergic defecation, seek evaluation and treatment from a healthcare specialist promptly.
Request a Call Back:
If you suspect you might have dyssynergic defecation, schedule an appointment with Dr. Samrat Jankar, the best colorectal specialist in Pune. Don’t hesitate to discuss your bowel habits — it’s an important part of your overall health. Early diagnosis and treatment can help prevent complications and improve your quality of life.
For more details about our vast treatment options, or to request an appointment with Dr. Samrat Jankar to benefit from the best dyssynergic defecation treatment in Pune call 9763635252
