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Obstructed Defecation Syndrome

Obstructed Defecation Syndrome (ODS) is a functional disorder characterized by difficulty or discomfort during bowel movements due to structural or functional abnormalities in the pelvic floor or rectum.

Causes :

  • Pelvic Floor Dysfunction: Weakened or dysfunctional pelvic floor muscles that affect the ability to relax during defecation.
  • Rectocele: Prolapse of the rectum into the vagina, creating a bulge that may obstruct normal bowel movements.
  • Rectal Intussusception: Telescoping or folding of the rectum, causing a blockage.
  • Rectal Prolapse: Protrusion of the rectum through the anus during bowel movements.
  • Internal Rectal Intussusception (Internal Rectal Prolapse): Folding of the rectal lining without protrusion through the anus.
  • Anismus (Pelvic Floor Dyssynergia): Incoordination or spasm of pelvic floor muscles during attempts to defecate.

Symptoms :

  • Straining during Bowel Movements: Difficulty in passing stools despite the urge to defecate.
  • Incomplete Emptying: Feeling of incomplete evacuation even after a bowel movement.
  • Pelvic Pain or Discomfort: Pain or discomfort in the pelvic region during or after bowel movements.
  • Frequent Trips to the Bathroom: Multiple attempts at bowel movements with limited success.
  • Bloating or Abdominal Discomfort: Sensation of bloating or discomfort in the abdominal area.

Diagnosis :

  • Clinical Assessment: Detailed history and physical examination by a healthcare professional.
  • Anorectal Manometry: Measurement of pressure in the rectum and anal canal during attempted defecation.
  • Defecagraphy or MRI Defecography: Imaging studies to assess the function of the pelvic floor and identify structural abnormalities.
  • Biofeedback: Rehabilitation of pelvic floor muscles through biofeedback techniques.
  • Pelvic Floor Physical Therapy: Exercises and therapies aimed at improving pelvic floor muscle function.
  • Dietary Modifications: Increased fiber intake and adequate hydration to promote regular bowel movements.
  • Medications: Laxatives or medications to soften stools and ease bowel movements.
  • Surgery: In cases where conservative measures fail or structural abnormalities are present, surgical interventions such as rectocele repair or rectopexy may be considered.
  • Regular follow-up with healthcare professionals to monitor progress.
  • Adherence to recommended lifestyle modifications.

Conclusion: Obstructed Defecation Syndrome is a complex condition that requires a comprehensive approach to diagnosis and management. Treatment strategies are tailored to individual cases, addressing both functional and structural aspects. Individuals experiencing symptoms should seek evaluation by a healthcare professional for proper diagnosis and personalized treatment planning.

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Pilexcel Clinic is multicentre clinic dedicated to Anorectal problems and treatment of anorectal problems with advanced Laser technology. I have seen that patients many times struggle finding right solutions for their anorectal problems. Our mission is to provide patients with expert & qualified guidance, advanced laser treatments and individualised treatm options. We aim to give you advanced treatment options at centers near you, by experts and at affordable costs.

Here's What You can Do

  Eat Healthy

Eat foods rich in fibres and avoid junk food & spicy food


  Exercise Daily

Do a regular physical activity as per your convenience.


  Hydrate Well

Have an adequate water and liquid intakes daily.


  Avoid Straining For Stools

Most of the periananl problems can be attributed to increased straining, avoid it.

  Go To Doctor : The Right One

Its necessary to get checked and correctly diagnosed by a qualified doctor.


  Get Treated As Per Medical Advice

Problems can be treated as per medical advice.


  Don't Forget To Ask About Laser Treatment

Get knowledge of laser treatments from doctor.

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