Dyssynergic defecation

Research output: Contribution to journalArticle

104 Citations (Scopus)

Abstract

Dyssynergic defecation is a common clinical problem that affects half of patients with chronic constipation. In many patients, there is a significant overlap with slow transit constipation. The chief underlying pathophysiologic mechanism is a failure of rectoanal coordination. By using a combination of history, prospective stool diaries, detailed clinical evaluation, and anorectal physiologic tests, it is possible to diagnose this problem. Controlled trials are under way to evaluate the efficacy of biofeedback therapy. Meanwhile, it is possible to treat most patients by using neuromuscular conditioning and biofeedback therapy. Further refinements in diagnostic criteria and in rehabilitation therapy programs should facilitate better diagnosis and treatment of patients with dyssynergic defecation.

Original languageEnglish (US)
Pages (from-to)97-114
Number of pages18
JournalGastroenterology Clinics of North America
Volume30
Issue number1
DOIs
StatePublished - Jan 1 2001
Externally publishedYes

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Defecation
Constipation
Behavior Therapy
Therapeutics
Rehabilitation
History
Biofeedback (Psychology)

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Dyssynergic defecation. / Rao, Satish Sanku Chander.

In: Gastroenterology Clinics of North America, Vol. 30, No. 1, 01.01.2001, p. 97-114.

Research output: Contribution to journalArticle

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