An Internist’s Approach to Constipation due to Dyssynergic Defecation
Abstract
Dyssynergic Defecation is a common cause of constipation and should be included in the differential diagnoses for any patient that does not respond to laxatives. Although, a gastroenterologist is best suited to evaluate DD, with proper education it can be quickly suspected by primary care physicians. Patients that present with chronic constipation and have incomplete evacuation or utilize manual maneuvers for stooling have a high likelihood of having DD and should have an early referral to a specialist. With advances in the diagnostic and therapeutic armamentarium, DD can be thoroughly evaluated and successfully treated. A multispecialty approach which includes a an internist, gastroenterologist, colorectal surgeon, urogynecologist, sports medicine specialist, physical medicine and rehabilitation physician and a physical therapist yields the best success for managing these challenging patients.
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DOI: http://dx.doi.org/10.18103/imr.v0i3.69
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