Anal Physiology Testing

Anal physiology testing is used at our institution to verify that the puborectalis muscle relaxes when straining occurs. Paradoxical puborectalis contraction occurs when this does not happen and is treated with biofeedback. We also use anal physiology testing to look for an anorectal inhibitory reflex. Absence of this points to Hirschsprung's disease. A small number of adults with lifelong constipation are found annually in our institution with short segment Hirschsprung's. Verification that a patient can defecate a balloon transanally placed in the rectum is also done and is performed in the anal physiology laboratory.

Before undertaking a surgery that involves resection of bowel, and there is concern about the motility of the small bowel, additional investigations should be ordered. Hints of small bowel problems are early epigastric discomfort after eating, or enlarged stomach on abdominal flat plate X-ray. Various studies are used to examine the small bowel. At our institution, ingestion of a hamburger or egg mixture combined with a radionucleotide is given. The progress of the radionucleotide out of the stomach and through the small intestine is traced in the nuclear medicine laboratory.

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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