Rectal Compliance

Compliance is determined by the change in pressure associated with a change in volume. This is calculated by subtracting the volume of first sensation from the maximum tolerable volume and dividing by the change in pressure at these two points. A noncompliant rectum can contribute to fecal incontinence if the patient is unable to accommodate the amount of stool presented to the rectum. This is common in conditions that cause proctitis.

Manometry is an important tool to evaluate patients with fecal incontinence. This test will determine functional weakness of the internal and/or external anal sphincter as well as identify the presence of sensory or muscular defects. Rectal capacity and compliance may also be significantly decreased in patients with fecal incontinence, proctitis, or loss of rectal reservoir. The role of manomet-ric evaluation in patients with constipation is somewhat controversial. Manometry may have a role in the assessment of patients with paradoxical puborectalis contraction, lifelong history of constipation, especially in children and patients suspicious for Hirschsprung's or from areas endemic for Chagas' disease.

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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