Dyssynergic Defecation Treatment

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Understanding Dyssynergic Defecation

Dyssynergic defecation is a condition characterised by dysfunction in the pelvic floor muscles and nerves. This key group of muscles, located at the base of the abdomen between the hip bones, supports critical pelvic organs, including the uterus, urinary bladder, and rectum. One of its primary roles is facilitating orderly bowel movements.

Normally, nerves and muscles work in harmony to ensure continence until a bowel movement is initiated. For a successful bowel movement, the pelvic floor and anal opening muscles must relax in a coordinated manner. In cases of dyssynergic defecation, also known as anismus, these muscles incorrectly tighten rather than relax, complicating the process of completely emptying the bowels. It can result in chronic constipation.

Get relief from dyssynergic defecation with JOGO's personalised treatment options. Our treatments target dysfunction in pelvic floor muscles and nerves, restoring coordination for orderly bowel movements and improving your overall comfort and well-being.

Causes of Dyssynergic Defecation

The exact cause of dyssynergic defecation remains unknown, but various factors are believed to play a role, including:

  • Childbirth: Injuries to the pelvic floor muscles during childbirth may impair their coordination.
  • Chronic Constipation: Frequent straining during episodes of constipation can lead to dysfunction of the pelvic floor.
  • Neurological Conditions: Issues such as spinal cord injuries or multiple sclerosis may disrupt the nerve signals essential for pelvic floor function.
  • Surgery: Procedures involving the pelvic area may cause damage to the nerves or muscles critical for normal defecation.
  • Psychological Factors: Emotional stressors such as anxiety and depression can aggravate the symptoms of anismus.
A man suffering from a stomach ache in the restroom due to dyssynergic defecation.
Image of a man suffering from dyssynergic defecation.

Complications Caused by Dyssynergic Defecation

While discussing this topic with a therapist may feel uncomfortable for some, not addressing the underlying condition can lead to significant complications if left untreated. Potential complications include:

  • Hemorrhoids
  • Prolapse
  • Impacted faeces
  • Anal fissures
  • Bleeding

Consulting with a specialist is crucial, as we can provide relief through various available treatment options.

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Dyssynergic Defecation Treatments

Treatment for dyssynergic defecation focuses on correcting the dysfunction in pelvic floor muscles to enhance bowel function. In exceptional instances where other treatments prove ineffective, surgical intervention may be considered. The major treatment options include:

Changes to Diet

Increasing fibre intake is crucial, as many individuals with constipation do not consume enough fibre. Incorporating more vegetables, legumes, and whole grains into your diet can facilitate smoother intestinal transit. Fiber supplements are also beneficial. Adequate fluid intake throughout the day is also essential to maintain soft stool consistency.

Lifestyle Modifications

Engaging in specific exercises can strengthen and better coordinate the pelvic floor muscles, which helps improve control during bowel movements. Avoid prolonged straining. If a bowel movement does not occur within 15 minutes, it is advisable to try again later. A qualified therapist can provide targeted exercises to enhance pelvic floor muscle function.

Biofeedback

This highly effective biofeedback therapy for dyssynergic defecation utilises sensors on the abdomen and rectum to provide immediate feedback on muscle activity. Through biofeedback training, patients learn to relax and coordinate pelvic floor muscles with abdominal muscles during bowel movements.

Medications

In certain cases, medications such as pelvic floor relaxants or laxatives may be prescribed to ease stool passage or reduce muscle tension. These are usually used in conjunction with other treatments, like biofeedback, for enhanced outcomes.

JOGO’s Dyssynergic Defecation Treatment Plan

JOGO therapy is a non-invasive, Digital Electromyography (EMG)-based biofeedback therapy. Utilising advanced sensors, JOGO captures muscle signals that patients can view in real-time as graphs on a tablet or computer. A specialist meticulously tailors each treatment plan to meet the specific needs of every client.

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Dyssynergic Defecation Treatment FAQs

Is there a complete cure for Dyssynergic Defecation?

Often, dyssynergic defecation can be treated successfully, and symptoms significantly improve with the right treatment approach. The possibility of a complete cure varies based on individual factors and underlying causes.

Who is usually affected by Dyssynergic Defecation?

Approximately one-third of individuals with dyssynergic defecation have had it since childhood. Another third may develop it following an event, such as an injury or childbirth. The remaining 40% may develop symptoms for reasons that are not known yet. This condition tends to be an acquired behaviour, whether unconscious or conscious.

Is there any way to prevent Dyssynergic Defecation?

Preventive measures for dyssynergic defecation include:

  • Maintaining a balanced diet rich in fibre and staying hydrated.
  • Practising proper toilet habits, such as avoiding straining and not rushing bowel movements.
  • Engaging in regular physical activity to encourage healthy bowel function.
  • Addressing any underlying gastrointestinal issues promptly.
  • Responding to the urge to defecate without delay.
  • Consulting a healthcare specialist for early evaluation and treatment if symptoms arise.

How helpful is Biofeedback Therapy in treating Dyssynergic Defecation?

Biofeedback therapy has proven to be the most effective treatment for dyssynergic defecation, with success rates reaching up to 80%. Randomized controlled trials have demonstrated that biofeedback therapy is more effective than other treatments, such as exercise, diet modifications, laxatives, and various other methods. The improvement in symptoms through biofeedback therapy is attributed to changes in the function of the muscles and nerves involved in defecation. Expanding the availability of biofeedback therapy could significantly enhance symptom management for those affected by this disorder.

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