Diagnosis and Treatment of Dyssynergic Defecation

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Diagnosis and Treatment of Dyssynergic Defecation

Dyssynergic defecation is common and affects up to one half of patients with chronic constipation. This acquired behavioral problem is due to the inability to coordinate the abdominal and pelvic floor muscles to evacuate stools. A detailed history, prospective stool diaries, and a careful digital rectal examination will not only identify the nature of bowel dysfunction, but also raise the index...

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Behavioural treatment of the dyssynergic defecation in chronically constipated elderly patients: a randomized controlled trial.

A randomized controlled trial was carried out with the purpose to determine the effectiveness of EMG-biofeedback in the treatment of chronically constipated elderly patients with dyssynergic defecation as compared to a control condition characterized by information about the bowel functioning and counseling focused on the behavioural mechanisms involved in the defecation. With this purpose, aft...

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Outcome of biofeedback therapy in dyssynergic defecation patients with and without irritable bowel syndrome.

AIM The Rome II and III diagnostic criteria for dyssynergic defecation require the exclusion of irritable bowel syndrome (IBS). To prospectively study whether the presence of IBS affects the outcome of biofeedback therapy in dyssynergic defecation patients. METHODS Consecutive patients with dyssynergic defecation underwent biofeedback therapy. Dyssynergic defecation was diagnosed based on sym...

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The impact of anorectal biofeedback therapy on the quality of life of patients with dyssynergic defecation.

BACKGROUND/AIMS Dyssynergic defecation is a common health problem affecting the quality of life of patients adversely. We aimed to evaluate the impact of biofeedback therapy on the quality of life of constipated patients due to dyssynergic defecation. MATERIALS AND METHODS Constipated patients due to dyssynergic defecation were enrolled to the study. Patients having secondary causes of consti...

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ژورنال

عنوان ژورنال: Journal of Neurogastroenterology and Motility

سال: 2016

ISSN: 2093-0879,2093-0887

DOI: 10.5056/jnm16060