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Constipation Incontinence

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.

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Causes

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
hypothyroidism
colorectal cancer
Symptoms
Difficulty in passing stool
lumpy, dry, or hard stool
Pain and cramping in the abdomen
Feeling bloated
Nausea
Loss of appetite
Fecal leakage
Inability to hold gas
Excess gas
Diarrhea
Mucus in the stool
Weight loss
Frequent urination

Risks If Condition Persists

Hemorrhoids
Swollen veins in your anus
Anal Fissure
A large or hard stool can cause tiny tears in the anus
fecal impaction
Chronic Constipation may cause an accumulation of hardened stool that gets stuck in your intestines
rectal prolapse
Straining to have a bowel movement can cause a small amount of the rectum to stretch and protrude from the anus
Emotional distress
The loss of dignity associated with losing control over one's bodily functions can lead to embarrassment, shame, frustration and depression
Skin irritation
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.
logo Less Pain
Our Surgery is Painless, compared to Open surgery procedure which is painful.
logo No tissue damage
Our Surgery cause minimal cuts and wounds compared to Open surgery causes which causes cuts and wounds
logo No Diet Restrictions
Our Surgery doesn't cause cuts and wounds compared to Open surgery causes which causes cuts and wounds
logo Fast Recovery
Can resume work immediatly
logo Minimally Invasive
Our Surgery is minimally invasive compared to open surgery for which its large
logo No Incontinence
Anal sphincter is well preserved so no chances of incontinence/ fecal leak

Patient Testimonials

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From Hongkong operated by Dr Banerjee for Rectal Prolapse surgery Laparoscopically. He came to our centre for
Mr. Sherpa
Hongkong
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A resident of Turkmenistan appeared fit at the time of discharge after undergoing Laparoscopic Weight Loss Surgery (Bariatric Surgery).
Mrs. Sabirow Kemran
Turkmenistan
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A young Afghani National patient was diagnosed to have huge Right liver cystic swelling and had recurrent bouts of pain,
Mr. Abdul Fatah
Afghanistan
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This 70 year old gentlman from Nigeria is happily smiling after being surgically treated for his small bowel pathology. Long
70 year old Gentleman
Nigeria

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.

Why Pelvinic

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.
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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 over time.
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.