कब्ज क्या है? (Dyssynergic Defecation) - कारण, लक्षण, निदान और इलाज- डॉ सम्राट जानकर #consitpation

Summary

Dr. Samrat Jankar discusses constipation, a common yet often ignored issue that can lead to serious health problems. He explains the importance of understanding the root cause and the normal defecation process. The video delves into conditions like obstructive defecation syndrome and pelvic floor dysfunction, emphasizing the need for proper diagnosis and treatment. Dr. Jankar highlights the impact on quality of life and the importance of biofeedback therapy as a non-surgical treatment option to improve coordination between the muscles and brain for better bowel movement.

Takeaways

• 😀 The speaker, Dr. Samrat Jankar, is discussing advanced laparoscopy and colorectal surgery, focusing on a condition often joked about but is actually serious: constipation.
• 🤔 Constipation is a common issue that many people are embarrassed to discuss, yet it can be the root of various health problems like appendicitis, piles, and cancer.
• 🔍 Dr. Jankar emphasizes the importance of understanding the root cause of constipation, as it can be a symptom of different medical conditions.
• 🧠 The normal defecation process is explained, involving signals from the brain to the muscles to coordinate the release of stool.
• 🚫 Constipation can occur when the muscles do not coordinate properly, leading to incomplete evacuation and the need for frequent trips to the toilet.
• 🏥 The script describes various diagnostic tests such as digital rectal examination, colonoscopy, and manometric tests to determine the type of constipation.
• 📊 The importance of a detailed patient history and physical examination is highlighted for accurate diagnosis and treatment planning.
• 💊 There is a mention of the ineffectiveness of long-term medication for chronic constipation, suggesting that lifestyle changes and therapies are more effective.
• 🌐 Biofeedback therapy is introduced as a treatment option to improve coordination between the muscles and the brain for better bowel movements.
• 🔎 The script concludes by encouraging viewers to share the information with friends and family who might be suffering from similar issues and to subscribe to the channel for more health-related content.

Q & A

What is the main issue discussed in the script?

The main issue discussed in the script is constipation, specifically the condition known as obstructive defecation syndrome, which is a type of pelvic floor dysfunction.

What is the importance of understanding the normal defecation process as mentioned in the script?

Understanding the normal defecation process is important because it helps in identifying and diagnosing any abnormalities that may be causing constipation or obstructive defecation syndrome.

What is the role of the pelvic floor muscles during normal defecation?

During normal defecation, the pelvic floor muscles play a crucial role in coordinating the process. They contract to push out stool and relax to allow the stool to pass through.

What is meant by 'biofeedback therapy' in the context of treating constipation?

Biofeedback therapy is a treatment method that involves teaching patients how to control their pelvic floor muscles to improve bowel movements and alleviate constipation.

What are the potential causes of constipation mentioned in the script?

Potential causes of constipation mentioned include poor coordination of the pelvic floor muscles, diet, lack of exercise, and certain medications.

How is obstructive defecation syndrome diagnosed?

Obstructive defecation syndrome is diagnosed through a combination of patient history, physical examination, and tests such as manometry, balloon expulsion test, and defecography.

What is defecography and how does it help in diagnosing constipation?

Defecography is an imaging test that involves inserting a contrast material into the rectum and taking X-rays to observe the process of defecation. It helps in identifying any structural abnormalities that may be causing constipation.

What is the significance of the balloon expulsion test in evaluating constipation?

The balloon expulsion test is significant because it assesses the patient's ability to expel a balloon from the rectum, which can indicate issues with the pelvic floor muscles or nerve function.

What is the role of the rectoanal inhibitory reflex in the defecation process?

The rectoanal inhibitory reflex is a natural reflex that causes the internal anal sphincter to relax when stool enters the rectum, allowing it to pass through. Any issue with this reflex can contribute to constipation.

What lifestyle changes are recommended to manage constipation according to the script?

Lifestyle changes recommended include improving diet with more fiber, increasing physical activity, and learning to relax and coordinate pelvic floor muscles through biofeedback therapy.

How effective is biofeedback therapy in treating constipation?

Biofeedback therapy can be effective in treating constipation, especially when it involves teaching patients to properly coordinate their pelvic floor muscles. Improvements can be seen in a significant percentage of patients after a series of sessions.