Posted 23 November 2003 - 04:46 PM
Has a doctor ever said anything about:"Outlet obstruction type constipation (pelvic floor dyssynergia)The external anal sphincter, which is part of the pelvic floor normally stays tightly closed to prevent leakage. When you try to have a bowel movement, however, this sphincter has to open to allow the fecal material to come out. Some people have trouble relaxing the sphincter muscle when they are straining to have a bowel movement, or they may actually squeeze the sphincter more tightly shut when straining. This produces symptoms of constipation. http://www.iffgd.org/GIDisorders/GIAdults.html
"Bowel PatternOne issue that remains controversial in IBS is subdivision into bowel pattern subgroups. In particular, what defines an alternating bowel pattern is unclear from the literature. Indeed, there is no definitive guidance from the Rome committees regarding this issue. Simply defining patients not fitting into an arbitrary diarrhea or constipation subgroup as an alternator may be overly simplistic and even misleading.In a study by Locke and coworkers, the investigators aimed to determine what individuals meant when they said that they had an alternating bowel pattern, as based on a large community survey. A valid questionnaire was mailed to 4029 randomly selected individuals in Olmsted County, of whom 3022 eligible subjects provided data. Overall, 7.6% of the population had a self-reported alternating bowel pattern, compared with 9.2% who stated that their usual bowel pattern was constipation and 2.5% who said that their usual bowel pattern was diarrhea. It was interesting to note that the feeling of incomplete rectal evacuation and passage of mucus were significant predictors of reporting an alternating bowel pattern in this general population.
Of those individuals who reported an alternating bowel pattern, 59% met symptom criteria for constipation based on standard and accepted groupings of individual symptoms, whereas 35% met symptom criteria for diarrhea and 20% met criteria for both 25% met criteria for neither.These findings suggest that "alternators" may not comprise a distinct subgroup from constipation and diarrhea in this population. Further work is needed to define an appropriate, clinically relevant subclassification of IBS based on colonic symptoms. The latter could be very useful in terms of making management strategies more logical and evidence-based." http://www.medscape.com/viewarticle/463420...02/7002/7001/-1
I am not a doctor. All information I present is for educational purposes only and should not be subsituted for the advise of a qualified health care provider.
Please make sure you have your symptoms diagnosed by a medical practitioner or a doctor.