Outlet obstruction constipation?

summary

Outlet obstruction constipation, also known as rectal constipation or pelvic floor muscle dysfunction, is a syndrome of defecation difficulty or persistent constipation caused by the changes of tissues and organs near the defecation outlet. Outlet obstruction constipation accounts for about 60% of chronic constipation. It can be divided into three types: Rectal weakness type, or flaccid type, spastic type and extraintestinal obstruction type. The three types can occur alone or at the same time. It is common that rectal mucosal prolapse, rectocele and puborectalis syndrome occur simultaneously. This disease is more common in young and middle-aged women, and rectal asthenic constipation is more common in the elderly. Outlet obstruction constipation? Let's talk about it

Outlet obstruction constipation?

Defecation is laborious, with endless feeling or falling feeling, less defecation, defecation intention or lack of defecation intention. There may be mud like feces in the intestine during anorectal digital examination. When defecating with force, the external anal sphincter constricts paradoxically.

In the colonic transit test, most of the markers remained in the rectum at 72 hours. Anorectal manometry showed that the external anal sphincter showed contradictory contraction or abnormal sensory threshold of rectal wall during forced defecation.

In patients with rectal intramucosal prolapse and perineum descent syndrome, rectal submucosal accumulation can be seen with a little abdominal pressure, which protrudes into the opening of the lens tube like a bottle stopper. At the junction of rectum and anal canal, there is a ring or cervical mucosal inflection. Rectal endoscopy showed too much rectal mucosa. When defecating with force, it could be seen that it was embedded in the mirror cavity or appeared below the tooth line. Patients could see mucosal edema, crispness, congestion, or ulcers, polyps and other lesions.

matters needing attention

Every day to eat more fiber rich foods, such as fresh fruits and vegetables, coarse grains and so on. You can eat honey, black sesame and other foods with moistening and drying effect; Drink more water. Patients without diabetes can drink 1 cup of honey water (about 250ml) on an empty stomach every morning. Patients with anal diseases should especially avoid alcohol and spicy food.