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Typically such patients complain of defecation urgency and frequent bowel movements, but only small fecal pellets are passed leaving a sensation of incomplete evacuation. During defecation patients may need to support the perineum on both sides, or evacuate fecal pellets from the rectum with a finger.
Bowel management is the process which a person with a bowel disability uses to manage fecal incontinence or constipation. [1] People who have a medical condition which impairs control of their defecation use bowel management techniques to choose a predictable time and place to evacuate. [ 1 ]
Bowel obstruction is a bowel condition which is a blockage that can be found in both the small intestines and large intestines. Increase of contractions can relieve blockages; however, continuous contractions with decreasing functionality may lead to terminated mobility of the small intestines, which then forms the obstruction.
Rectal tenesmus is a feeling of incomplete defecation. [1] It is the sensation of inability or difficulty to empty the bowel at defecation, even if the bowel contents have already been evacuated.
Fecal impaction is a common result of neurogenic bowel dysfunction and causes immense discomfort and pain. Its treatment includes laxatives, enemas, and pulsed irrigation evacuation (PIE) as well as digital removal. It is not a condition that resolves without direct treatment.
By regularly emptying the bowel using transanal irrigation, controlled bowel function is often re-established to a high degree in patients with bowel incontinence and/or constipation. This enables control over the time and place of evacuation and the development of a consistent bowel routine. [56]
TAI, also termed retrograde irrigation, is designed to assist evacuation using a water enema [49] as a treatment for persons with bowel dysfunction, including fecal incontinence or constipation, especially obstructed defecation.
Bowel perforation is when the wall of the bowel ruptures. It is a potentially lethal complication [9] which requires emergency surgery. 49 bowel perforations caused by transanal irrigation were reported between 2005 and 2013. [19] This rate was used to calculate a risk of 2-6 perforations per 1 million procedures. [19]