History and Physical Examination

The patient is a 38-year-old G4P2 woman, with a 3-year history of increasing bladder dysfunction and a 6-month history of exteriorized vaginal and rectal prolapse. She stated that the exteriorized portion is quite large, and she brought two Polaroid photos of what appeared to be at least a fourth degree cystocele, as well as a rectal prolapse of a large amount of rectal mucosa. She also complains of urge urinary incontinence for 2 years. She voids 7 to 10 times per day wearing 1 to 2 pads per day, reporting 1 to 2 episodes of incontinence per day. She reported four or more episodes of nocturia per night with no enuresis or recurrent urinary tract infections, and voids with a normal flow. Her obstructive defecation symptoms have been present for 3 years with no fecal incontinence. She is sexually active. She had been fit with a vaginal ring pessary by her primary physician, which she wears without significant difficulties.

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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