🔑Have patient complete symptom questionnaire to get a more detailed picture of their symptoms
🔑Digital rectal examination
🔑Constipation workup and treatment
🔑Normal and abnormal defecatory physiology
Impaired propulsion = "rectal asystole"
Impaired propulsion = "rectal asystole"
🔑Constipation physiology testing
Dyssynergic defecation
MR defecography
🔑Biofeedback is very effective for dyssynergic defecation
Refractory constipation
⚠️Colectomy ONLY if slow transit and there is no pelvic floor dysfunction
⚠️Colectomy ONLY if slow transit and there is no pelvic floor dysfunction
Defecatory disorders summary
Fecal incontinence
Pathophysiology of fecal incontinence
Workup and management of fecal incontinence
Managing diarrhea in fecal incontinence
Keep your 👀 out!
Fecal incontinence summary
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