Constipation - Functional Management
Constipation is the difficulty with passing a bowel motion that can be related to hardened faeces BUT it can also be due to dysfunctional bowel motion control:
This occurs when the pelvic floor muscles contract instead of relax when you are emptying your bowel.
This obstructs the passage of faeces from rectum to anus.
Ineffective Passage of Faeces
This may be from:
Motor and sensory changes within the rectum and/or anus
Post-partum perineal descent
Defaecation mechanics (ie how you actually empty your bowels)
This is the involuntary leakage of faeces. It may be
Passive - you don't feel it happening
Stress related - coughing, sneezing, lifting, carrying
Urge related - if there is a defect in the sphincter, insufficient pelvic floor muscle strength or a neural dysfunction
It may occur as a result of giving birth, having a weak pelvic floor, anal sphincter defect, neural dysfunction or secondary to chronic constipation
This is the involuntary leakage of gas/wind/farts
This is when your normal bowel urge comes on too quickly or strongly causing you to race to the toilet. It can be caused by neural dysfunction, weak pelvic floor muscles or anal sphincter defect.
Pain passing a bowel motion
Usually related to other pathologies (anal fissures, haemorrhoids or pain syndromes)
Ongoing rectal pain or aching lasting >20mins
Caused by tightness of one of the pelvic floor muscles (puborectalis)
Repeated episodes of pain in the anus or rectum lasting a few seconds/minutes with no pain between bouts
Can be related to history of chronic constipation
May be a spasm of the anal sphincter or puborectalis
All the above issues are treatable with Pelvic Health Physiotherapy
At Beaches Pelvic Physio we treat all aspects of the pelvis both internal and external,
together with associated areas of the body.
We work closely with many Specialists, Therapists and Trainers including: GP’s; Integrative GP's; Sports Physicians; Gynaecologists; Obstetricians; Urologists; Urogynaecologists; Gastroenterologists; Colorectal Surgeons; Nutritionists; Naturopaths; Massage Therapists; Exercise Physiologists; Personal Trainers; Yoga & Pilates Instructors, to achieve the best results for you.
If you are unsure about anything, please don't hesitate to call us on: 0435 150136 or 02 8964 5579.
For online bookings: