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Male | 60

Can pelvic floor rehab help my post-surgery GI issues?

I hope this message finds you well. I am writing to discuss my ongoing gastrointestinal issues that have persisted despite my recent surgery for chronic constipation and rectal prolapse. I underwent a laparoscopic ventral mesh rectopexy, but I am still experiencing significant problems related to anal hypotension and hypocontractility, as well as prolonged Balloon Expulsion Test (BET) results indicative of Type 1 Dyssynergia. Despite the surgical intervention, I continue to struggle with inadequate anal sphincter tone and a reduced ability to contract effectively. These issues have led to ongoing difficulties with bowel control and frequent episodes of constipation. The prolonged BET results suggest that my pelvic floor muscles are still not coordinating properly during bowel movements. Given my history and the current symptoms, I would greatly appreciate your expertise in identifying the next steps for management. Specifically, I am interested in exploring options such as pelvic floor rehabilitation, biofeedback therapy, or any further diagnostic evaluations that may be necessary to address these issues effectively. Thank you for your attention to this matter. I look forward to your guidance on how we can best proceed to improve my condition.

Dr. Samrat Jankar

Surgical Gastroenterologist

Answered on 20th Sept '24

These issues might be due to problems with the pelvic floor muscles not functioning properly during bowel movements. Pelvic floor rehabilitation could help by improving muscle coordination and strength in the pelvic area, potentially aiding in better bowel control. Another option is biofeedback therapy, which uses sensors to teach you how to coordinate your muscles during bowel movements. Discuss these options with your medical team to find the best approach for you. Additional diagnostic tests might be needed to understand the situation better. 

2 people found this helpful

Questions & Answers on "Gastroenterologyy" (1116)

For last one week I have vomiting tendency along with dry throat ...bowel not clear..problem of gas..

Male | 62

You must see a doctor immediately to determine your symptoms' cause. It could be anything from a stomach virus to a foodborne illness to a more serious condition. Your doctor can run tests to determine the cause and provide the appropriate treatment. In the meantime, it is important to stay hydrated by drinking plenty of fluids and avoiding foods that could worsen your symptoms. 

Answered on 23rd May '24

Dr. Babita Goel

Dr. Babita Goel

Accidentally drank half cup floor cleaner

Female | 21

Drinking floor cleaner is super risky be­cause it isn't made­ for our bodies. It can burn your mouth, throat, and tummy. You could feel sick, struggle­ to breathe, or even pass out. It's crucial to ge­t help quickly by phoning poison control or heading to the hospital. Don't de­lay, getting treatment soone­r improves your odds of feeling alright late­r.

Answered on 25th Sept '24

Dr. Samrat Jankar

Dr. Samrat Jankar

She is 2years 7months old baby. She is facing constipation problem (3days / 2days once) the stole also very hard while coming out. She is very struggling because of it. Am giving spinach weekly thrice and giving vegetables daily in her meal. Apple everyday. She is not comfortable in chewing it and taking lot of time so am offering her in smoothy form.

Female | 2

Constipation means less number of bowel movements or finding of it difficult to do so. This can happen due to the lack of fiber and water in the diet. You did a good job with spinach, veggies, and apple. You can also try giving her more water and whole grains along with her meals. 

Answered on 5th Aug '24

Dr. Samrat Jankar

Dr. Samrat Jankar

Sir, I under gone hepatitis surgery in 2020 now I am getting pain in obdoman pl let me know what treatment I should take.

Male | 68

Please visit a gastroenterologist for proper evaluation. Abdominal pain can have various causes so it's best to seek medical advice for an accurate diagnosis and personalized treatment plan. 

Answered on 23rd May '24

Dr. Samrat Jankar

Dr. Samrat Jankar

Couldn't eat anything coz of gastritis and I'm only taking avocado juice for almost a month. I feel fatigue and have headaches with dizziness.

Female | 29

Gastritis can make eating hard, and having avocado juice isn't giving your body all it needs. Symptoms like fatigue, headaches, and dizziness can happen when you lack essential nutrients. To feel better, try eating small, gentle meals. Foods such as oatmeal, bananas, or toast can be friendly to your stomach. Rest and stay hydrated as well.

Answered on 6th Aug '24

Dr. Samrat Jankar

Dr. Samrat Jankar

Constipation Left side pain

Female | 45

In many cases, the buildup of stool in the colon can lead to lower left abdominal pain caused by constipation. Constipation and left side pain can be prevented by increasing fiber intake, proper hydration, regular exercise. If the pain continues or if it is intense, one should seek help from a medical practitioner to clarify this further.

Answered on 23rd May '24

Dr. Samrat Jankar

Dr. Samrat Jankar

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