Part of pelvic floor dysfunction includes bowel dysfunction-like constipation, fecal urgency (feeling like you have to poop really often, but you don't) or fecal incontinence (the medical term for leaking poop). I see both women and men that have undergone anorectal manometry testing for bowel dysfunction regularly; however, most of these humans have no idea how that testing works, and only have a vague understanding of why the testing was performed in the first place. ✩ Related Videos: → How to sit on the toilet to poop: ua-cam.com/video/5egK-7jrEHM/v-deo.html → Yoga for constipation relief: ua-cam.com/video/GbHIzP56hzA/v-deo.html → Intestinal massage for constipation relief: ua-cam.com/video/JALxwIIPS0g/v-deo.html → Why does drinking coffee make me poop? ua-cam.com/video/uDdRR08STW4/v-deo.html → A silly fart story to make you smile: ua-cam.com/video/Tu5Pao8G8To/v-deo.html The internet doesn’t have an easy-to-understand description of anorectal manometry that I can find… so I did my best to make it exist myself ❤️
I don't normally leave comments but your video was fantastic. You should really be a teacher somewhere. You explained things clearly, organized, and approachable. Your attitude and personality made me want to just keep watching. Great job, I'm currently going through this right now and you've given me hope that we can figure it out.
This is the only video which is very informative and not complicated about anorectal manometry. Well explained and she really knows the topic, really your cup of tea. Well done and thank you for this truly educational videoclip.
This video clarified so much. I've been to several different doctors who didn't come close to explaining the detail or reasoning behind anorectal manometry and how the defecation process works. Thank you so much.
Great video. Im 20 years old and and have been dealing with pelvic floor dyssnergia for 5 years now. Constipation started out mild at first but is now terrible. I need to be on laxatives and enemas or I don’t go whatsoever. I don’t get a urge at all without them. I have constant rectal spasms. I have seen 3 physical therapists and the biofeedback I had had nothing to do with retraining my muscles to defecate. This is so frustrating and I don’t know what to do anymore.
I am so sorry to hear that you've been navigating PF dyssynergia for 5 years, and that your experience with PTs hasn't been very helpful. I can't give individualized medical advice, but I want to share some things with you. The first thing I want to share, is that, as unfortunate/annoying as it is, I see PF dyssynergia thrown around as a sort of "we don't really know what's going on, so let's pass the buck to a pelvic PT" kind of diagnosis more than I'd like to admit in clinic. I was getting incredibly frustrated by this, which is why I took such a special interest in anorectal manometry/bowel dysfunction in general. For what it's worth, I've seen patients with your symptoms with "PF dyssynergia" get better. I firmly believe your body is capable of healing -- as trying as chronic conditions can be, do NOT give up on your body. Always always advocate for yourself. Trust your gut when it comes to treatments/providers. A few thoughts: 1. When I am treating someone who can't feel an urge, it's usually either that their PF is incredibly tight and needs to be released OR it's that their rectal tissues have been overstretched and we need to figure out what volume can fill the rectum before they feel something OR it's a combination of the two. Both of these things can be treated with a provider who knows how to treat them 2. Constant use of laxatives or enemas is usually indicative of a slow transit colon. Peristalsis (intestinal contractions that are stimulated by stimulant laxatives) can be stimulated in other ways. Warm beverage in the AM, intestinal massage, and walking/exercise after eating, are a few examples. When I am working with someone who has stimulant laxative dependence/slow transit colon, we SLOWLY wean from stimulant laxatives to osmotic laxatives and pair the weaning with natural peristalsis triggers after meals. Don't listen to someone who tells you to eat more fiber/drink more water, usually that doesn't help with slow transit, usually makes it worse. 3. If the biofeedback you're getting with your PTs is either a rectal insert or some pads that are placed around your rectum and it's hooked up to a computer where you try and relax/contract and make your PF match the visuals on the computer, see a different therapist. That isn't what you need, and I think your intuition has led you to know that already. Your body is capable of immense healing. Don't give up on it. You've also got the gift of youth on your side, which usually means more resilience ❤️ Intestinal massage: ua-cam.com/video/JALxwIIPS0g/v-deo.html Laxative weaning: ua-cam.com/video/83iS4N_HQYk/v-deo.html Proper pooping position: ua-cam.com/video/5egK-7jrEHM/v-deo.html If you choose to see another pelvic PT, talk to the front desk person before confirming your evaluation. You want a pelvic PT who can use the anorectal manometry balloon. Who is comfortable measuring your current volume needed to produce an urge. Who is comfortable working in tandem with your PA or MD to help you wean off of stimulant laxatives. Someone who has a special interested in bowel dysfunction. I wish I could be more helpful. Don't hesitate to reach out with any questions, and don't give up.
This was wonderful, I will be having an Anorectal Manometry next week. Now I understand what exactly is going to happen. Thank you for speaking plain english to explain what it entails and how the digestive system really works. The information I learned from this video will stick with me for a long time.
Making it my misson to watch all your videos that would apply to me. Doing every single thing you recommend. You are helping woman’s health so much. I am in so much pelvic discomfort. I want to actually do the work not just research to get better. I have rectocele, urinary incontence, feel pressure/full/golf ball feelings, constipation. All women need to know these things and they don’t.
Thank you, my wife has been sick since before Thanksgiving, and has not been able to eat and drink properly. She has been going to Mayo Clinic, and no doctor has figured it out until my daughter contacted Dr. Anthony Kaloo in New York. He suggested this test, and to do more walking as well as doing pelvic exercises. We will see if it helps. It's been hell! Thanks, Steve G.
I’m so glad this video was helpful for you, and best of luck with your test! I hope you gain some valuable insights from it. Please don’t hesitate to ask any questions - wishing you well 💕
I had this test to confirm visceral hypersensitivity (I experienced pain at a1/4 of the pressure someone would even feel it) as part of IBS type C. I take nortriptyline for the hypersensitivity and it was the only thing that worked for the pain. Fast forward to having a hysterectomy this year and it was discovered that there was endometriosis in the PoD and adhesions to the bowel. The removal of the adhesions has meant constipation has gone. I still have visceral hypersensitivity, or at least, I still have insane pain since the op, which brings me here. The Surgeon says it is ligament pain and possible prolapse. I will see him in clinic, but I'd already worked out that it is ligament pain. My pelvic floor is hypertonic and so the stretching is more useful than kegels. However, that seems to cause more ligament pain. Not sure if you are still on a break, but maybe some videos for ladies after hysterectomy would be great. Also, there is not a lot on the ligament pain. I think it's likely it had endo on it in the first place and that is why it is already damaged before it was cut and re-used.
I go red in the face and get a sore head from having to push so hard. I go for my test on December 28th...thanks for the video as I feel a whole lot smarter now...why this isn't taught in school is beyond me! Rectal tissue compliance! I go to the loo 30x a day and pass small amounts or nothing......
Ugh, I am so sorry. That sounds like a combination of fecal urgency and constipation -- it may be that your rectal tissues are hypersensitive. I wish you the best with the anorectal manometry test, and hopefully you find a wonderful pelvic PT to help you
@@PelvicEmpowerment that took my doctor 4 years to diagnose! I had overflow which they treated with opioids and every internal investigation was done on an empty bowel.....oh it might be chrones or Ibs or uc....they heard hoof beats and thought zebra rather than horse..went from 10st to 6st 3lbs in 6months...couldnt get my weight after 4 years there like oh it's functional bowel disorder idiopathic constipation with altered gut motility and overflow with visceral hyper sensitivity...infact It's so complicated at one point I was on 20meds...now I am down to 4 or 5 off my NGtube but still on highcal ensure drinks.... just listen to you makes me wonder what kind of idiot I got lumped with... they even tested my blood for drug abuse (laxatives) to make sure it wasn't in my head because no one can poop 30x a day so they admitted me and did total input total output testing and 6x daily blood draws......excase I was making it all up. Then they said....YUP YOUR ILL....no shit I knew that!!! Glad someone knows what there talking about and hope you get to someone like me before a rubbish doctor get to them and says it's all make believe.... Thank you 🤓
@@andrewjames4346 It sounds like you've been through the wringer. I am so sorry it took 4 years of tests and 20 meds? Ugh, what a difficult journey you've been on. It's not in your head, and it's not make believe. I hate that anyone tried to make you feel that way. I hope that this journey leads you to the right provider(s), and I hope that you get to feeling more like you with a more normalized defecation schedule! Only the best
@@PelvicEmpowerment so quick update. I had an internal untrasound and it has been decided I need ILS. So hopefully once I recover from the surgical pains I will no longer be popping broken glass with salt (that's how painful it is for me) throw in a kick to the nuts for good measure. I am a little apprehensive as I do not want to be the 1/10 who the surgery makes no improvement for and intact leaves them incontinent. I don't really fancy the idea of being a 32yo male with a tampon in my butt to stop poop falling out of me when I am on a date but I guess I will cross that bridge should I ever have to face it. Chronic fissures are no fun at all. I will drop an update as I may take you up on your offer if that's ok.
@@andrewjames4346 Chronic anal fissures are terrible, I am glad you feel you finally have some direction! ILS has really good statistical outcomes, the odds are definitely in your favor -- here's to an optimal recovery
This was really good information...I like how you talk to your audience. Along with this procedure, can you add videos about other tests that are commonly requested, such as defecography and colonoscopy? Thanks!
Thank you for this video. I’ll be taking this test and anxious for the end results hoping this will be taken care of with PT. I’m frustrated being and feeling constipated for 2-3yrs. I knew something was definitely wrong when taking senokot like candy, plus eating a enriched fiber diet that wasn’t elevating it. Wish me luck :/
Aww man, I'm so sorry to hear about your struggles with constipation. I hope the test results lead you closer to your healing. Wishing you the most luck ❤️
There are! But it depends on what is going on. If you have anorectal manometry testing results that indicate either overly sensitive or underly sensitive rectal tissues, a pelvic physical therapist can help you retrain those tissues! If the results indicate that you cannot produce enough pressure sphincterically, that could be due to weakness in the pelvic floor muscles -- again something a pelvic PT could help you with. Finally, sometimes the testing shows a "paradoxical pelvic floor contraction with defecation" (the pelvic floor contracts to defecate when it should relax), and this can also be retrained with the help of a pelvic PT. If you live in the US, you can find a pelvic PT in your area by using this directory: pelvicrehab.com Let me know if you have any other questions, and I wish you nothing but the best ❤️
but how are you going to help a person, born with congenital megacolon (but got that under control) UNTIL 35 rounds of pelvic radiation. i go from leakage to constipation constantly now. ive started pelvic floor pt but this is one part i dont know if we can fix
I have chronic pain in the internal sphincter or perhaps levator ani after my pelvic floor therapist pressed on an internal trigger point. the muscle snapped very hard and my whole body shuddered . I was in agonizing pain for months after that and defecation before during and after was very painful. I finally saw a colo rectal surgeon who treated me for a fissure though he couldn’t feel one. After months of using nifedipine ointment , he had me do manometry and I was dx’d with obstructed defecation even though I’m not constipated (slight loss of motility). I have varying levels of pain after defecation and I’ve been through 12 sessions of bio feedback stim treatment. My question is, would finding a good pelvic floor PT help me or is the damage permanent and is it risky to incur another tear or snap of the muscles? I use a squatty potty but I usually have to take a Tylenol to help with the dull ache I get after a bowel movement. I have a meeting w the doctor and I’m going to ask about Botox injection in the muscle , not sure that will make me worse
Oh my gosh, I am so, so sorry to hear that! It sounds like you've been through a lot in the healthcare realm, and I hate hearing that defecation remains painful and difficult. Know that you are not alone in that experience. Botox is something that I have seen used to treat a different kind of pelvic floor muscle spasm (vaginismus, more of a layer I issue as opposed to the levator ani). I think it can be helpful with the right follow-up and intentions -- chat with your physician and see what the two of you think! It is hard to say whether or not what you are describing is permanent, but even in the worst case scenario of permanence, pain management could still be a helpful tool for you! As far as another pelvic physical therapist, I think that depends. What you are describing definitely sounds like pelvic floor involvement, and in theory pelvic therapy could be helpful. That being said, I wonder if you would benefit from seeking a therapist who specializes in chronic pelvic pain. There are so many layers to treatment, and it sounds like you'd benefit the most from a therapist that you truly trust. Wishing you only best ❤
My OB/GYN wants me to have this test and pelvic floor physical therapy. Do you ever sedate patients who otherwise couldn't do this test? I had to stop watching other videos about anorectal manometry because I started panicking.
I'm so sorry to learn that the idea of anorectal manometry causes you anxiety and panic, and I also think that those reactions are valid and should be respected and considered before entering into the test. Unfortunately, anorectal manometry involves voluntary contractions/movements, so someone undergoing the testing needs to be awake. I think it's important to weigh the risks and rewards associated with any physical testing, so that you can fully consent to the test with a clear understanding instead of feeling almost coerced into a test because an authority healthcare figure thinks it's best! It might be helpful to speak with your pelvic physical therapist before getting the test -- explain your fears and ask if the results of the test will greatly influence your plan of care, or if you could try treatment and have potential success without the test results! I personally find as a provider that I can learn a lot about a person's pelvis without anorectal manometry testing, but that might not be true for all providers. Finally, if your OB/GYN thinks you'd benefit from anorectal manometry, you want a pelvic PT who is well-versed in bowel health! Not all pelvic PTs are, and it's important that you get the care from a knowledgeable specialist that you deserve! Don't hesitate to "shop around," ask the front desk if the therapist you're being assigned has a background in bowel health, or directly ask the pelvic PT you see about her knowledge surrounding bowel dysfunction/success in treating patients with similar presentations as yours in the past! Healthcare is a SERVICE industry, and I think, especially in pelvic therapy, it's important that you feel you're an empowered part of a team. You can use this directory to find pelvic providers in your area if you live in the US: pelvicrehab.com/ Don't ever give up on your body's ability to heal. Wishing you the best in your recovery 💛
@@PelvicEmpowerment Thank you. I don't think I can do parts of the pelvic floor PT either. That was my first pelvic in 16ish years. I'm not sexually active (and haven't been in over a decade), and I am a very modest person with a substantial, significant, and pertinent trauma history. My bowel issues started immediately after my ex-husband raped me anally. I know it will be hard to believe, but years ago an OB-GYN SA'd me in an appointment. That and other experiences with the medical community have left me distrustful. Now with Covid I can't have a support/safety person. Furthermore, as a legally deaf woman who doesn't sign, communicating without the ability to read lips (masks) has become a barrier unto itself. My mental health is suffering right now. There were some major changes happening in my medical treatment. Yesterday (maybe it was Thursday) my PCP was raided by the state police for possible diversion of controlled substances. Now everything is up in the air. He has been my PCP for 21 years. Up until February 1 I could have changed insurances and doctors. I know it is way past deadline, but Humana would have accepted me. They cover the "advanced hearing aids" that will correct my hearing. Hahaha Then add to that all the things I need medically are outside of my ability to drive, and...my mind is screaming. It has been recommended that I report the aforementioned rape to the police. Again. I thank you. Do you work with a lot of trauma survivors that are there as a result of the trauma itself I was a nurse prior to a disabling brain and other injuries.
@@summerdais325 Hey Summer, I responded to your comment earlier this morning... but I returned to my Studio to see that my comment was removed. I'm not sure if UA-cam removed it (sometimes words related to SA trigger UA-cam to remove comments even from creators on their own videos, so I may have needed to put an asterisk in a word or something like that), or if you requested for it to be removed. I wanted to retype my response and answer your question, but only with your consent.
@@PelvicEmpowerment I would appreciate your input. TY for the time you spent writing both responses. I was unaware of your second comment. I am not big on censorship. As if things weren't hard enough already, my PCP was raided late last week and is being investigated by the state police. My medication was due today. I found out he can't write for controlled substances. I have been on a benzodiazepine for the past 20-something years. A sleep specialist put me on it, and my "medical team" agreed it is in my best interest. I was re-evaluated countless times through the years. Soooo, now I don't have that to sleep/for my out of control anxiety. LOL I had 2/3 therapists. I started group with A instead of K1 in individual. Then, I had been seeing K2 for 4+years. Sadly, weeks ago she stomped on my rights. It was bad enough that the agency ruled it was a rights violation. I didn't want her fired, just counseled, and I wanted a break from therapy. Then the SHTF. I feel sooo bad for my 74 y/o mum. She is not well, and she started putting the puzzle pieces together. So now I am facing all this BS without a therapist or my normal medication. He was going to switch another CS and take over that care. I decided to wait a month to make a smooth transition. Yikes.That would have been...the end of me Sorry for the emotional dump. It's been a hard year for a lot of people. The social isolation is crippling. I live in Michigan. We have had fairly strict guidelines. We had a barber that made headlines. Just in case this sounds a bit much, a Google search would show a great deal of what I have said to be true. City begins with an O in S county. KM is the barber. DH is the doctor. Edit: I may have read that reply!! It killed your reply and my response to it! I think. TBI hx.
@@summerdais325 I figured YT removed my original reply. I'll use some asterisks this time. I wanted to say that, first of all, I am so, so sorry to learn about your history of tr*ma and TBI, and that your bowel issues began immediately after your ex-husband SA’d you. I am so happy that you are still here. Your endurance through these experiences speaks to the strength of your person and the power of your soul, and I hope that you can feel and hold tightly to that strength and power when the darkness does come. Hopefully those darker days are fewer and farther between. Secondly, it is not hard to believe that you experienced SA at the hands of an OB-GYN. Medical SA is very real, and it does not get the attention and validation that it deserves. Your distrust in the medical community is incredibly valid, and I'm so sorry that C**ID is making your access to care more difficult. Thirdly, don't apologize for the emotional dump! It's been such a tough time. Sometimes it feels good to name experiences and take some power away from them. I would be overwhelmed and struggling too if my trusted, longterm PCP was raided by the p*lice and that event significantly impacted my insurance/other aspects of plan of care! I can only imagine how difficult it would be to face the challenges you are facing with your mother in isolation. Not having medications, proper sleep, and the guidance of providers that you trust are all big deals, and would take a toll on my mental health, too. Finally, yes, I have treated women (and men!) who are seeing me for pelvic dysfunction that is a direct result of tr*uma itself. In some cases, we begin simply with self- and therapist-touch to the lower abdomen, or inner thighs, with no intern*l work whatsoever, where the intention is to stay in the body, stay in the room, and feel safety and peace in those spaces. I would never force therapy on your or anyone, but I do want you to know that you deserve to feel safety and peace in your body, that tr*uma-informed pelvic physical therapists who would be happy to have a third person in the room during your treatments exist, and that I'm confident that there are therapists who be honored to walk along side of you towards that safety and peace. I truly do wish you the best in your healing, and please don't do any tests that don't feel good and right to you. Sending a big internet hug ❤️
Does the bulbocavernosus reflex have any part of this? That's also a very odd test to have explained to you by a gloved Dr standing there trying to figure out what they want to say.
I can totally understand how that experience would be an odd one! As to your question, the bulbocavernosus reflex (BCR) is tested to give the provider information about your pudendal nerve, subsequent spinal nerves, and spinal cord. To break that down a little bit more, the bulbocavernosus muscles (and usually anal sphincter muscles, too) should contract in response to squeezing the clitoris or head of the penis. That squeezing should tell the pudendal nerve (an important pelvic nerve that is in charge of those muscles) to connect to the spinal segments that are in charge of it (S2-4), and those spinal segments should then connect to your spinal cord, and the spinal cord will tell the spinal segments to tell your pudendal nerve to contract those muscles. So, the BCR is a way to test that pathway, which tests the health of the pudendal nerve, the S2-S4 segments, and the spinal cord. Could that test be performed in tandem with an anorectal manometry test? Sure! If the provider is curious about the person's nervous system health, I could see why the test would be helpful. I hope that made sense! Wishing you the best in your healing ❤️
@@PelvicEmpowerment Seems I failed the BCR test miserably (zero reflex response), but I was also still sort of laughing my Urologists explanation of it... and we will say 'multiple' attempts at generating the reflex. I've since read that a large % of circumcised males don't have the reflex to begin with, it seems the sensing nerves of that reflex pathway may have been removed during that procedure. I'm learning and exploring a bunch of this as a result of only-now-becoming-evident effects of a L4/L5 central disc extrusion many years ago. Very fun.... *this is not a solicitation of advice, just chat about how biology is pretty dang neat.
@@DougKremer I really appreciate the humor you found in the situation! And I didn't know that about circumcised males! How fascinating... I'm sorry to learn that you're navigating Cauda Equina that seems it may be the result of an older L4/L5 central disc extrusion? But I share your fascination with biology! Bodies are amazing, and what's more incredible (to me, at least!) is how unique each and every body truly is. I love that you're curious and taking it upon yourself to learn more about your body. I think that curiousity and will to learn will help you heal in the long run 🤗
@@PelvicEmpowerment Yep, bodies and biology are absolutely amazing. I recovered from a nasty foramen magnum meningioma 18 years ago, very rare... Now this, also very rare... I learned for myself that humor and confidence are absolutely mandatory to my well-being and the favorable outcome of my experience with that tumor so long ago.
@@DougKremer I'm so sorry to learn about your previous experience with such a rare tumor, but I could not agree more with what you've shared about humor and confidence. I know our experiences are different, and I won't pretend that chronic conditions are the same as meningiomas; however, I have healed from three "chronic, mysterious" conditions in my lifetime, and am currently healing from a fourth. What you've shared resonates deeply with me. I've also found that humor and confidence, really believing in my body's ability to heal, has proven paramount in my healing and ultimate recovery time and time again!
That's a great question, and the answer will likely vary pending on the clinic administering the test. I recommend calling the clinics that offer this testing in your area, and asking for their prices directly! That way you can compare and make the best decision for you and your finances 💛
Thank you so much.I have mixed incontinence and bowel leakage,also severe ibs,most of the time my stools are loose, I I get diahorrea then it will alternate to constipation it makes me feel even more depressed.Im in a difficult situation ie as the gut axis and brain work together when I'm stressed or severely depressed it goes wild.I was told my bowel incontinence could be from episiotomy I had 25yrs ago, to which nobody bothered to tell me about kegal exercises/pelvic floor exercises, even when I had my 2nd child.I also have haemorrhoids had banding litigation now external ones back again I think the banding litigation made the external ones come as soon after procedure I was pooping alot and had severe constant pressure.Im awaiting tests which I need to chase up the test you mentioned does it hurt? Also need physio.I don't know how much more i can tolerate.
I'm so, SO sorry to learn about your struggles with mixed incontinence, severe IBS, hemorrhoids, and your mental health. I hate that you're navigating all of these things potentially secondary to an episiotomy. Women's health is so underserved even now, I can only imagine how underserved it was ~25 years ago. Before I share a little more insight, I wanted to answer your question - while I've not had this test myself, my patients have shared that is uncomfortable. I hope that the outcomes are worth the discomfort. Also, if you live in the US, you can use this directory to find a pelvic provider near you: pelvicrehab.com/ So, I can't give individualized medical advice, but I can share general resources! Please, I know how difficult and hopeless and overwhelming it can feel when you have multiple dysfunctions that feels inextricably linked together, but don't give up on your body. Bodies are capable of AMAZING things, of INCREDIBLE healing, when we support them with the right healing environments - it's figuring out what that environment looks like that can be so tricky, and I don't think that yours is an exception. I know it's hard to hear, but try to take full responsibility for your healing. Commit to relying radically on yourself. Learn all that you can about your diagnoses, and try to connect your own dots/cultivate that relationship with your body. Embrace trial and error, and believe in your body's innate ability to heal itself. A few videos/writings that may be helpful for you: - the hemorrhoids are likely linked to the alternative diarrhea/constipation, and will likely not resolve until you can regulate your bowel movements; however, I do have a video dedicated to healing hemorrhoids, and it may give you some insights for feeling better when they do arise: ua-cam.com/video/LA0Uc_TodZQ/v-deo.html - IBS can be tricky to navigate, but it is possible to put the puzzle pieces together and develop a plan of care that minimizes and manages symptoms. I have a series dedicated to IBS here on the channel. This is the first video in that series: ua-cam.com/video/h6x9_RloKGU/v-deo.html - As for your depression, please, please, PLEASE know that you are not alone. I have a video sharing my intimate experience with my own mental health after navigating a pelvic pain condition of my own. While it doesn't offer insights into cures, it can serve as a gentle reminder that you are NOT alone in the dark, and that sometimes, even though the "rainbow at the end of the storm" gets all of the attention, just surviving the storm should be celebrated: ua-cam.com/video/XuL9h-ew50Y/v-deo.html - Finally, mixed incontinence can be tricky to heal, but it can certainly be improved and, sometimes, can be fully healed. I think that sometimes well meaning providers just tell people to do a bunch of kegels without taking the time to actually assess their pelvic floor and create individualized plans of care. Please, seek out a pelvic PT who can ACTUALLY assess you and tailor interventions to your pelvis. Until then, this short video might help you understand why kegels can sometimes be harmful, instead of helpful, when they're thrown around as the "one size fits all treatment" for everyone: ua-cam.com/video/9ncBE2gJLDg/v-deo.html I really wish I could be more helpful. Don't give up, and I hope this encourages you to walk one step closer to your healing 🧡
@@PelvicEmpowerment Ah thank you so much for taking time to reply, with such valuable information and such care.I have been fighting depression for far too long, and I'm just in a viscious cycle as my toilet phobia and other issues make the depression worse I have complex mental health due yo trauma.Evertday I have to push myself to live.I will check out the videos soon.Im from UK awaiting to get further help.❤❤❤❤❤❤
@@honeybunny5325 I hear that. I know from my own experience how drastically time can slow down. Every second, minute, hour, and day that you survive is a victory that is worthy of your celebration. Staying alive doesn't get enough recognition. If that's all you do today or any other day, thank goodness, you're amazing. Look at your strength. Look at all you've already survived. Stay here. Here is good. And please, please don't give up ❤️
@@PelvicEmpowerment Many thanks.Sorry to hear you experienced some problems.Im just so exhausted from it all.I have no choice but to fight as my family children, siblings neices nephews tell me I'm needed and worthy which helps it just thr intrusive thoughts of mu own twisting things.xx
@@honeybunny5325 I'm so glad you have the love and support of your family, and that their love helps to ground you and keep you fighting. Seriously wishing you all of the best, always 🧡
Hello and thank you for your video, I am a guy(not sure if it makes a difference) I'm getting ready to have an "Anorectal Manometry" I had a sigmoid resection a couple of months ago and having a bowel movement is painful before during and usually end up doing this 5-6 times a day. what would cause this pain? and the pain would be all across lower abdomen. I think I now have an understand the constant feeling of having to go. Thanks in advance!
Hello! I'm so sorry to learn that you're experiencing painful bowel movements and urgency secondary to a sigmoid resection a few months ago. And while I am honored that you feel comfortable asking me for guidance, I cannot give individualized medical advice. I can only offer general information and resources. That being said, have you considered pelvic physical therapy? A good pelvic PT would be able to assess your abdomen, pelvis, pelvic floor, and rectum as well as your diet and lifestyle to try and pinpoint what is causing your pain and urgency, and then create interventions tailored to you and your unique body! If you live in the US, you can find a pelvic provider using this directory: pelvicrehab.com/ Whether you end up pursuing pelvic PT or not, don't give up on your body. Bodies are capable of such immense healing when they're given the proper, supportive healing environment, it's just figuring out what that environment looks like that can be tricky. You deserve to feel peace in your body, and I'm confident that your body is capable of immense healing, too ❤️
@@PelvicEmpowerment since I messaged my Dr.'s have decided to do an anorectal manometry and lower gi study.... I imagine that what you suggested will come after and if it doesn't then I will definitely ask. Thanks I found your videos most informative.
I practice in Colorado - but I haven't been able to practice for the last year and a half due to a pelvic injury of my own, of all things! I'm just now starting to be able to get back to myself/do more/work/etc., although I'm not yet practicing in the clinic again. Unfortunately, medication prescription is outside of my scope of practice - although I do try and keep myself well educated so that I can be helpful for patients/clients!
@@PelvicEmpowerment I’m sorry to hear about your injury. I have pelvic floor disfunction and at first my symptoms were in my bladder and prostate area. Now my main symptom is pain in my rectum. My rectum clenches a lot of the time for no reason. If I’m standing, I’ll notice it’s clenched up really tight and I will have to concentrate to release it. A few minutes later, it will be clenched again. I am bloated a lot of the time. I am really scared and depressed because of it. I haven’t worked in 5 months and have panic attacks. I’ve lost 30 pounds because I don’t have an appetite. I’ve started antidepressants and went to a pelvic floor physical therapist 2 times. She wanted to check inside my rectum but we decided not to because of the pain I’m having. I don’t know what to do. Is there any advice you can give me?
@@TheIsrael6571 I'm so sorry that you're struggling with pelvic floor dysfunction - while our experiences are different, I feel that I can really relate to the feelings of fear/depression you're describing in the course of healing my own pelvic floor dysfunction. I have a video that dives deeper into that experience here, if it's of interest to you: ua-cam.com/video/XuL9h-ew50Y/v-deo.html - either way, I want you to know that you are not alone, and that everything you're feeling is valid. I'm honored that you're comfortable reaching out to me for guidance; however, I cannot give individualized medical advice. I can only share general resources. That said, I have a lot of strong feelings about healing, and I've compiled them here, in a community post: ua-cam.com/channels/IEbpR8WRMFLKO4jSylhB1A.htmlcommunity?lb=UgzvPs77Q8D3zg6joNJ4AaABCQ It's fantastic that you're seeing a pelvic physical therapist, and it's okay that you aren't yet ready for a rectal assessment. You'll get there, and there are other ways your therapist and you can positively impact the pelvic floor in the interim. Please check out that community post, and know that bodies are capable of immense healing - they just need the right supportive environment to encourage that healing, and it's figuring out what that environment looks like that can be tricky. Your body is no exception ❤️
It definitely can, it depends on the person! My only hold-up with biofeedback would be if it was used as an intervention without the practitioner actually doing a pelvic floor assessment - sometimes someone gets diagnosed with dyssynergia and then gets placed on a sort of "one-size-fits-all" biofeedback regimen. I'm all about tailored, individualized treatments instead of assembly-line ones!
@@PelvicEmpowerment - I had a defecography done & was diganosed with Dysnergia. I had a rectocele too & was operated upon. Subsequently i developed Urine incontinence too. Please suugest a good course of action.
@@kavittamaker4813 I'm so sorry that you're struggling with urinary incontinence post rectocele corrective surgery as well as the dyssynergia. Have you ever heard of pelvic physical therapy? A good pelvic PT would be able to assess you, your pelvis, surrounding bodily structures, and lifestyle to tailor interventions to you and your unique body. If you choose to pursue pelvic PT, do be sure to mention that you need a PT who is trained in bowel dysfunction, as this is a further speciality within the specialty. If you live in the US, you can use this directory to find a provider near you: pelvicrehab.com/ I hope that you find your healing soon!
@@PelvicEmpowerment - Thank you for the quick revert! Unfortunately i am in India & we have limited awareness on specialized PTs here. The ones who suggest biofeedback & charge a bomb.
@@kavittamaker4813 I'm so sorry, access to care is a real boundary and I hate that you don't have the more specialized providers in your area. I hope you can find your healing regardless, and I'm sorry that I can't be more helpful.
Hi! I'm so sorry to learn that you're having bowel issues, and I'm honored that you're comfortable reaching out to me for help. However, I cannot offer individualized medical advice and am not currently taking patients as I am healing from my own pelvic injury (of all things!). I hope to be able to take patients when I am fully healed, until then, I'm so sorry I can't be more helpful and I hope that you find you're healing soon 💛
Hello Doctor I experience anorectal pain ( muscle spasm and trapped gas) this feeling of tightness in my rectum especially on eating certain foods like gluten, dairy or more than a handful of nuts and nut butter and fruits so that I eat these foods in the morning only in order to have a bowel movement. I am so scared the only food I feel I can eat comfortably is meat and rice unfortunately not a big fan of both. I am doing the low fodmap diet but I feel so unhealthy cutting out such a large group of foods from my diet has resulted in me eating more processed foods. I did get a barium meal and anoscopy done the dr discovered I had an anal fissure but now it has healed but symptoms aren't going :(
I'm so sorry to learn about your anorectal pain and tightness. I understand your fear, and your feelings are totally valid. Health issues can be really scary, and when the pelvis is involved, it can feel especially personal. Have you ever heard of pelvic physical therapy? Sometimes, following an anal fissure or another sort of trauma to the pelvis, your pelvic floor muscles will tighten to protect you (kind of like if you were to be punched in the stomach, your abdominal muscles would tighten to protect you). Sometimes the pelvic floor has a really easy time returning to baseline, other times it sort of "forgets" how to let go, and symptoms like pain and tightness can develop. A good pelvic PT would be able to not only assess your pelvic floor, surrounding musculature, and lifestyle habits to determine if your muscles are playing a role in your symptoms, but also create tailored interventions for your unique presentation. If you live in the US, you can use this directory to find a provider near you: pelvicrehab.com I wish I could be more helpful. Don't give up on your body. Bodies are capable of such incredible healing, and I don't think yours is an exception. Wishing you the best 💛
In the interim, I do have a pelvic floor relaxation routine that might bring you some relief. You can check it out here, if you're interested: ua-cam.com/video/JTcagOGZsLI/v-deo.html
@@PelvicEmpowerment Thankyou for your concern I live outside of the US I don't think there are PTs dealing specifically with the pelvic floor.following low fodmap does improve the symptoms but then I wouldn't have a bowel movement for days :( because this diet is so restricitive
@@sana2005rocks Some countries outside of the US do offer pelvic-specific physical therapy, usually it's called "pelvic physiotherapy" outside of the states 💛 I'm so glad the low FODMAPs diet helps you manage symptoms, but I'm so sorry it comes with the difficult bowel movements. I know it may not be that helpful to hear, but embracing trial and error has really helped me cure "mysterious, chronic" conditions that I've had in the past. Don't give up. You deserve to feel peace in your body and mind.
I'm sorry to learn that you're struggling with bowel movements in this way, but I'm so happy that this video helped you gain a better understanding of your body/why that might be happening ♥️
Aww man, I'm so sorry to hear that. I hope that you're able to get to the bottom of why your urge has dissipated, whether that's through anorectal manometry or a different diagnostic test 💛
Do you see patients whom have or are recovering from Cauda Equina Syndrome? If so have you been able to help with function recovery, strength, or re-training? My Dr said "Wow, you have nearly zero pelvic floor, I'm sort of surprised you are continent right now."
I'm so sorry to learn that you're navigating Cauda Equina Syndrome, and while I can appreciate what your doctor said, I'm sorry that's the language he/she used. Sometimes providers forget how impactful their words can be. While I have not worked with a patient who has Cauda Equina specifically, I have worked with a number of patients who have nerve injuries as a result of delivery as well as pelvic surgery. Nerves are funny, and their healing is not linear... but they can and do heal! And I've found that certain interventions can really support that nerve healing (sometimes tapping on the pelvic floor to help the brain "feel" it again, sometimes working on activation via activating muscles that are "synergists" with the pelvic floor, sometimes working on biofeedback tools) -- there are an array of interventions out there that can be helpful, and I've seen people restore function whose injuries are years old! I can't recommend pelvic physical therapy enough. If you live in the US, you can use this directory to find a provider near you: pelvicrehab.com But, that being said, do trust your gut. There are some well meaning pelvic PTs that don't know as much about nerves that might not be the best fit for you, and that's okay! Don't hesitate to "shop around" until you find a provider you feel you can trust to help guide you in your healing. As to your doctor's comment on continence, continence is a very multifaceted phenomenon of which the pelvic floor does play a part, but is not solely responsible for, if that makes sense. Bodies are REMARKABLE, and they are each so, so unique. Your pelvic floor may be in a sort of "shocked" state right now, but perhaps your particular body's continence relies more heavily on/or is better able to compensate with its autonomic (not under voluntary control) function! Finally, road to recovery after a nerve injury can be challenging both physically and mentally. I want to gently remind you to be patient and kind with your body as it recovers, and that, while there is so much to be said for the outcome of this experience, sometimes it's just about surviving, and that's okay. Endurance should be celebrated just as much as the "rainbow after the storm." Don't ever take for granted your own intuition, embrace trial and error, and, as difficult as it may be, try to rely radically on yourself. Don't let your care slip through the healthcare system's cracks. Advocate for your health, and don't let any physician force you into an intervention/treatment that doesn't quite "feel right" to you. I wish you the absolute best in your healing. Bodies are capable of INCREDIBLE things, and I don't think yours is an exception ❤️
@@PelvicEmpowerment Thanks for the encouragement and kind and careful words! It sounds like talking to Dr about PFPT might be a good idea. This Dr and I get along very well and I wasn’t put off by those words at all, I asked him to “check everything out down there” and let me know exactly where on the function and strength spectrum I currently am. I requested a truly honest diagnostic to relay to the rest of my medical team. I’m sure he would have used different words had I opened the conversation differently. Your words about “waking up” nerves and muscle very much ring true. I have experience with that from a neck surgery years ago. Thank you for the encouragement. Your content is so bright and informative, keep up the good work.
@@DougKremer I totally understand that kind of patient-provider relationship! Awesome, I am big into honest diagnostics myself, and it sounds like the two of you have an established, healthy rapport! Yes, a PFPT might be a good provider to add to your healthcare team! And I really appreciate your kind and encouraging words surrounding my content, thank you, sincerely ❤️
Yes! One day I hope to have the funds to purchase an animation extension tool for my laptop so I can start voicing over my own drawings! Until then, I've upgraded to using a white board in my later videos 💛 If anything wasn't clear in my verbal explanation here, feel free to ask clarification questions -- I'll do my best to answer. Wishing you the best! EDIT: I forgot! I wrote an article about this topic with some of my white board drawings that may be helpful for you :) here is the link: www.pelvicempowerment.com/anorectal-manometry/
Part of pelvic floor dysfunction includes bowel dysfunction-like constipation, fecal urgency (feeling like you have to poop really often, but you don't) or fecal incontinence (the medical term for leaking poop). I see both women and men that have undergone anorectal manometry testing for bowel dysfunction regularly; however, most of these humans have no idea how that testing works, and only have a vague understanding of why the testing was performed in the first place.
✩ Related Videos:
→ How to sit on the toilet to poop: ua-cam.com/video/5egK-7jrEHM/v-deo.html
→ Yoga for constipation relief: ua-cam.com/video/GbHIzP56hzA/v-deo.html
→ Intestinal massage for constipation relief: ua-cam.com/video/JALxwIIPS0g/v-deo.html
→ Why does drinking coffee make me poop? ua-cam.com/video/uDdRR08STW4/v-deo.html
→ A silly fart story to make you smile: ua-cam.com/video/Tu5Pao8G8To/v-deo.html
The internet doesn’t have an easy-to-understand description of anorectal manometry that I can find… so I did my best to make it exist myself ❤️
Why. Dose my. Bottom hurt after when I poop
I don't normally leave comments but your video was fantastic. You should really be a teacher somewhere. You explained things clearly, organized, and approachable. Your attitude and personality made me want to just keep watching. Great job, I'm currently going through this right now and you've given me hope that we can figure it out.
This is the only video which is very informative and not complicated about anorectal manometry. Well explained and she really knows the topic, really your cup of tea. Well done and thank you for this truly educational videoclip.
Thank you so much for watching, and for your kind feedback! I really appreciate it
This video clarified so much. I've been to several different doctors who didn't come close to explaining the detail or reasoning behind anorectal manometry and how the defecation process works. Thank you so much.
You are so welcome! I am really glad you feel you learned something!
Thank you for this teaching video! I am a nurse being trained to perform ARM. This video is a wonderful resource...
I am due to have a manometry test, I must say this explanation have been very helpful in understanding what the test is for. Thank you.
Great video. Im 20 years old and and have been dealing with pelvic floor dyssnergia for 5 years now. Constipation started out mild at first but is now terrible. I need to be on laxatives and enemas or I don’t go whatsoever. I don’t get a urge at all without them. I have constant rectal spasms. I have seen 3 physical therapists and the biofeedback I had had nothing to do with retraining my muscles to defecate. This is so frustrating and I don’t know what to do anymore.
I am so sorry to hear that you've been navigating PF dyssynergia for 5 years, and that your experience with PTs hasn't been very helpful.
I can't give individualized medical advice, but I want to share some things with you.
The first thing I want to share, is that, as unfortunate/annoying as it is, I see PF dyssynergia thrown around as a sort of "we don't really know what's going on, so let's pass the buck to a pelvic PT" kind of diagnosis more than I'd like to admit in clinic. I was getting incredibly frustrated by this, which is why I took such a special interest in anorectal manometry/bowel dysfunction in general.
For what it's worth, I've seen patients with your symptoms with "PF dyssynergia" get better. I firmly believe your body is capable of healing -- as trying as chronic conditions can be, do NOT give up on your body. Always always advocate for yourself. Trust your gut when it comes to treatments/providers.
A few thoughts:
1. When I am treating someone who can't feel an urge, it's usually either that their PF is incredibly tight and needs to be released OR it's that their rectal tissues have been overstretched and we need to figure out what volume can fill the rectum before they feel something OR it's a combination of the two. Both of these things can be treated with a provider who knows how to treat them
2. Constant use of laxatives or enemas is usually indicative of a slow transit colon. Peristalsis (intestinal contractions that are stimulated by stimulant laxatives) can be stimulated in other ways. Warm beverage in the AM, intestinal massage, and walking/exercise after eating, are a few examples. When I am working with someone who has stimulant laxative dependence/slow transit colon, we SLOWLY wean from stimulant laxatives to osmotic laxatives and pair the weaning with natural peristalsis triggers after meals. Don't listen to someone who tells you to eat more fiber/drink more water, usually that doesn't help with slow transit, usually makes it worse.
3. If the biofeedback you're getting with your PTs is either a rectal insert or some pads that are placed around your rectum and it's hooked up to a computer where you try and relax/contract and make your PF match the visuals on the computer, see a different therapist. That isn't what you need, and I think your intuition has led you to know that already.
Your body is capable of immense healing. Don't give up on it. You've also got the gift of youth on your side, which usually means more resilience ❤️
Intestinal massage: ua-cam.com/video/JALxwIIPS0g/v-deo.html
Laxative weaning: ua-cam.com/video/83iS4N_HQYk/v-deo.html
Proper pooping position: ua-cam.com/video/5egK-7jrEHM/v-deo.html
If you choose to see another pelvic PT, talk to the front desk person before confirming your evaluation. You want a pelvic PT who can use the anorectal manometry balloon. Who is comfortable measuring your current volume needed to produce an urge. Who is comfortable working in tandem with your PA or MD to help you wean off of stimulant laxatives. Someone who has a special interested in bowel dysfunction.
I wish I could be more helpful. Don't hesitate to reach out with any questions, and don't give up.
This was wonderful, I will be having an Anorectal Manometry next week. Now I understand what exactly is going to happen. Thank you for speaking plain english to explain what it entails and how the digestive system really works. The information I learned from this video will stick with me for a long time.
You're so welcome, I'm really glad this was a helpful video for you! I hope that your results help you find your healing ❤️ wishing you the best!
Making it my misson to watch all your videos that would apply to me. Doing every single thing you recommend. You are helping woman’s health so much. I am in so much pelvic discomfort. I want to actually do the work not just research to get better. I have rectocele, urinary incontence, feel pressure/full/golf ball feelings, constipation. All women need to know these things and they don’t.
Thank you, my wife has been sick since before Thanksgiving, and has not been able to eat and drink properly. She has been going to Mayo Clinic, and no doctor has figured it out until my daughter contacted Dr. Anthony Kaloo in New York. He suggested this test, and to do more walking as well as doing pelvic exercises. We will see if it helps. It's been hell! Thanks, Steve G.
You’re awesome! Such a great informative video. I’m having the test in 4 days. Thank you so much for the insight!
I’m so glad this video was helpful for you, and best of luck with your test! I hope you gain some valuable insights from it. Please don’t hesitate to ask any questions - wishing you well 💕
How was it?
Glad I found your video as I had no idea what the tests looked for or why , just had this done yesterday now waiting to see what results are. Thanks 👍
I had this test to confirm visceral hypersensitivity (I experienced pain at a1/4 of the pressure someone would even feel it) as part of IBS type C. I take nortriptyline for the hypersensitivity and it was the only thing that worked for the pain. Fast forward to having a hysterectomy this year and it was discovered that there was endometriosis in the PoD and adhesions to the bowel. The removal of the adhesions has meant constipation has gone. I still have visceral hypersensitivity, or at least, I still have insane pain since the op, which brings me here. The Surgeon says it is ligament pain and possible prolapse. I will see him in clinic, but I'd already worked out that it is ligament pain. My pelvic floor is hypertonic and so the stretching is more useful than kegels. However, that seems to cause more ligament pain. Not sure if you are still on a break, but maybe some videos for ladies after hysterectomy would be great. Also, there is not a lot on the ligament pain. I think it's likely it had endo on it in the first place and that is why it is already damaged before it was cut and re-used.
I go red in the face and get a sore head from having to push so hard. I go for my test on December 28th...thanks for the video as I feel a whole lot smarter now...why this isn't taught in school is beyond me! Rectal tissue compliance! I go to the loo 30x a day and pass small amounts or nothing......
Ugh, I am so sorry. That sounds like a combination of fecal urgency and constipation -- it may be that your rectal tissues are hypersensitive. I wish you the best with the anorectal manometry test, and hopefully you find a wonderful pelvic PT to help you
@@PelvicEmpowerment that took my doctor 4 years to diagnose! I had overflow which they treated with opioids and every internal investigation was done on an empty bowel.....oh it might be chrones or Ibs or uc....they heard hoof beats and thought zebra rather than horse..went from 10st to 6st 3lbs in 6months...couldnt get my weight after 4 years there like oh it's functional bowel disorder idiopathic constipation with altered gut motility and overflow with visceral hyper sensitivity...infact It's so complicated at one point I was on 20meds...now I am down to 4 or 5 off my NGtube but still on highcal ensure drinks.... just listen to you makes me wonder what kind of idiot I got lumped with... they even tested my blood for drug abuse (laxatives) to make sure it wasn't in my head because no one can poop 30x a day so they admitted me and did total input total output testing and 6x daily blood draws......excase I was making it all up. Then they said....YUP YOUR ILL....no shit I knew that!!!
Glad someone knows what there talking about and hope you get to someone like me before a rubbish doctor get to them and says it's all make believe....
Thank you 🤓
@@andrewjames4346 It sounds like you've been through the wringer. I am so sorry it took 4 years of tests and 20 meds? Ugh, what a difficult journey you've been on.
It's not in your head, and it's not make believe. I hate that anyone tried to make you feel that way.
I hope that this journey leads you to the right provider(s), and I hope that you get to feeling more like you with a more normalized defecation schedule!
Only the best
@@PelvicEmpowerment so quick update. I had an internal untrasound and it has been decided I need ILS. So hopefully once I recover from the surgical pains I will no longer be popping broken glass with salt (that's how painful it is for me) throw in a kick to the nuts for good measure. I am a little apprehensive as I do not want to be the 1/10 who the surgery makes no improvement for and intact leaves them incontinent. I don't really fancy the idea of being a 32yo male with a tampon in my butt to stop poop falling out of me when I am on a date but I guess I will cross that bridge should I ever have to face it. Chronic fissures are no fun at all. I will drop an update as I may take you up on your offer if that's ok.
@@andrewjames4346 Chronic anal fissures are terrible, I am glad you feel you finally have some direction! ILS has really good statistical outcomes, the odds are definitely in your favor -- here's to an optimal recovery
Thanks for a great explanation of the PFD.
Very informative thank you so much
You are so welcome!
This was really good information...I like how you talk to your audience. Along with this procedure, can you add videos about other tests that are commonly requested, such as defecography and colonoscopy? Thanks!
Thank you for watching! And yes, I'd love to make videos about the other tests like defecography and colonoscopy -- added those topics to my list
Thank you very much for your very clear fantastic useful explanation.
You for explaining this. I was just told I needed this test - I now understand it!
You're so welcome, I hope the test helps you find your healing ❤️
Great job explaining the why, but I don't think I could possibly survive anything such a horribly disgusting test.
Thank you for this video. I’ll be taking this test and anxious for the end results hoping this will be taken care of with PT. I’m frustrated being and feeling constipated for 2-3yrs. I knew something was definitely wrong when taking senokot like candy, plus eating a enriched fiber diet that wasn’t elevating it. Wish me luck :/
Aww man, I'm so sorry to hear about your struggles with constipation. I hope the test results lead you closer to your healing. Wishing you the most luck ❤️
Great explanation thank u
Are there any exercises or activities that can be done at home to help retrain these muscles?
There are! But it depends on what is going on. If you have anorectal manometry testing results that indicate either overly sensitive or underly sensitive rectal tissues, a pelvic physical therapist can help you retrain those tissues! If the results indicate that you cannot produce enough pressure sphincterically, that could be due to weakness in the pelvic floor muscles -- again something a pelvic PT could help you with. Finally, sometimes the testing shows a "paradoxical pelvic floor contraction with defecation" (the pelvic floor contracts to defecate when it should relax), and this can also be retrained with the help of a pelvic PT.
If you live in the US, you can find a pelvic PT in your area by using this directory: pelvicrehab.com
Let me know if you have any other questions, and I wish you nothing but the best ❤️
but how are you going to help a person, born with congenital megacolon (but got that under control) UNTIL 35 rounds of pelvic radiation. i go from leakage to constipation constantly now. ive started pelvic floor pt but this is one part i dont know if we can fix
I have chronic pain in the internal sphincter or perhaps levator ani after my pelvic floor therapist pressed on an internal trigger point. the muscle snapped very hard and my whole body shuddered . I was in agonizing pain for months after that and defecation before during and after was very painful. I finally saw a colo rectal surgeon who treated me for a fissure though he couldn’t feel one. After months of using nifedipine ointment , he had me do manometry and I was dx’d with obstructed defecation even though I’m not constipated (slight loss of motility). I have varying levels of pain after defecation and I’ve been through 12 sessions of bio feedback stim treatment. My question is, would finding a good pelvic floor PT help me or is the damage permanent and is it risky to incur another tear or snap of the muscles? I use a squatty potty but I usually have to take a Tylenol to help with the dull ache I get after a bowel movement. I have a meeting w the doctor and I’m going to ask about Botox injection in the muscle , not sure that will make me worse
Oh my gosh, I am so, so sorry to hear that! It sounds like you've been through a lot in the healthcare realm, and I hate hearing that defecation remains painful and difficult. Know that you are not alone in that experience.
Botox is something that I have seen used to treat a different kind of pelvic floor muscle spasm (vaginismus, more of a layer I issue as opposed to the levator ani). I think it can be helpful with the right follow-up and intentions -- chat with your physician and see what the two of you think!
It is hard to say whether or not what you are describing is permanent, but even in the worst case scenario of permanence, pain management could still be a helpful tool for you! As far as another pelvic physical therapist, I think that depends. What you are describing definitely sounds like pelvic floor involvement, and in theory pelvic therapy could be helpful.
That being said, I wonder if you would benefit from seeking a therapist who specializes in chronic pelvic pain. There are so many layers to treatment, and it sounds like you'd benefit the most from a therapist that you truly trust.
Wishing you only best ❤
My OB/GYN wants me to have this test and pelvic floor physical therapy. Do you ever sedate patients who otherwise couldn't do this test? I had to stop watching other videos about anorectal manometry because I started panicking.
I'm so sorry to learn that the idea of anorectal manometry causes you anxiety and panic, and I also think that those reactions are valid and should be respected and considered before entering into the test. Unfortunately, anorectal manometry involves voluntary contractions/movements, so someone undergoing the testing needs to be awake.
I think it's important to weigh the risks and rewards associated with any physical testing, so that you can fully consent to the test with a clear understanding instead of feeling almost coerced into a test because an authority healthcare figure thinks it's best! It might be helpful to speak with your pelvic physical therapist before getting the test -- explain your fears and ask if the results of the test will greatly influence your plan of care, or if you could try treatment and have potential success without the test results! I personally find as a provider that I can learn a lot about a person's pelvis without anorectal manometry testing, but that might not be true for all providers.
Finally, if your OB/GYN thinks you'd benefit from anorectal manometry, you want a pelvic PT who is well-versed in bowel health! Not all pelvic PTs are, and it's important that you get the care from a knowledgeable specialist that you deserve! Don't hesitate to "shop around," ask the front desk if the therapist you're being assigned has a background in bowel health, or directly ask the pelvic PT you see about her knowledge surrounding bowel dysfunction/success in treating patients with similar presentations as yours in the past! Healthcare is a SERVICE industry, and I think, especially in pelvic therapy, it's important that you feel you're an empowered part of a team. You can use this directory to find pelvic providers in your area if you live in the US: pelvicrehab.com/
Don't ever give up on your body's ability to heal. Wishing you the best in your recovery 💛
@@PelvicEmpowerment Thank you. I don't think I can do parts of the pelvic floor PT either. That was my first pelvic in 16ish years. I'm not sexually active (and haven't been in over a decade), and I am a very modest person with a substantial, significant, and pertinent trauma history. My bowel issues started immediately after my ex-husband raped me anally.
I know it will be hard to believe, but years ago an OB-GYN SA'd me in an appointment. That and other experiences with the medical community have left me distrustful. Now with Covid I can't have a support/safety person. Furthermore, as a legally deaf woman who doesn't sign, communicating without the ability to read lips (masks) has become a barrier unto itself.
My mental health is suffering right now. There were some major changes happening in my medical treatment. Yesterday (maybe it was Thursday) my PCP was raided by the state police for possible diversion of controlled substances. Now everything is up in the air. He has been my PCP for 21 years. Up until February 1 I could have changed insurances and doctors. I know it is way past deadline, but Humana would have accepted me. They cover the "advanced hearing aids" that will correct my hearing.
Hahaha Then add to that all the things I need medically are outside of my ability to drive, and...my mind is screaming.
It has been recommended that I report the aforementioned rape to the police.
Again. I thank you. Do you work with a lot of trauma survivors that are there as a result of the trauma itself
I was a nurse prior to a disabling brain and other injuries.
@@summerdais325 Hey Summer, I responded to your comment earlier this morning... but I returned to my Studio to see that my comment was removed. I'm not sure if UA-cam removed it (sometimes words related to SA trigger UA-cam to remove comments even from creators on their own videos, so I may have needed to put an asterisk in a word or something like that), or if you requested for it to be removed. I wanted to retype my response and answer your question, but only with your consent.
@@PelvicEmpowerment I would appreciate your input. TY for the time you spent writing both responses. I was unaware of your second comment. I am not big on censorship.
As if things weren't hard enough already, my PCP was raided late last week and is being investigated by the state police. My medication was due today. I found out he can't write for controlled substances. I have been on a benzodiazepine for the past 20-something years. A sleep specialist put me on it, and my "medical team" agreed it is in my best interest. I was re-evaluated countless times through the years. Soooo, now I don't have that to sleep/for my out of control anxiety. LOL I had 2/3 therapists. I started group with A instead of K1 in individual. Then, I had been seeing K2 for 4+years. Sadly, weeks ago she stomped on my rights. It was bad enough that the agency ruled it was a rights violation. I didn't want her fired, just counseled, and I wanted a break from therapy. Then the SHTF. I feel sooo bad for my 74 y/o mum. She is not well, and she started putting the puzzle pieces together. So now I am facing all this BS without a therapist or my normal medication. He was going to switch another CS and take over that care. I decided to wait a month to make a smooth transition. Yikes.That would have been...the end of me
Sorry for the emotional dump. It's been a hard year for a lot of people. The social isolation is crippling. I live in Michigan. We have had fairly strict guidelines. We had a barber that made headlines. Just in case this sounds a bit much, a Google search would show a great deal of what I have said to be true. City begins with an O in S county. KM is the barber. DH is the doctor.
Edit: I may have read that reply!! It killed your reply and my response to it! I think. TBI hx.
@@summerdais325 I figured YT removed my original reply. I'll use some asterisks this time.
I wanted to say that, first of all, I am so, so sorry to learn about your history of tr*ma and TBI, and that your bowel issues began immediately after your ex-husband SA’d you. I am so happy that you are still here. Your endurance through these experiences speaks to the strength of your person and the power of your soul, and I hope that you can feel and hold tightly to that strength and power when the darkness does come. Hopefully those darker days are fewer and farther between.
Secondly, it is not hard to believe that you experienced SA at the hands of an OB-GYN. Medical SA is very real, and it does not get the attention and validation that it deserves. Your distrust in the medical community is incredibly valid, and I'm so sorry that C**ID is making your access to care more difficult.
Thirdly, don't apologize for the emotional dump! It's been such a tough time. Sometimes it feels good to name experiences and take some power away from them. I would be overwhelmed and struggling too if my trusted, longterm PCP was raided by the p*lice and that event significantly impacted my insurance/other aspects of plan of care! I can only imagine how difficult it would be to face the challenges you are facing with your mother in isolation. Not having medications, proper sleep, and the guidance of providers that you trust are all big deals, and would take a toll on my mental health, too.
Finally, yes, I have treated women (and men!) who are seeing me for pelvic dysfunction that is a direct result of tr*uma itself. In some cases, we begin simply with self- and therapist-touch to the lower abdomen, or inner thighs, with no intern*l work whatsoever, where the intention is to stay in the body, stay in the room, and feel safety and peace in those spaces. I would never force therapy on your or anyone, but I do want you to know that you deserve to feel safety and peace in your body, that tr*uma-informed pelvic physical therapists who would be happy to have a third person in the room during your treatments exist, and that I'm confident that there are therapists who be honored to walk along side of you towards that safety and peace.
I truly do wish you the best in your healing, and please don't do any tests that don't feel good and right to you. Sending a big internet hug ❤️
Does the bulbocavernosus reflex have any part of this? That's also a very odd test to have explained to you by a gloved Dr standing there trying to figure out what they want to say.
I can totally understand how that experience would be an odd one! As to your question, the bulbocavernosus reflex (BCR) is tested to give the provider information about your pudendal nerve, subsequent spinal nerves, and spinal cord.
To break that down a little bit more, the bulbocavernosus muscles (and usually anal sphincter muscles, too) should contract in response to squeezing the clitoris or head of the penis. That squeezing should tell the pudendal nerve (an important pelvic nerve that is in charge of those muscles) to connect to the spinal segments that are in charge of it (S2-4), and those spinal segments should then connect to your spinal cord, and the spinal cord will tell the spinal segments to tell your pudendal nerve to contract those muscles. So, the BCR is a way to test that pathway, which tests the health of the pudendal nerve, the S2-S4 segments, and the spinal cord.
Could that test be performed in tandem with an anorectal manometry test? Sure! If the provider is curious about the person's nervous system health, I could see why the test would be helpful.
I hope that made sense! Wishing you the best in your healing ❤️
@@PelvicEmpowerment Seems I failed the BCR test miserably (zero reflex response), but I was also still sort of laughing my Urologists explanation of it... and we will say 'multiple' attempts at generating the reflex. I've since read that a large % of circumcised males don't have the reflex to begin with, it seems the sensing nerves of that reflex pathway may have been removed during that procedure. I'm learning and exploring a bunch of this as a result of only-now-becoming-evident effects of a L4/L5 central disc extrusion many years ago. Very fun....
*this is not a solicitation of advice, just chat about how biology is pretty dang neat.
@@DougKremer I really appreciate the humor you found in the situation!
And I didn't know that about circumcised males! How fascinating... I'm sorry to learn that you're navigating Cauda Equina that seems it may be the result of an older L4/L5 central disc extrusion? But I share your fascination with biology! Bodies are amazing, and what's more incredible (to me, at least!) is how unique each and every body truly is. I love that you're curious and taking it upon yourself to learn more about your body. I think that curiousity and will to learn will help you heal in the long run 🤗
@@PelvicEmpowerment Yep, bodies and biology are absolutely amazing. I recovered from a nasty foramen magnum meningioma 18 years ago, very rare... Now this, also very rare... I learned for myself that humor and confidence are absolutely mandatory to my well-being and the favorable outcome of my experience with that tumor so long ago.
@@DougKremer I'm so sorry to learn about your previous experience with such a rare tumor, but I could not agree more with what you've shared about humor and confidence. I know our experiences are different, and I won't pretend that chronic conditions are the same as meningiomas; however, I have healed from three "chronic, mysterious" conditions in my lifetime, and am currently healing from a fourth. What you've shared resonates deeply with me. I've also found that humor and confidence, really believing in my body's ability to heal, has proven paramount in my healing and ultimate recovery time and time again!
How much do these tests cost to somebody paying privately please?
That's a great question, and the answer will likely vary pending on the clinic administering the test. I recommend calling the clinics that offer this testing in your area, and asking for their prices directly! That way you can compare and make the best decision for you and your finances 💛
If internal sphincter muscle is relaxing even rectum is not full and a person have always urge to poop? How to treat that?
Thank you so much.I have mixed incontinence and bowel leakage,also severe ibs,most of the time my stools are loose, I I get diahorrea then it will alternate to constipation it makes me feel even more depressed.Im in a difficult situation ie as the gut axis and brain work together when I'm stressed or severely depressed it goes wild.I was told my bowel incontinence could be from episiotomy I had 25yrs ago, to which nobody bothered to tell me about kegal exercises/pelvic floor exercises, even when I had my 2nd child.I also have haemorrhoids had banding litigation now external ones back again I think the banding litigation made the external ones come as soon after procedure I was pooping alot and had severe constant pressure.Im awaiting tests which I need to chase up the test you mentioned does it hurt? Also need physio.I don't know how much more i can tolerate.
I'm so, SO sorry to learn about your struggles with mixed incontinence, severe IBS, hemorrhoids, and your mental health. I hate that you're navigating all of these things potentially secondary to an episiotomy. Women's health is so underserved even now, I can only imagine how underserved it was ~25 years ago. Before I share a little more insight, I wanted to answer your question - while I've not had this test myself, my patients have shared that is uncomfortable. I hope that the outcomes are worth the discomfort. Also, if you live in the US, you can use this directory to find a pelvic provider near you: pelvicrehab.com/
So, I can't give individualized medical advice, but I can share general resources! Please, I know how difficult and hopeless and overwhelming it can feel when you have multiple dysfunctions that feels inextricably linked together, but don't give up on your body. Bodies are capable of AMAZING things, of INCREDIBLE healing, when we support them with the right healing environments - it's figuring out what that environment looks like that can be so tricky, and I don't think that yours is an exception.
I know it's hard to hear, but try to take full responsibility for your healing. Commit to relying radically on yourself. Learn all that you can about your diagnoses, and try to connect your own dots/cultivate that relationship with your body. Embrace trial and error, and believe in your body's innate ability to heal itself.
A few videos/writings that may be helpful for you:
- the hemorrhoids are likely linked to the alternative diarrhea/constipation, and will likely not resolve until you can regulate your bowel movements; however, I do have a video dedicated to healing hemorrhoids, and it may give you some insights for feeling better when they do arise: ua-cam.com/video/LA0Uc_TodZQ/v-deo.html
- IBS can be tricky to navigate, but it is possible to put the puzzle pieces together and develop a plan of care that minimizes and manages symptoms. I have a series dedicated to IBS here on the channel. This is the first video in that series: ua-cam.com/video/h6x9_RloKGU/v-deo.html
- As for your depression, please, please, PLEASE know that you are not alone. I have a video sharing my intimate experience with my own mental health after navigating a pelvic pain condition of my own. While it doesn't offer insights into cures, it can serve as a gentle reminder that you are NOT alone in the dark, and that sometimes, even though the "rainbow at the end of the storm" gets all of the attention, just surviving the storm should be celebrated: ua-cam.com/video/XuL9h-ew50Y/v-deo.html
- Finally, mixed incontinence can be tricky to heal, but it can certainly be improved and, sometimes, can be fully healed. I think that sometimes well meaning providers just tell people to do a bunch of kegels without taking the time to actually assess their pelvic floor and create individualized plans of care. Please, seek out a pelvic PT who can ACTUALLY assess you and tailor interventions to your pelvis. Until then, this short video might help you understand why kegels can sometimes be harmful, instead of helpful, when they're thrown around as the "one size fits all treatment" for everyone: ua-cam.com/video/9ncBE2gJLDg/v-deo.html
I really wish I could be more helpful. Don't give up, and I hope this encourages you to walk one step closer to your healing 🧡
@@PelvicEmpowerment Ah thank you so much for taking time to reply, with such valuable information and such care.I have been fighting depression for far too long, and I'm just in a viscious cycle as my toilet phobia and other issues make the depression worse I have complex mental health due yo trauma.Evertday I have to push myself to live.I will check out the videos soon.Im from UK awaiting to get further help.❤❤❤❤❤❤
@@honeybunny5325 I hear that. I know from my own experience how drastically time can slow down. Every second, minute, hour, and day that you survive is a victory that is worthy of your celebration. Staying alive doesn't get enough recognition. If that's all you do today or any other day, thank goodness, you're amazing. Look at your strength. Look at all you've already survived. Stay here. Here is good. And please, please don't give up ❤️
@@PelvicEmpowerment Many thanks.Sorry to hear you experienced some problems.Im just so exhausted from it all.I have no choice but to fight as my family children, siblings neices nephews tell me I'm needed and worthy which helps it just thr intrusive thoughts of mu own twisting things.xx
@@honeybunny5325 I'm so glad you have the love and support of your family, and that their love helps to ground you and keep you fighting. Seriously wishing you all of the best, always 🧡
Thank you
You're very welcome!
Hello and thank you for your video, I am a guy(not sure if it makes a difference) I'm getting ready to have an "Anorectal Manometry" I had a sigmoid resection a couple of months ago and having a bowel movement is painful before during and usually end up doing this 5-6 times a day. what would cause this pain? and the pain would be all across lower abdomen. I think I now have an understand the constant feeling of having to go. Thanks in advance!
Hello! I'm so sorry to learn that you're experiencing painful bowel movements and urgency secondary to a sigmoid resection a few months ago. And while I am honored that you feel comfortable asking me for guidance, I cannot give individualized medical advice. I can only offer general information and resources. That being said, have you considered pelvic physical therapy?
A good pelvic PT would be able to assess your abdomen, pelvis, pelvic floor, and rectum as well as your diet and lifestyle to try and pinpoint what is causing your pain and urgency, and then create interventions tailored to you and your unique body!
If you live in the US, you can find a pelvic provider using this directory: pelvicrehab.com/
Whether you end up pursuing pelvic PT or not, don't give up on your body. Bodies are capable of such immense healing when they're given the proper, supportive healing environment, it's just figuring out what that environment looks like that can be tricky. You deserve to feel peace in your body, and I'm confident that your body is capable of immense healing, too ❤️
@@PelvicEmpowerment since I messaged my Dr.'s have decided to do an anorectal manometry and lower gi study.... I imagine that what you suggested will come after and if it doesn't then I will definitely ask. Thanks I found your videos most informative.
@@akh21849 So proud of you for advocating for you health ❤️and thank you for your kind words about my video, I really appreciate it!
In what city is your practice? We should all have such a professional. In your practice can you prescribe medications?
I practice in Colorado - but I haven't been able to practice for the last year and a half due to a pelvic injury of my own, of all things! I'm just now starting to be able to get back to myself/do more/work/etc., although I'm not yet practicing in the clinic again.
Unfortunately, medication prescription is outside of my scope of practice - although I do try and keep myself well educated so that I can be helpful for patients/clients!
@@PelvicEmpowerment I’m sorry to hear about your injury. I have pelvic floor disfunction and at first my symptoms were in my bladder and prostate area. Now my main symptom is pain in my rectum. My rectum clenches a lot of the time for no reason. If I’m standing, I’ll notice it’s clenched up really tight and I will have to concentrate to release it. A few minutes later, it will be clenched again. I am bloated a lot of the time. I am really scared and depressed because of it. I haven’t worked in 5 months and have panic attacks. I’ve lost 30 pounds because I don’t have an appetite. I’ve started antidepressants and went to a pelvic floor physical therapist 2 times. She wanted to check inside my rectum but we decided not to because of the pain I’m having. I don’t know what to do. Is there any advice you can give me?
@@TheIsrael6571 I'm so sorry that you're struggling with pelvic floor dysfunction - while our experiences are different, I feel that I can really relate to the feelings of fear/depression you're describing in the course of healing my own pelvic floor dysfunction. I have a video that dives deeper into that experience here, if it's of interest to you: ua-cam.com/video/XuL9h-ew50Y/v-deo.html - either way, I want you to know that you are not alone, and that everything you're feeling is valid.
I'm honored that you're comfortable reaching out to me for guidance; however, I cannot give individualized medical advice. I can only share general resources. That said, I have a lot of strong feelings about healing, and I've compiled them here, in a community post: ua-cam.com/channels/IEbpR8WRMFLKO4jSylhB1A.htmlcommunity?lb=UgzvPs77Q8D3zg6joNJ4AaABCQ
It's fantastic that you're seeing a pelvic physical therapist, and it's okay that you aren't yet ready for a rectal assessment. You'll get there, and there are other ways your therapist and you can positively impact the pelvic floor in the interim. Please check out that community post, and know that bodies are capable of immense healing - they just need the right supportive environment to encourage that healing, and it's figuring out what that environment looks like that can be tricky. Your body is no exception ❤️
@@PelvicEmpowerment Thank you for the advice. I am going to check out those links now.
Does biofeedback help for dyssnergia constipation?
It definitely can, it depends on the person! My only hold-up with biofeedback would be if it was used as an intervention without the practitioner actually doing a pelvic floor assessment - sometimes someone gets diagnosed with dyssynergia and then gets placed on a sort of "one-size-fits-all" biofeedback regimen. I'm all about tailored, individualized treatments instead of assembly-line ones!
@@PelvicEmpowerment - I had a defecography done & was diganosed with Dysnergia. I had a rectocele too & was operated upon. Subsequently i developed Urine incontinence too. Please suugest a good course of action.
@@kavittamaker4813 I'm so sorry that you're struggling with urinary incontinence post rectocele corrective surgery as well as the dyssynergia. Have you ever heard of pelvic physical therapy?
A good pelvic PT would be able to assess you, your pelvis, surrounding bodily structures, and lifestyle to tailor interventions to you and your unique body. If you choose to pursue pelvic PT, do be sure to mention that you need a PT who is trained in bowel dysfunction, as this is a further speciality within the specialty. If you live in the US, you can use this directory to find a provider near you: pelvicrehab.com/
I hope that you find your healing soon!
@@PelvicEmpowerment - Thank you for the quick revert! Unfortunately i am in India & we have limited awareness on specialized PTs here. The ones who suggest biofeedback & charge a bomb.
@@kavittamaker4813 I'm so sorry, access to care is a real boundary and I hate that you don't have the more specialized providers in your area. I hope you can find your healing regardless, and I'm sorry that I can't be more helpful.
0:43 humans?? What species are you then??
👽
@@PatrickRyan147 Hahaha, this ended up in my spam and I just read it. Well done good sir.
Thank very much mam
Welcome!
Hello mam I am not getting potty pressure. Please solve my problem if possible.
Hi! I'm so sorry to learn that you're having bowel issues, and I'm honored that you're comfortable reaching out to me for help. However, I cannot offer individualized medical advice and am not currently taking patients as I am healing from my own pelvic injury (of all things!).
I hope to be able to take patients when I am fully healed, until then, I'm so sorry I can't be more helpful and I hope that you find you're healing soon 💛
Just had that done & it was very uncomfortable 😣
I hope it gives you some answers and gets you that much closer to your healing 💛
Thank you very Much very helpful you are very Beautiful
I'm so glad it was helpful for you 🧡
I think I'm in love
🤗
Hello Doctor I experience anorectal pain ( muscle spasm and trapped gas) this feeling of tightness in my rectum especially on eating certain foods like gluten, dairy or more than a handful of nuts and nut butter and fruits so that I eat these foods in the morning only in order to have a bowel movement. I am so scared the only food I feel I can eat comfortably is meat and rice unfortunately not a big fan of both. I am doing the low fodmap diet but I feel so unhealthy cutting out such a large group of foods from my diet has resulted in me eating more processed foods. I did get a barium meal and anoscopy done the dr discovered I had an anal fissure but now it has healed but symptoms aren't going :(
I'm so sorry to learn about your anorectal pain and tightness. I understand your fear, and your feelings are totally valid. Health issues can be really scary, and when the pelvis is involved, it can feel especially personal.
Have you ever heard of pelvic physical therapy? Sometimes, following an anal fissure or another sort of trauma to the pelvis, your pelvic floor muscles will tighten to protect you (kind of like if you were to be punched in the stomach, your abdominal muscles would tighten to protect you). Sometimes the pelvic floor has a really easy time returning to baseline, other times it sort of "forgets" how to let go, and symptoms like pain and tightness can develop. A good pelvic PT would be able to not only assess your pelvic floor, surrounding musculature, and lifestyle habits to determine if your muscles are playing a role in your symptoms, but also create tailored interventions for your unique presentation. If you live in the US, you can use this directory to find a provider near you: pelvicrehab.com
I wish I could be more helpful. Don't give up on your body. Bodies are capable of such incredible healing, and I don't think yours is an exception. Wishing you the best 💛
In the interim, I do have a pelvic floor relaxation routine that might bring you some relief. You can check it out here, if you're interested: ua-cam.com/video/JTcagOGZsLI/v-deo.html
@@PelvicEmpowerment Thankyou for your concern I live outside of the US I don't think there are PTs dealing specifically with the pelvic floor.following low fodmap does improve the symptoms but then I wouldn't have a bowel movement for days :( because this diet is so restricitive
@@sana2005rocks Some countries outside of the US do offer pelvic-specific physical therapy, usually it's called "pelvic physiotherapy" outside of the states 💛
I'm so glad the low FODMAPs diet helps you manage symptoms, but I'm so sorry it comes with the difficult bowel movements.
I know it may not be that helpful to hear, but embracing trial and error has really helped me cure "mysterious, chronic" conditions that I've had in the past. Don't give up. You deserve to feel peace in your body and mind.
i have a balloon on my butt for years.. is it dangerous or not
I'm not sure I understand your question - what do you mean?
Thank you.. This really help me understand why I can’t have a complete bm and I have to take something to make it liquid before it can pass.
I'm sorry to learn that you're struggling with bowel movements in this way, but I'm so happy that this video helped you gain a better understanding of your body/why that might be happening ♥️
Do you think that anal stimulation might be good for m/f GI health as a therapeutic practice? Could the manometer be used for therapy?
In my clinical experience, I've found that anal stimulation and the balloon can both be therapeutic in treating male and female lower GI issues, yes 💛
I never get the urge to poop. I can go 8 days without a BM. It will start to come back up.
Aww man, I'm so sorry to hear that. I hope that you're able to get to the bottom of why your urge has dissipated, whether that's through anorectal manometry or a different diagnostic test 💛
Same. It’s hell
Same here. How is it?
Do you see patients whom have or are recovering from Cauda Equina Syndrome? If so have you been able to help with function recovery, strength, or re-training? My Dr said "Wow, you have nearly zero pelvic floor, I'm sort of surprised you are continent right now."
I'm so sorry to learn that you're navigating Cauda Equina Syndrome, and while I can appreciate what your doctor said, I'm sorry that's the language he/she used. Sometimes providers forget how impactful their words can be.
While I have not worked with a patient who has Cauda Equina specifically, I have worked with a number of patients who have nerve injuries as a result of delivery as well as pelvic surgery.
Nerves are funny, and their healing is not linear... but they can and do heal! And I've found that certain interventions can really support that nerve healing (sometimes tapping on the pelvic floor to help the brain "feel" it again, sometimes working on activation via activating muscles that are "synergists" with the pelvic floor, sometimes working on biofeedback tools) -- there are an array of interventions out there that can be helpful, and I've seen people restore function whose injuries are years old!
I can't recommend pelvic physical therapy enough. If you live in the US, you can use this directory to find a provider near you: pelvicrehab.com
But, that being said, do trust your gut. There are some well meaning pelvic PTs that don't know as much about nerves that might not be the best fit for you, and that's okay! Don't hesitate to "shop around" until you find a provider you feel you can trust to help guide you in your healing.
As to your doctor's comment on continence, continence is a very multifaceted phenomenon of which the pelvic floor does play a part, but is not solely responsible for, if that makes sense. Bodies are REMARKABLE, and they are each so, so unique. Your pelvic floor may be in a sort of "shocked" state right now, but perhaps your particular body's continence relies more heavily on/or is better able to compensate with its autonomic (not under voluntary control) function!
Finally, road to recovery after a nerve injury can be challenging both physically and mentally. I want to gently remind you to be patient and kind with your body as it recovers, and that, while there is so much to be said for the outcome of this experience, sometimes it's just about surviving, and that's okay. Endurance should be celebrated just as much as the "rainbow after the storm." Don't ever take for granted your own intuition, embrace trial and error, and, as difficult as it may be, try to rely radically on yourself. Don't let your care slip through the healthcare system's cracks. Advocate for your health, and don't let any physician force you into an intervention/treatment that doesn't quite "feel right" to you.
I wish you the absolute best in your healing. Bodies are capable of INCREDIBLE things, and I don't think yours is an exception ❤️
@@PelvicEmpowerment Thanks for the encouragement and kind and careful words! It sounds like talking to Dr about PFPT might be a good idea. This Dr and I get along very well and I wasn’t put off by those words at all, I asked him to “check everything out down there” and let me know exactly where on the function and strength spectrum I currently am. I requested a truly honest diagnostic to relay to the rest of my medical team. I’m sure he would have used different words had I opened the conversation differently. Your words about “waking up” nerves and muscle very much ring true. I have experience with that from a neck surgery years ago. Thank you for the encouragement. Your content is so bright and informative, keep up the good work.
@@DougKremer I totally understand that kind of patient-provider relationship! Awesome, I am big into honest diagnostics myself, and it sounds like the two of you have an established, healthy rapport!
Yes, a PFPT might be a good provider to add to your healthcare team!
And I really appreciate your kind and encouraging words surrounding my content, thank you, sincerely ❤️
Would have been better with some standard diagrams she could have pointed to.
Yes! One day I hope to have the funds to purchase an animation extension tool for my laptop so I can start voicing over my own drawings! Until then, I've upgraded to using a white board in my later videos 💛
If anything wasn't clear in my verbal explanation here, feel free to ask clarification questions -- I'll do my best to answer.
Wishing you the best!
EDIT: I forgot! I wrote an article about this topic with some of my white board drawings that may be helpful for you :) here is the link: www.pelvicempowerment.com/anorectal-manometry/
@@PelvicEmpowerment Thank You for your reply.....your explanation was very good, but as you seem to be planning, visuals would be helpful!