If you have any questions, call Catherine on 0735 506 6597
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Any questions? Call Catherine on 0735 506 6597
Generally ODS is caused by the structural abnormalities associated with a weak pelvic floor or prolapse disease (intussusception or internal rectal prolapse, rectocoele [USA -
This syndrome is characterised by difficulty passing motions, multiple (often unsuccessful) visits to the toilet, a sensation of a blockage and incomplete emptying. Patients with ODS often use their finger to help them to empty, pushing on the perineum (the skin in front of the anal canal), on the back wall of the vagina or in the anal canal itself. As emptying may not be complete some patients describe leakage of a small amount of stool after they have been to the lavatory i.e. in addition to not being able to go properly, they also find that they have some symptoms of faecal incontinence.
A careful assessment, examination and appropriate investigations by a Colorectal specialist will usually identify the cause and allow a management plan to be put in place. Your specialist may recommend a flexible sigmoidoscopy or colonoscopy to rule out rare causes for ODS. Anorectal physiology and endoanal ultrasound will help distinguish a weak from a tight pelvic floor. A proctogram looks at the co-
Often patients can be helped with changes in diet or stool softeners. Pelvic floor retraining retrains the muscle of the pelvic floor and co-