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dr. round what is dis energic defecation
and what causes it well that's a great
question Ginetta
so pooping is something that's natural
for all of us something that we rarely
think twice majority of people get a
nourish they go the spends a short time
in the restroom and then they've never
even think about it
but for a third of the patients with
chronic constipation they have a
condition called dis synergic defecation
it's a little bit of a mouthful but
essentially pooping or defecation has
become in coordinated or dis energy that
is why we call it the synergy defecation
so in these patients the whole act of
having a bowel movement has gone awry so
they either don't know how to push or
they push excessively unbeknown to them
they obstruct their own bowel movement
many times they push the stool back
inside them or they only pass a small
amount and they have this incomplete
evacuation so this is the synergy
defecation which is in coordinated ball
movement and it is very common over 1/3
of patients with chronic constipation
have this body with regards to what
causes it that has been a little
challenge and we investigated over 100
patients to really find out these
patients had definite diagnosis of this
energy defecation using standard
criteria we found that a third of these
patients had this problem right from
childhood so they never learned the art
of tubing this is something we think as
an art but something we acquired almost
conditionally when we are young we all
learn how to poop but these folks never
knew and they had this problem right
from get-go and then 2/3 of other
patients we found they had a normal
bowel habit but something happened
during either life maybe they are about
where the students became very very hard
and they learn to strain strain
excessively or prolonged periods of time
or they've had some form of physical or
sexual abuse
or they've had some trauma back injury
or a obstetric injury or some people had
surgery in the in erected region of
pelvic floor region or they develop some
of the conditions that led to changes in
the lower bowel which then led to onset
of this energy defecation this is what
we found through our research that the
number of things caused but in a small
proportion maybe about 20 percent we
could never identify what actually
caused it so those are usually the
causes that lead to the city