Constipation & IBS


Normal Bowel frequency is passing at least 3 stools in a week

Strain to go to pass stools

Urge to go after you have a bowel movement

Feel Bloated and gassy

Constipation is a general term that is used to describe difficulty with bowel movements, which is characterized by unsatisfactory defecation due to less frequency of stools and/or difficulty passing stools.

Constipation is also classified in 4 types:
- Functional Constipation: Dysfunction between pelvic floor muscles and passing of the stool
- Structural Constipation: A structural defect affecting mobility or causing obstruction to the passage of stool i.e. rectal prolapse can often cause obstruction to complete defecation.
- Secondary Constipation: Constipation due to other underlying disease process
- Irritable Bowel Syndrome: Recurrent abdominal pain at least 3 days per month in the last 3 months associated with either change in frequency or form of stool and/or feeling alleviating   symptoms after bowel movement.

Our role as Pelvic floor Physical therapist in management of Constipation:
- Behavior modification, education about proper high fiber diet (25-35 grams daily), importance of exercises for improved   bowel mobility
- Interventions includes teaching and having patient learn to make changes that will include proper timing, positioning and   pushing for defecation.
- Use of Biofeedback to reinforce this behavior by practicing this simulated defecation
- Balloon assisted neuromuscular reeducation
- Education about self and assisted abdominal massage to promote colonic motility.