Constipation. IBS , ODS and Fecal Incontinence are included among the functional bowel disorders, and have a significant personal, healthcare, and social impact, affecting the quality of life of the patients who suffer from them. Constipation refers to bowel movements that are infrequent or hard to pass. The stool is often hard and dry. It occurs when a person has difficulty emptying the large bowel.
Constipation is a broad term used by both patients and doctors, with variable meaning. Constipation can happen for many reasons, such as when stool passes through the colon too slowly. The slower the food moves through the digestive tract, the more water the colon will absorb and the harder the feces will become. Sometimes, Constipation results from a blockage in the large intestine. In this case, a person will need urgent medical attention.
ODS (Obstructed defecation Syndrome) is difficulty in evacuation or emptying the rectum which may occur even with frequent visits to the toilet and even with passing soft motions
IBS (Irritable Bowel Syndrome) is characterized by the presence of recurrent abdominal pain associated with bowel habit changes, whether in the form of Constipation or diarrhea or combining both. The symptoms vary in severity and duration from person to person. However, they last at least three months for at least three days per month.
Fecal Incontinence is an inability to control bowel movement, causing stool (feces) to leak unexpectedly from the rectum.
Blockages in the colon or rectum may slow or stop stool movement. Hormones help balance fluids in your body. Diseases and conditions that upset the balance of hormones may lead to Constipation. Chronic Constipation may also cause nerve damage that leads to fecal incontinence. Constipation has many causes. Common causes include:
Insufficient dietary fiber intake
inadequate fluid intake
decreased physical activity
side effects of medications
Difficulty in passing stool
lumpy, dry, or hard stool
Pain and cramping in the abdomen
Loss of appetite
Inability to hold gas
Mucus in the stool
Risks If Condition Persists
Swollen veins in your anus
A large or hard stool can cause tiny tears in the anus
Chronic Constipation may cause an accumulation of hardened stool that gets stuck in your intestines
Straining to have a bowel movement can cause a small amount of the rectum to stretch and protrude from the anus
The loss of dignity associated with losing control over one's bodily functions can lead to embarrassment, shame, frustration and depression
The skin around the anus is delicate and sensitive. Repeated contact with stool can lead to pain and itching, and potentially to sores
Poor quality of life
The stress and anxiety as well as the impact on daily activities the condition can cause may be troublesome for patients
About Treatment at Pelvinic
At Pelvinic, we perform a specialised Surgery for treating Constipation. Here are some advantages of our Surgery over the Traditional Surgical Procedure.
Our Surgery is Painless, compared to Open surgery procedure which is painful.
No tissue damage
Our Surgery cause minimal cuts and wounds compared to Open surgery causes which causes cuts and wounds
No Diet Restrictions
Our Surgery doesn't cause cuts and wounds compared to Open surgery causes which causes cuts and wounds
Can resume work immediatly
Our Surgery is minimally invasive compared to open surgery for which its large
Anal sphincter is well preserved so no chances of incontinence/ fecal leak
From Hongkong operated by Dr Banerjee for
Rectal Prolapse surgery Laparoscopically. He came to our centre for
A resident of Turkmenistan appeared fit at the time of discharge
after undergoing Laparoscopic Weight Loss Surgery (Bariatric Surgery).
Mrs. Sabirow Kemran
A young Afghani National patient was diagnosed to have huge Right liver
cystic swelling and had recurrent bouts of pain,
Mr. Abdul Fatah
This 70 year old gentlman from Nigeria is happily smiling after being
surgically treated for his small bowel pathology. Long
70 year old Gentleman
Treatment Procedure for Constipation, ODS, IBS, Fecal Incontinence
The diagnosis should be based on the characteristic symptoms. Diagnosis and treatment depend on a detailed physical examination and careful workup. Some etiologies are easily treated, whereas others require extensive therapy in a multidisciplinary setting. IBS-and Constipation share several pathogenic mechanisms, and both have responded favorably to the same drugs.
Pelvic floor muscle problems are diagnosed by our specially trained doctors through the following examination
• Blood tests
• Sigmoidoscopy may be needed to view the sigmoid colon.
• Colonoscopy can be done to view the entire colon and look for abnormalities.
• Anal manometry and endoanal ultrasound can determine how well the muscles around the anus are working. It also differentiates a weak vs tight pelvic floor.
• Electromyography (EMG) records the electrical activity produced by skeletal muscles. This test can show the weakness in the muscles in the hip and the muscles around the anus.
• Defecogram is very helpful for those who have difficulty passing stools. It enables us to see the structures in your lower abdomen, and the way they move when you try to empty your bowel.
• X-ray or CT scan. These tests produce images of your abdomen and pelvis that might allow your doctor to rule out other causes of your symptoms, especially if you have abdominal pain. Your doctor might fill your large intestine with a liquid (barium) to make any problems more visible on X-ray. This barium test is sometimes called a lower GI series.
The expert proctologist will decide what type of medication a patient needs depending on the diagnosis. The goal of treatment is to relieve symptoms. Doctor may recommend a prescription medication, Medications that draw water into your intestines, helps move stool through the colon.
Training your pelvic muscles- Help you learn to relax and tighten the muscles in your pelvis muscles at the right time during defecation to pass stool more easily.Diet and lifestyle changes- Increase your fiber intake. Exercise, Laxatives- Fiber supplements, Stimulants, Stool softener, Suppositories. Treatments for bowel incontinence aim to help restore bowel control or reduce its severity. Options include medications, dietary changes, bowel training, stool impaction therapy. If these do not work, surgery may be recommended.
Surgical treatment of chronic Constipation is not routine and is performed only in exceptional cases. For people who have abnormally slow movement of stool through the colon, surgical removal of part of the colon may be an option. Surgery to remove the entire colon is rarely necessary.
Sphincteroplasty is surgery to repair a damaged or weakened anal sphincter. The surgeon removes damaged muscle, overlaps the muscle edges and sews them back together. This provides extra support to the muscles and tightens the sphincter.Surgery for a prolapsed rectum may be done if other treatments have not worked. A rectocele may be corrected by STARR (Stapled Trans anal Resection of the Rectum) surgery, if it leads to significant symptoms of fecal incontinence. A colostomy can be used as a last resort. The stools are diverted through a hole in the colon and through the wall of the abdomen. A special bag is attached to the opening to collect the stool. There is no known cure for IBS, but there are many treatment options discussed, to reduce or eliminate symptoms. Good communication with a doctor is important to help manage this condition. Laparoscopic ventral rectopexy is suitable for women with a visible external rectal prolapse and ODS.
After surgery, a patient can expect some rectal pain. Accordingly, a doctor will prescribe a painkiller to relieve the pain and laxatives for Constipation. Most patients may be treated conservatively by eating a high fiber diet, staying hydrated by drinking 3 to 4 litres of water daily.
Recovery after surgery varies. A patient can expect a full recovery within a month. You should feel better after 1 to 2 weeks and will probably be back to normal routine. Your bowel movements may not be regular for initial weeks. Also you may have some blood in your stool.
Pelvinic - The Pelvic Floor Clinic, is a proctology specialty center. We offer treatment and cure for diseases in the pelvic area under one roof. Treatment is done by our experienced doctors using latest technologies at a very affordable cost.
We have taken all safety measures to combat Covid-19.
We strive to provide a home-like environment and the best treatments for our patients for quick recovery.
Award Winning Doctors
PELVINIC’s success is recognized by many awards from the various organizations national & international.
We use the latest technology and medical equipment in patient care that helps the doctors diagnose diseases and treat patients effectively and efficiently.
Highly skilled surgeons. Our doctors have a vast experience of over 50000 surgeries.
50% more cost effective than corporate hospitals.
Frequently Asked Questions
The recommended amount of fibre per day is between 25-35g. If you’re increasing the fibre in your diet,
increase it by 5-6g every two weeks.
This is to reduce the side effect of gas, which occurs when you add fibre to your diet. The gas will decrease
There’s no difference whether you eat fibre or take a supplement, so you can use the fibre supplement
instead of eating fibre. Some people feel that the supplement makes them have less gas.
Activia can improve mild constipation, yes. Studies have shown an improvement in about two weeks, with
two Activia yoghurts a day giving the best results.
Many people believe that green or unripe bananas cause constipation, but there’s no strong evidence to
show that this is the case. The resistant starch in green bananas actually acts like soluble fibre, and has
been used to treat constipation and help reduce diarrhoea.
There have been some reports of people experiencing digestive discomfort after eating them, including
bloating, gas and constipation. If you feel they give you constipation, eat less of bananas or cut them out
for a while to see if it helps.
In some people, particularly children, large intakes of milk and other dairy products can cause
constipation. This may be because of the low-fibre, high-fat profile of dairy.
Constipation is a medical condition that can affect your ability to eliminate
stool. Some doctors will also call obstipation “obstructive constipation.???
Obstipation is a signal that constipation is chronic and a more severe
problem that could lead to serious health side effects if left untreated.