Obstructed defecation

Obstructed defecation
Synonyms	Anismus, Pelvic floor dyssynergia, Outlet obstruction
Pronounce	N/A
Specialty	N/A
Symptoms	Constipation, Straining during defecation, Incomplete evacuation, Abdominal pain
Complications	Rectal prolapse, Hemorrhoids, Anal fissure
Onset	Any age, more common in middle-aged and elderly individuals
Duration	Chronic
Types	N/A
Causes	Pelvic floor dysfunction, Rectocele, Intussusception, Anal sphincter dysfunction
Risks	Childbirth, Pelvic surgery, Neurological disorders
Diagnosis	Defecography, Anorectal manometry, Colonic transit study
Differential diagnosis	Irritable bowel syndrome, Colonic inertia, Fecal impaction
Prevention	N/A
Treatment	Biofeedback therapy, Pelvic floor exercises, Surgery
Medication	Laxatives, Stool softeners
Prognosis	N/A
Frequency	Common
Deaths	N/A

Obstructed defecation is a medical condition where individuals have a sensation of blockage during defecation. This condition is a type of constipation and is often associated with a variety of gastrointestinal disorders.

Symptoms

The primary symptom of obstructed defecation is the sensation of persistent blockage during the act of defecation. Other symptoms may include abdominal pain, bloating, and a feeling of incomplete evacuation. In severe cases, individuals may resort to manual methods to aid defecation.

Causes

Obstructed defecation can be caused by a variety of factors. These include pelvic floor dysfunction, rectocele, rectal intussusception, and rectal prolapse. Other causes may include anorectal malformations, Hirschsprung's disease, and certain neurological disorders.

Diagnosis

Diagnosis of obstructed defecation typically involves a thorough medical history and physical examination. Additional tests may include anorectal manometry, defecography, and magnetic resonance imaging (MRI).

Treatment

Treatment for obstructed defecation depends on the underlying cause. Options may include dietary changes, pelvic floor therapy, and in some cases, surgery. Medications such as laxatives may also be used to manage symptoms.

See also

• Constipation
• Pelvic floor dysfunction
• Rectocele
• Rectal prolapse