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OBS (Obstructive defaecation syndrome)
ODS is the inability of a person to evacuate the rectum normally, mostly female predominant and usually associated with genitourinary prolapse. A Colorectal Surgeon can usually be able to diagnose the underlying problem. For complex etiology and psychological involvement, ODS need multidiciplinary approach . Treatment should be specific and low cost.
Clinical features :
Excessive strain during defecation.
Incomplete evacuation of stool with repeated visit to the toilet.
Need perineal support or manual removal of stool to empty the rectum.
May or may not be associated with constipation .
Often associated with accidental bowel leakage.
Sometimes fecal incontinence and constipation overlap.
Most of the cases, patients are laxative dependant and psychologically handicapped.
Etiology:
Outlet Obstruction
Rectocele
Recto-rectal Intussusception
Enterocele
Pelvic Floor Dyssynergia
Rectal Hyposensation
Pudendal neuropathy
Perineal Descert Syndrome
Dr. Bilkis Fatema is a best female Colorectal & Laparoscopic Surgeon in Dhaka, Bangladesh. She is best for piles, fistula, anal fissure, colon and rectal cancer, polyp, rectal prolapse & diverticulitis.
Rectal Prolapse
Dr. Bilkis Fatema is a best female Colorectal & Laparoscopic Surgeon in Dhaka, Bangladesh. She is best for piles, fistula, anal fissure, colon and rectal cancer, polyp, rectal prolapse & diverticulitis.
Colon and Rectal Cancer
Dr. Bilkis Fatema is a best female Colorectal & Laparoscopic Surgeon in Dhaka, Bangladesh. She is best for piles, fistula, anal fissure, colon and rectal cancer, polyp, rectal prolapse & diverticulitis.
IBD
Dr. Bilkis Fatema is a best female Colorectal & Laparoscopic Surgeon in Dhaka, Bangladesh. She is best for piles, fistula, anal fissure, colon and rectal cancer, polyp, rectal prolapse & diverticulitis.
Anal Fissure
Anal fissure is a common anal problem. Tearing at the anal margin is a painful condition characterised by pain during defaecation along with per anal bleeding. Burning sensation in anus is the characteristic feature of anal fissure. Sometimes itching aggravates the situation.
Cause of Anal Fissure
- Constipation
- Strain during defecation
- Diarrhea
- Anal Sex
- Obstructed defecation
- Idiopathic
Diagnosis of Anal Fissure:
Physician can diagnosis anal fissure by inspection of the anus or by gentle digital rectal examination.
Management of Anal Fissure:
Aim of Management of anal fissure is to lower the pressure in rectum.
Conservative treatment
- Correction of constipation by more fluid and fibe, laxatives.
- Correction of Diarrhea if any.
- Warm hip bath and cleaning of anal region.
- Avoid straining and prolonged sittings on the toilet.
- Use of painkillers / lubrication.
Prevention of Anal Fissure – (Healthy Life style)
- Eat more fiber
- Take plenty fluid
3. Regular exercise
Hemorrhoidal Diseases
Piles or Hemorrhoids are dilated and swollen veins in your anus and lower rectum. Three out of four adults will have Hemorrhoids.
Cause of Piles
- Constipation
- Prolong standing or heavy lifting
- Chronic diarrhea
- Being Pregnant
- Obesity
- Having anal intercourse
- Eating low fiber diet.
- Sometimes Rectal Cancer / Recto-sigmoid Cancer may present with piles.
Hopefully, effective treatment options are available for Hemorrhoids. Many people get relief with home treatment and lifestyle modifications.
Fistula in Ano
Dr. Bilkis Fatema is a best female Colorectal & Laparoscopic Surgeon in Dhaka, Bangladesh. She is best for piles, fistula, anal fissure, colon and rectal cancer, polyp, rectal prolapse & diverticulitis.
Labaid Specialized Hospital
House: 6, Road: 4, Dhanmondi, Dhaka-1205Visiting Hours: 5:30 PM – 9:30 PM
(Sunday-Tuesday- Thursday )Call for Serial: 10606
Dhaka Central Diagnostic & Imaging Center
38/1, Ring Road, Shyamoli, Dhaka-1207Visiting Hour: 5:30 PM-9:30 PM (Saturday-Monday-Wednesday)Call for Serial: 01622446661-2
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