Treating constipation with biofeedback for the pelvic floor

Constipation is often clinically defined as having three or fewer bowel movements a week. Sometimes this is about expectations; people generally feel like they’re not “healthy” if they don’t have a bowel movement every day. But three bowel movements a week can be normal for some people, especially if that has been their pattern for a long time. There are many other factors that affect how people perceive bowel movements. According to the Rome IV criteria of constipation often used in research, frequency alone doesn’t explain all complaints of constipation. Patients complaining of two or more of the following also qualify for a diagnosis of constipation: feelings of incompletely evacuating (not getting everything out) straining lumpy or hard consistency of the stool sensation of blockage using a finger to dislodge the stool. When constipation is a problem, there are two main reasons for it: slow movement of the colon and pelvic floor dysfunction. Treatment for slowed movement of the colon is usually laxatives and drugs to move your colon. But getting your pelvic floor evaluated is worthwhile, because a diagnosis of pelvic floor dysfunction typically involves nondrug treatment. Pelvic floor dysfunction The pelvic floor is a muscular bowl that encompasses the rectum, bladder, and (for women) the uterus. There is a complex interaction among these different organs. In the act of defecating, or having a bowel movement, the anal sphincter (the group o...
Source: Harvard Health Blog - Category: Consumer Health News Authors: Tags: Complementary and alternative medicine Digestive Disorders Health Source Type: blogs

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Condition:   Constipation Interventions:   Drug: Bisacodyl 5 milligram;   Drug: Placebo oral tablet Sponsors:   University of Nottingham;   Sanofi Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Condition:   Irritable Bowel Syndrome With Constipation Intervention:   Behavioral: Tai Chi Sponsor:   Massachusetts General Hospital Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
In this study, LC/NE neurons were pre-lesioned by N-(2-chloroethyl)-N-ethyl-2-bromobenzylamine (DSP-4) in paraquat and maneb-induced mouse PD model. We found that DSP-4 significantly impaired learning and memory performance in paraquat and maneb-treated mice, although it failed to interfere with constipation and depression-like behaviors. Consistently, DSP-4 treatment increased hippocampal neurodegeneration, synaptic loss, α-synuclein expression and Ser129-phosphorylation in mice treated with these two pesticides. Mechanistically, DSP-4 increased iron content in hippocampus by disrupting the balance of iron release p...
Source: Neuroscience - Category: Neuroscience Source Type: research
ConclusionLongitudinal resection is a surgical redo-procedure offering large benefits for patients with Hirschsprung disease with distended bowel after primary surgery.
Source: International Journal of Colorectal Disease - Category: Gastroenterology Source Type: research
Authors: Lee JY, Kim N, Park JH, Nam RH, Lee SM, Song CH, Kim G, Na HY, Choi YJ, Kim JJ, Lee DH Abstract Background/Aims: Emerging evidence shows that the mechanism of irritable bowel syndrome (IBS) is associated with neurotrophic factors and tight junction proteins (TJPs) It is known that there are sex differences in the pathophysiology of IBS. The aim of the present study is to determine expression levels of neurotrophic factors, TJPs, and cytokines according to IBS subtype and sex. Methods: From 59 IBS (33 IBS-constipation, 21 IBS-diarrhea, and 5 IBS-mixed) and 36 control patients, colonic mucosa mRNA expres...
Source: Journal of Neurogastroenterology and Motility - Category: Gastroenterology Tags: J Neurogastroenterol Motil Source Type: research
Condition:   Constipation Interventions:   Drug: Bisacodyl 5 milligram;   Drug: Placebo oral tablet Sponsors:   University of Nottingham;   Sanofi Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
This article reviews the most common gastrointestinal (GI) problems that occur in patients with Parkinson disease, including weight loss, drooling, dysphagia, delayed gastric emptying, constipation, and defecatory dysfunction. Appropriate workup and treatment options are reviewed in detail in order to provide clinicians with a comprehensive and practical guide to managing these problems in Parkinson disease patients. GI adverse effects of commonly used Parkinson disease motor medications are also reviewed.
Source: Clinics in Geriatric Medicine - Category: Geriatrics Authors: Source Type: research
Journal of Medicinal Food, Ahead of Print.
Source: Journal of Medicinal Food - Category: Nutrition Authors: Source Type: research
This article was published on JSTOR Daily, read the original article here.
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized health medicine onetime syndication Source Type: news
Obstructed defecation syndrome (ODS) is a form of colonic constipation in which stool cannot effectively be evacuated from the rectum. ODS is usually caused by a combination of behavioral, functional, and anatomic factors. While many women with ODS can experience improvement with aggressive medical management, the anatomic contribution what we term a “posterior” enterocele to defecation obstruction can be significant.
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: Open Communications 21:  Urogynecology (3:05 PM – 4:05 PM) 3:33 PM Source Type: research
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