Obstructive defecation refers to the inability to pass stool through the digestive tract out the rectum.
Symptoms & Causes
The most common symptom of obstructive defecation is feeling more stool remains in your rectum after attempting to pass stool. Other symptoms include:
- Passage of hard stools
- Excessive or prolonged straining while passing stool
- Routine use of laxatives or enemas
- Pain in pelvic area
Obstructive defecation can be caused by structural deformities due to hereditary, injury, or age, problems with your digestive tract, impacted stool, or neurologic issues.
Women who have had two or more children or had an injury during childbirth which damaged the fascia (the internal tissue that separates the vaginal wall and anus, leading to pelvic floor dysfunction) are at a greater risk for obstructive defecation.
PELVINIC’S APPROACH TOWARDS YOUR ODS PROBLEM
The main concern in ODS cases is how to diagnose the main problem. With ever increasing lifestyle changes and food habits bowel habits are bound to get affected. The problem of obstructed defecation is very common in society especially among 20-40 age group of patients. Other than listening patiently to entire patients’ history, Dr Banerjee recommends additional tests to aid in diagnosis Colonoscopy/ MRI defecography to view the entire colon and look for abnormalities. Some cases even do require Electromyography (EMG) to test for weakness in the pelvic floor muscles and the muscles surrounding the anus, Anorectal manometry to determine how well the muscles surrounding the anus are working.
As far as treatment is concern, it’s all depending on the underlying cause of your obstructive defecation. Treatment may include:
- Medications to alleviate constipation
- Biofeedback to help you regain control of your muscles
- Surgery to repair or correct anatomical deformities (STARR). This surgery uses 2 staplers which are little different from those staplers used for piles surgery. STARR surgery if done in an ideal patient bears fruitful results. Hence don’t ignore your chronic constipation and related problems.