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.