, . 'Biofeedback therapy' . , (Retraining) .

Sayn dɛnMay 9, 2026🔄 Updated: Jul 14, 2026⏱ 13 min

Yu kin gɛt prɔblɛm bak fɔ go na tɔylɛt? Dis na kɔndishɔn we dɛn kɔl anismus? Lɛ wi tɔk bɔt dis!

Creator: Dr. Priya Sammani
Published: 2026-05-09T02:49:23.000Z

Dr. Priya Sammani, MBBS, PG Dip. FMMedical Verification

Sɔntɛnde yu kin fil lɛk se i nɔ kin izi fɔ yu fɔ pul dɔti ɔ yu kin fil se yu tayt we yu go na tɔylɛt? Yu kin fil lɛk se yu bɔdi nɔ de ɛmti fɔ sɔm dez, ɔ yu kin fil lɛk se yu nɔ pas ɔl ivin afta yu dɔn ol am fɔ lɔng tɛm? Dis na prɔblɛm dɛn we bɔku pipul dɛn kin gɛt. Bɔt if dɛn tin ya kɔntinyu, sɔntɛm rizin de fɔ dat. Di kɔndishɔn we wi go tɔk bɔt tide dɛn kɔl am anismus . Sɔntɛnde dɛn kin kɔl dis bak dyssynergic defecation .

Lɛ wi si fɔs wetin na Anismɔs.

Fɔ tɔk am simpul wan, anismus na wan sik we di mɔsul dɛn na yu bɛlɛ eria nɔ de wok fayn, we kin mek i nɔ izi fɔ pas stɔl. Wan ɔda nem fɔ dis na wan kayn we we di bɔdi nɔ kin wok fayn .

Naw imajin, yu pelvik eria na di eria we de dכn yu bεlε bכtכn. Bɔku mɔsul dɛn de de. lεk mεsh, כ sכm kכp, dεn mכsul dεm ya tכgeda de ol כgan dεm lεk wi blad, uterus (in uman dεm), εn rεktum. Wi kin kɔl dis grup ɔf mɔsul dɛn di pelvik flɔ . Dɛn mɔsul dɛn ya rili impɔtant. Bikɔs, we wi de pis ɛn pis, dɛn mɔsul ya kin kɔntrakt ɛn rilaks fɔ ɛp fɔ du da prɔses de.

So, insay di kes fɔ anismus, we yu tray fɔ defecate, di mɔsul dɛn na di pelvik flo, mɔ we de rawnd di anus, fɔ rilaks. Na da tɛm de di stɔl kin kɔmɔt izi wan. Bɔt pan pɔsin we gɛt anismus, instead fɔ rilaks, dɛn mɔsul ya kin tayt (paradoxical contraction) , ɔ dɛn nɔ kin rilaks atɔl (hypertonic pelvic floor) . Tink bɔt am lɛk we yu want fɔ opin domɔt, i kin lɔk mɔ tranga wan. Fɔ sɔm pipul dɛn, dɛn mɔsul ya nɔ kin ebul fɔ mek inof pawa fɔ pul di stɔl.

Wan ɔda tin na dat, lɛk af pan pipul dɛm wae gɛt dis sik kin gɛt bɔrku bɔrku bɔdi ɔr nɔr kin fil fayn fɔ gɛt bɔdi. So, we di stɔl nɔ pas di rayt tɛm, i kin stɔp na di insay, i kin ivin dray, i kin at fɔ pas, ɛn i kin at fɔ pas. Dis na wan pan di tin dɛn we kin mek pɔsin gɛt kɔnstipɛshɔn we nɔ de dɔn .

Aw dis sik kin kɔmɔn? Udat go ebul fɔ gɛt am?

Ɔlsay na di wɔl, dɛn se 15% to 25% pan di pipul dɛm wae gɛt krɛse sik kin gɛt anismus. Kɔnstipɛshɔn kin rili kɔmɔn, i kin afɛkt lɛk 10% to 20% pan pipul dɛm. Uman dɛn kin gɛt am tu tɛm pas man dɛn. E kin bɔrku bak pan pipul dɛm wae dɔn pas 65 ia.

I sɔprayz fɔ no se lɛk wan pat pan tri pipul dɛn we gɛt dis sik kin gɛt am we dɛn smɔl.Dis kin bigin. Wan ɔda pat pan tri pipul dɛn kin gɛt am afta dɛn bɔn pikin ɔ aksidɛnt. Fɔ di ɔda 40%, dɛn nɔ dɔn fɛn ɛni klia kɔz. Bɔrku tɛm, dɛn kin tink se na bihayvya wae dɛn dɔn gɛt.

Wetin mek anismus kin kam? Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?

Infakt, anismus na wan sik we de mek pɔsin wok fayn . Dat min se, dɛn nɔ dɔn si ɛni patikyula sik na pɔsin in bɔdi ɔ in nyurolɔjik we de mek i gɛt am. I kin bi bikɔs ɔf strɛs, trauma, ɔr kɔnstipɛshɔn we nɔ de dɔn, ɔ i kin bi bikɔs di mɔsul dɛn nɔ de wok fayn.

pan ɔl we no patikyula kɔz nɔ de fɔ dis, yu kin si anismus togɛda wit sɔm kɔndishɔn dɛn. Dat min se pipul dɛm wae gɛt dis sik kin gɛt anismus:

Ɔlsa dɛn na di rɛktal
IBS-C (Irritable Bowel Syndrome with constipation) – Dis kin bi se yu bɛlɛ de at wit yu bɛlɛ wit kɔnstipɛshɔn.
Slow colonic transit time – Dis min se di it de muv sloslo tru di intestines.
Kɔnstipɛshɔn we nɔ de dɔn frɔm we i smɔl.
rεktal hayposensitiviti – nכ de fil di sεns we yu de pas stכl.
Saikɔlɔjik dizayd.
Yuz sɔm pen kil dɛm (Opioid yus).

Us sayn dɛm wae pɔrsin wae gɛt anismus kin gɛt?

Pipul wae gɛt anismus kin gɛt sɔm kayn sik wae dɛn kin si pan siriɔs kɔnstipɛshɔn. Dɛn tin ya na di sayn dɛm wae kin kam pan pɔrsin:

Difecation less dan tri tɛm insay di wik.
Fɔ strɛs pasmak we yu de muv yu bɔdi.
Di filin se nɔto ɔl di stɔl dɔn kɔmɔt ivin afta yu dɔn pul di dɔti.
Di bɔdi we at ɛn we de mek pɔsin fil pen .
Sɔntɛnde yu fɔ yuz yu finga dɛn fɔ ɛp yu fɔ pul di stɔl kɔmɔt .
Bɛlɛ we dɔn blo.
Bɛlɛ de pen.
Pen na di anal.

Yu kin shem ɔ shem fɔ tɔk bɔt dɛn sik ya. Bɔt dɛn tin ya na di kɔmɔn sayn dɛm fɔ dis sik. If yu tɛl yu dɔktɔ bɔt dɛn tin ya ɛn nɔ shem, dat go ɛp dɛn fɔ ɛp yu fayn fayn wan.

Aw dɛn kin no dis anismus kɔndishɔn?

We yu go to dɔktɔ, dɛn go chɛk fɔs fɔ si if yu gɛt ɔda tin dɛn we kin mek yu gɛt kɔnstipɛshɔn (lɛk strɔkchɔral prɔblɛm, mɛtabolik prɔblɛm). Dis kin inklud sɔm bɛsik rεktal ɛgzam.

Fɔs fɔsDɛn kin aks yu fɔ du dijital rɛktal ɛgzam (DRE). Dis min se di dɔktɔ de wɛr glɔv, put lɔbrik, ɛn put in finga insay yu rɛktum.
Dɔn, dɛn kin du sigmoidoscopy tɛst, we min se dɛn kin put wan tiub (skɔp) wit smɔl kamɛra insay.

If dɛn tɛst ya nɔ fɛn klia kɔz, di nɛks tin we yu fɔ du na fɔ du sɔm patikyula tɛst dɛn fɔ si if anismus de.

Wetin na di spɛshal tɛst dɛn we dɛn kin yuz fɔ no anismus?

Dɛn kin kɔnfyus anismus if at le tu pan dɛn tɛst ya gɛt abnɔmal rizɔlt.

1. Anɔrektal manomɛtri: .

dis involv fכ mכsu aw di mכsul dεm na yu anus εn anal sfincter de kכntrakt εn rilaks. sכm sכm tכb (kateta) dεn de put insay yu an. Dɔn wan pɔsin we de kia fɔ wɛlbɔdi biznɛs kin ful-ɔp di kateshɔn. Wan mashin kin rayt aw yu mɔsul dɛn kin ansa, lɛk se dɛn ful-ɔp wit stɔl. Dis tɛst kin no:

I pɔsibul fɔ mek dɛn mek inof pawa fɔ push fɔ pul di dɔti?
di mכsul dεm na di anal sphincter de rilaks fayn we yu de push?
Ɔ, dɛn mɔsul dɛn de kin tayt we yu de push?
Yu rεktal sensεshכn nכmal?

2. Balɔn ɛkspulshɔn tɛst:

dis de mכsu aw lכng i tek yu fכ pas sכmtin lεk stכl tru yu an. Fɔ mek i tan lɛk stɔl, dɛn kin put wan balyɔn we ful-ɔp wit wam wata insay yu an ɛn blo am te i rich wan patikyula saiz. Dɔn dɛn kin aks yu fɔ sidɔm na di tɔylɛt ɛn pas am. If dis tek pas wan minit , i kin sho se yu gɛt prɔblɛm wit di we aw yu bɛlɛ mɔsul dɛn de wok.

3. Difekografi: .

Insay dis tɛst, dɛn kin yuz ɛkstrem rayt ɔ MRI fɔ si aw di mɔsul dɛn we de insay yu bɔdi de wok as yu de tray fɔ pas wan bɔdi we yu de muv. Dɛn kin put paste we tan lɛk stɔl insay yu rɛkɛt, ɛn dɛn kin aks yu fɔ sidɔm na tɔylɛt ɛn pas am. Dɔn dɛn kin sho di X-ray ɔ MRI pikchɔ dɛn na wan skrin. dis kin εp fכ no eni prכblεm wit di fכnshכn fכ yu bכdi, εn כda strכkchכral prכblεm dεm.

4. Sitz mak stɔdi: .

Dis de sho aw di it de muv kwik kwik wan tru yu insay. Fɔs, yu dɔktɔ go gi yu wan pil fɔ tek. Di pil gɛt smɔl smɔl mak dɛn we yu kin si pan ɛkstrem rayt. Fayv dez afta yu tek di pil, yu go gɛt ɔda ɛkstrem rayt. If di mak dɛn stil de na yu kɔlon pan di ɛkstrem rayt, dat min se dɔti tin dɛn nɔ de muv tru yu kɔlon nɔmal wan.

Wetin na di tritmɛnt fɔ dis sik we dɛn kɔl anismus?

Di gud nyus na dat, tritmɛnt de fɔ dis! Di tritmɛnt we de wok fayn pas ɔl we de naw na bayɔfidbak . I gɛt 80% sakrifays rɛt. Dis na di men tin we dɛn kin du fɔ mɛn pipul dɛn. Bɔt yu dɔktɔ kin tɛl yu ɔda tritmɛnt ɔ ɔda tritmɛnt dɛn if bayɔfidbak nɔ wok fɔ yu.

Na sɔm tritmɛnt dɛn ya:

1. Bayofidbak tɛrapi: .

Dis na wan fayn fayn sayko-fizikal fisiotɛrapi we. I tan lɛk se yu de praktis fɔ kɔntrol yu bɔdi in mɔsul dɛn wit yu maynd. Dɛn kin put smɔl tin dɛn we nɔ de mek yu fil pen we dɛn kɔl ilɛktrɔd na yu skin, ɛn dɛn kin sho yu at rit, aw yu de blo, aw yu skin de wam, aw yu mɔsul dɛn de tɛnsi, ɛn aw yu bren de wok na skrin fɔ mek yu ɛn di pɔsin we de mɛn yu go si.

Dɔn, di dɔktɔ we de mɛn yu go tich yu difrɛn ɛksesaiz, fɔ mek yu mɔsul dɛn kɔntrakt, ɛn aw fɔ rilaks. As yu de du dɛn ɛgzampul ya, yu kin wach di tin dɛn we de kɔmɔt na di skrin ɛn lan aw fɔ kɔntrol yu mɔsul dɛn fayn fayn wan. We yu praktis dis we, yu go ebul fɔ push fayn fayn wan fɔ pas stɔl ɛn rilaks di mɔsul dɛn we de rawnd yu ans fayn fayn wan.

Bayofidbak kin ɛp yu bak fɔ mek yu no mɔ bɔt di sɛns. Sɔm pipul dɛn kin gɛt rεktal hayposɛnsitiviti. Wit dis trenin, yu go bigin fil se yu nid fɔ defecate kwik kwik wan.

2. Di tin dɛn we yu fɔ du fɔ mɛn yu layf:

Ilɛksɛf yu de du bayɔfidbak tɛrapi ɔ yu nɔ de du am, yu dɔktɔ go tɛl yu fɔ mek sɔm chenj dɛn na yu layf, lɛk dɛn wan ya, fɔ ɛp fɔ mek di bɔdi muvmɛnt izi:

Nɔ tek mɛrɛsin dɛn we de mek yu kɔnstipɛt.
Drink inof wata ɔl di de.
It bɔku it dɛn we gɛt fayv (vɛjitebul, frut, ligɛm, ɔl gren).
Tek shɔt waka afta ɛvri it.
Go na tɔylɛt jɔs lɛk aw yu fil se yu nid fɔ pul dɔti. Nɔ put am bifo.
Tray fɔ go na tɔylɛt di sem tɛm ɛvride (fɔ ɛgzampul, afta yu it brɛf).

3. Di mɛrɛsin dɛn we dɛn kin yuz fɔ mek pɔsin gɛt kɔnstipɛshɔn:

If ɔda we dɛn nɔ wok, yu dɔktɔ kin gi yu wan mɛrɛsin we de mek yu nɔ gɛt bɛlɛ ( laxative ) fɔ mek yu nɔ gɛt bɛlɛ.Dɛn kin gi yu ɔda mɛrɛsin dɛn. Dɛn mɛrɛsin ya nɔr spɛshal fɔ anismus. Bɔt dɛn kin gi rilif fɔ lɔng tɛm kɔnstipɛshɔn. Ivin if dɛn nɔ kɔrɛkt di mɔsul prɔblɛm, dɛn kin ɛp fɔ mek di stɔl nɔ at tumɔs ɛn i nɔ izi fɔ pas.

4. Botox® injɛkshɔn dɛn:

Dɛn dɔn yuz botulinum toxin injection fɔ trit anismus, bɔt di rizɔlt dɛn dɔn miks. Dɛn kin yuz bɔtɔks fɔ rilaks di mɔsul dɛm (bɔku lɛk aw dɛn kin yuz am fɔ ridyus di wrinkles). כltu, dis na כnli bכt 50% ifektiv fכ anismus. Dis kin bi bikɔs anismus kin kɔmpleks pas jɔs we di mɔsul dɛn kin kɔntrakt. Bɔt, i tan lɛk se i kin wok mɔ pan pikin dɛn.

Wetin na di fiuja fɔ di wan dɛn we de liv wit Anismɔs? (Autluk) .

If yu gɛt akses to bayɔfidbak tɛrapi, i kin ɛp. Bɔt dɔktɔ dɛn se dis tritmɛnt nɔ kin izi fɔ ɔlman. Dɛn de mek bak di tin dɛn we dɛn kin yuz fɔ mek bayɔfidbak insay os. Yu kin gɛt sɔm rilif bak wit mɛrɛsin fɔ kɔnstipɛshɔn ɛn fɔ chenj yu layf.

Dɔktɔ dɛn kin tek kɔnstipɛshɔn ɔltɛm, mɔ if i nɔ de mɛn, rili siriɔs. If yu gɛt sayn dɛn fɔ anismus, go to dɔktɔ wantɛm wantɛm . Dis kin bi wan tɔpik wae nɔr kin izi fɔ tɔk bɔt, bɔt e bɛtɛ pas fɔ kip de sik to yusɛf.

Tɔk opin wan wit yu dɔktɔ bɔt yu sayn dɛm. Mɛmba se na dɛn de yɛri ɛn si dɛn tin ya ɛvride. If yu ebul, kip “poop journal” bifo yu go to yu dɔktɔ. Dat min se, rayt wetin apin ɛni tɛm we yu go na tɔylɛt, aw lɔng i tek, ɛn aw i nɔ bin izi. Di mɔ infɔmeshɔn we yu de gi, na di mɔ i go izi fɔ mek yu dɔktɔ ɛp yu.

Mɛsej we dɛn kin kɛr go na os

Anismus na wan sik we gɛt fɔ du wit kɔnstipɛshɔn we di mɔsul dɛn na di bɛlɛ nɔ de rilaks fayn we di bɔdi de muv ɛn tayt.
Dis kin kam pan ɛnibɔdi we gɛt ɛni ej, bɔt i kin apin mɔ pan uman ɛn ol pipul dɛn.
Di sayn dɛm na we yu strɛs pasmak, we yu nɔ de pul yu stɔl kɔmplit wan, yu stɔl we at, ɛn yu bɛlɛ de pen.
Nɔ wɔri, spɛshal tɛst dɛn de fɔ no dis, ɛn wan tritmɛnt we dɛn kɔl bayɔfidbak kin rili wok.
If yu gɛt dɛn kayn sik ya, i impɔtant fɔ go to dɔktɔ we nɔ go shem ɔ shem. Di kwik we yu bigin fɔ tek tritmɛnt, na di mɔ yu go ebul fɔ wɛl kwik kwik wan.

👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)

💬 Na Anismus (Dyssynergic Defecation) na di nem we dɔktɔ dɛn kin gi fɔ kɔnstipɛshɔn?

Nɔ! di kכnstipeshכn de mek di rεktum tayt, bכt 'anismus' na wan strenj kכndyushכn. we wi defecate, wi de ‘rilaks’ di mכsul dεm na di rεktum εn push di stכl kכmכt. Bɔt wetin kin apin pan dɛn sik pipul ya na dat di kɔnekshɔn wit di bren kin ambɔg, ɛn instead fɔ rilaks, dɛn mɔsul dɛn de ‘kɔntrakt’ mɔ.

💬 Yu kin tray fɔ kɔmɔt we yu tayt yu mɔsul dɛm?

Na dat na di prɔblɛm wit dis! Di pɔsin kin spɛn bɔku awa fɔ strɛs fɔ kɔmɔt na di tɔylɛt, bɔt natin nɔ kin kɔmɔt bikɔs di anal sfincter tayt so i nɔ go opin. Ɔl dis kin dɔn fɔ mek pɔsin blɔd ɛn ɛmoroyd.

💬 Yu tink se dis nɔ go fayn fɔ di wan dɛn we de tek bɛlɛ pil?

If yu tek laxative, i nɔ go sɔlv di prɔblɛm we di domɔt nɔ de opin. Di tritmɛnt we go wok pas ɔl fɔ dis na fisiotɛrapi we dɛn kɔl ‘Biofeedback therapy’. Insay dis, dɛn kin tren di pɔsin fɔ rilaks ɛn kɔntrakt dɛn tayt mɔsul dɛn fayn fayn wan bay we dɛn de luk na kɔmpyuta skrin.

` Anismus, dyssynergic defecation, konstipeshכn, pelvik fכl mכsul dεm, bayofidbak, difεlεshכn fכ tכylεt, bכwel muvmεnt

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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Sayn dɛnMay 9, 2026
Yu kin gɛt prɔblɛm bak fɔ go na tɔylɛt? Dis na kɔndishɔn we dɛn kɔl anismus? Lɛ wi tɔk bɔt dis!
Dr. Priya SammaniMedical Verification
⏱ 13 min read
📋Table of Contents
1. Lɛ wi si fɔs wetin na Anismɔs.
2. Aw dis sik kin kɔmɔn? Udat go ebul fɔ gɛt am?
3. Wetin mek anismus kin kam? Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?
4. Us sayn dɛm wae pɔrsin wae gɛt anismus kin gɛt?
5. Aw dɛn kin no dis anismus kɔndishɔn?
6. Wetin na di spɛshal tɛst dɛn we dɛn kin yuz fɔ no anismus?
7. Wetin na di tritmɛnt fɔ dis sik we dɛn kɔl anismus?
8. 1. Bayofidbak tɛrapi: .
9. 2. Di tin dɛn we yu fɔ du fɔ mɛn yu layf:
10. 3. Di mɛrɛsin dɛn we dɛn kin yuz fɔ mek pɔsin gɛt kɔnstipɛshɔn:
11. 4. Botox® injɛkshɔn dɛn:
12. Wetin na di fiuja fɔ di wan dɛn we de liv wit Anismɔs? (Autluk) .
13. Mɛsej we dɛn kin kɛr go na os
14. 👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
Sɔntɛnde yu kin fil lɛk se i nɔ kin izi fɔ yu fɔ pul dɔti ɔ yu kin fil se yu tayt we yu go na tɔylɛt? Yu kin fil lɛk se yu bɔdi nɔ de ɛmti fɔ sɔm dez, ɔ yu kin fil lɛk se yu nɔ pas ɔl ivin afta yu dɔn ol am fɔ lɔng tɛm? Dis na prɔblɛm dɛn we bɔku pipul dɛn kin gɛt. Bɔt if dɛn tin ya kɔntinyu, sɔntɛm rizin de fɔ dat. Di kɔndishɔn we wi go tɔk bɔt tide dɛn kɔl am anismus . Sɔntɛnde dɛn kin kɔl dis bak dyssynergic defecation .
Lɛ wi si fɔs wetin na Anismɔs.
Fɔ tɔk am simpul wan, anismus na wan sik we di mɔsul dɛn na yu bɛlɛ eria nɔ de wok fayn, we kin mek i nɔ izi fɔ pas stɔl. Wan ɔda nem fɔ dis na wan kayn we we di bɔdi nɔ kin wok fayn .
Naw imajin, yu pelvik eria na di eria we de dכn yu bεlε bכtכn. Bɔku mɔsul dɛn de de. lεk mεsh, כ sכm kכp, dεn mכsul dεm ya tכgeda de ol כgan dεm lεk wi blad, uterus (in uman dεm), εn rεktum. Wi kin kɔl dis grup ɔf mɔsul dɛn di pelvik flɔ . Dɛn mɔsul dɛn ya rili impɔtant. Bikɔs, we wi de pis ɛn pis, dɛn mɔsul ya kin kɔntrakt ɛn rilaks fɔ ɛp fɔ du da prɔses de.
So, insay di kes fɔ anismus, we yu tray fɔ defecate, di mɔsul dɛn na di pelvik flo, mɔ we de rawnd di anus, fɔ rilaks. Na da tɛm de di stɔl kin kɔmɔt izi wan. Bɔt pan pɔsin we gɛt anismus, instead fɔ rilaks, dɛn mɔsul ya kin tayt (paradoxical contraction) , ɔ dɛn nɔ kin rilaks atɔl (hypertonic pelvic floor) . Tink bɔt am lɛk we yu want fɔ opin domɔt, i kin lɔk mɔ tranga wan. Fɔ sɔm pipul dɛn, dɛn mɔsul ya nɔ kin ebul fɔ mek inof pawa fɔ pul di stɔl.
Wan ɔda tin na dat, lɛk af pan pipul dɛm wae gɛt dis sik kin gɛt bɔrku bɔrku bɔdi ɔr nɔr kin fil fayn fɔ gɛt bɔdi. So, we di stɔl nɔ pas di rayt tɛm, i kin stɔp na di insay, i kin ivin dray, i kin at fɔ pas, ɛn i kin at fɔ pas. Dis na wan pan di tin dɛn we kin mek pɔsin gɛt kɔnstipɛshɔn we nɔ de dɔn .
Aw dis sik kin kɔmɔn? Udat go ebul fɔ gɛt am?
Ɔlsay na di wɔl, dɛn se 15% to 25% pan di pipul dɛm wae gɛt krɛse sik kin gɛt anismus. Kɔnstipɛshɔn kin rili kɔmɔn, i kin afɛkt lɛk 10% to 20% pan pipul dɛm. Uman dɛn kin gɛt am tu tɛm pas man dɛn. E kin bɔrku bak pan pipul dɛm wae dɔn pas 65 ia.
I sɔprayz fɔ no se lɛk wan pat pan tri pipul dɛn we gɛt dis sik kin gɛt am we dɛn smɔl.Dis kin bigin. Wan ɔda pat pan tri pipul dɛn kin gɛt am afta dɛn bɔn pikin ɔ aksidɛnt. Fɔ di ɔda 40%, dɛn nɔ dɔn fɛn ɛni klia kɔz. Bɔrku tɛm, dɛn kin tink se na bihayvya wae dɛn dɔn gɛt.
Wetin mek anismus kin kam? Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?
Infakt, anismus na wan sik we de mek pɔsin wok fayn . Dat min se, dɛn nɔ dɔn si ɛni patikyula sik na pɔsin in bɔdi ɔ in nyurolɔjik we de mek i gɛt am. I kin bi bikɔs ɔf strɛs, trauma, ɔr kɔnstipɛshɔn we nɔ de dɔn, ɔ i kin bi bikɔs di mɔsul dɛn nɔ de wok fayn.
pan ɔl we no patikyula kɔz nɔ de fɔ dis, yu kin si anismus togɛda wit sɔm kɔndishɔn dɛn. Dat min se pipul dɛm wae gɛt dis sik kin gɛt anismus:
Ɔlsa dɛn na di rɛktal
IBS-C (Irritable Bowel Syndrome with constipation) – Dis kin bi se yu bɛlɛ de at wit yu bɛlɛ wit kɔnstipɛshɔn.
Slow colonic transit time – Dis min se di it de muv sloslo tru di intestines.
Kɔnstipɛshɔn we nɔ de dɔn frɔm we i smɔl.
rεktal hayposensitiviti – nכ de fil di sεns we yu de pas stכl.
Saikɔlɔjik dizayd.
Yuz sɔm pen kil dɛm (Opioid yus).
Us sayn dɛm wae pɔrsin wae gɛt anismus kin gɛt?
Pipul wae gɛt anismus kin gɛt sɔm kayn sik wae dɛn kin si pan siriɔs kɔnstipɛshɔn. Dɛn tin ya na di sayn dɛm wae kin kam pan pɔrsin:
Difecation less dan tri tɛm insay di wik.
Fɔ strɛs pasmak we yu de muv yu bɔdi.
Di filin se nɔto ɔl di stɔl dɔn kɔmɔt ivin afta yu dɔn pul di dɔti.
Di bɔdi we at ɛn we de mek pɔsin fil pen .
Sɔntɛnde yu fɔ yuz yu finga dɛn fɔ ɛp yu fɔ pul di stɔl kɔmɔt .
Bɛlɛ we dɔn blo.
Bɛlɛ de pen.
Pen na di anal.
Yu kin shem ɔ shem fɔ tɔk bɔt dɛn sik ya. Bɔt dɛn tin ya na di kɔmɔn sayn dɛm fɔ dis sik. If yu tɛl yu dɔktɔ bɔt dɛn tin ya ɛn nɔ shem, dat go ɛp dɛn fɔ ɛp yu fayn fayn wan.
Aw dɛn kin no dis anismus kɔndishɔn?
We yu go to dɔktɔ, dɛn go chɛk fɔs fɔ si if yu gɛt ɔda tin dɛn we kin mek yu gɛt kɔnstipɛshɔn (lɛk strɔkchɔral prɔblɛm, mɛtabolik prɔblɛm). Dis kin inklud sɔm bɛsik rεktal ɛgzam.
Fɔs fɔsDɛn kin aks yu fɔ du dijital rɛktal ɛgzam (DRE). Dis min se di dɔktɔ de wɛr glɔv, put lɔbrik, ɛn put in finga insay yu rɛktum.
Dɔn, dɛn kin du sigmoidoscopy tɛst, we min se dɛn kin put wan tiub (skɔp) wit smɔl kamɛra insay.
If dɛn tɛst ya nɔ fɛn klia kɔz, di nɛks tin we yu fɔ du na fɔ du sɔm patikyula tɛst dɛn fɔ si if anismus de.
Wetin na di spɛshal tɛst dɛn we dɛn kin yuz fɔ no anismus?
Dɛn kin kɔnfyus anismus if at le tu pan dɛn tɛst ya gɛt abnɔmal rizɔlt.
1. Anɔrektal manomɛtri: .
dis involv fכ mכsu aw di mכsul dεm na yu anus εn anal sfincter de kכntrakt εn rilaks. sכm sכm tכb (kateta) dεn de put insay yu an. Dɔn wan pɔsin we de kia fɔ wɛlbɔdi biznɛs kin ful-ɔp di kateshɔn. Wan mashin kin rayt aw yu mɔsul dɛn kin ansa, lɛk se dɛn ful-ɔp wit stɔl. Dis tɛst kin no:
I pɔsibul fɔ mek dɛn mek inof pawa fɔ push fɔ pul di dɔti?
di mכsul dεm na di anal sphincter de rilaks fayn we yu de push?
Ɔ, dɛn mɔsul dɛn de kin tayt we yu de push?
Yu rεktal sensεshכn nכmal?
2. Balɔn ɛkspulshɔn tɛst:
dis de mכsu aw lכng i tek yu fכ pas sכmtin lεk stכl tru yu an. Fɔ mek i tan lɛk stɔl, dɛn kin put wan balyɔn we ful-ɔp wit wam wata insay yu an ɛn blo am te i rich wan patikyula saiz. Dɔn dɛn kin aks yu fɔ sidɔm na di tɔylɛt ɛn pas am. If dis tek pas wan minit , i kin sho se yu gɛt prɔblɛm wit di we aw yu bɛlɛ mɔsul dɛn de wok.
3. Difekografi: .
Insay dis tɛst, dɛn kin yuz ɛkstrem rayt ɔ MRI fɔ si aw di mɔsul dɛn we de insay yu bɔdi de wok as yu de tray fɔ pas wan bɔdi we yu de muv. Dɛn kin put paste we tan lɛk stɔl insay yu rɛkɛt, ɛn dɛn kin aks yu fɔ sidɔm na tɔylɛt ɛn pas am. Dɔn dɛn kin sho di X-ray ɔ MRI pikchɔ dɛn na wan skrin. dis kin εp fכ no eni prכblεm wit di fכnshכn fכ yu bכdi, εn כda strכkchכral prכblεm dεm.
4. Sitz mak stɔdi: .
Dis de sho aw di it de muv kwik kwik wan tru yu insay. Fɔs, yu dɔktɔ go gi yu wan pil fɔ tek. Di pil gɛt smɔl smɔl mak dɛn we yu kin si pan ɛkstrem rayt. Fayv dez afta yu tek di pil, yu go gɛt ɔda ɛkstrem rayt. If di mak dɛn stil de na yu kɔlon pan di ɛkstrem rayt, dat min se dɔti tin dɛn nɔ de muv tru yu kɔlon nɔmal wan.
Wetin na di tritmɛnt fɔ dis sik we dɛn kɔl anismus?
Di gud nyus na dat, tritmɛnt de fɔ dis! Di tritmɛnt we de wok fayn pas ɔl we de naw na bayɔfidbak . I gɛt 80% sakrifays rɛt. Dis na di men tin we dɛn kin du fɔ mɛn pipul dɛn. Bɔt yu dɔktɔ kin tɛl yu ɔda tritmɛnt ɔ ɔda tritmɛnt dɛn if bayɔfidbak nɔ wok fɔ yu.
Na sɔm tritmɛnt dɛn ya:
1. Bayofidbak tɛrapi: .
Dis na wan fayn fayn sayko-fizikal fisiotɛrapi we. I tan lɛk se yu de praktis fɔ kɔntrol yu bɔdi in mɔsul dɛn wit yu maynd. Dɛn kin put smɔl tin dɛn we nɔ de mek yu fil pen we dɛn kɔl ilɛktrɔd na yu skin, ɛn dɛn kin sho yu at rit, aw yu de blo, aw yu skin de wam, aw yu mɔsul dɛn de tɛnsi, ɛn aw yu bren de wok na skrin fɔ mek yu ɛn di pɔsin we de mɛn yu go si.
Dɔn, di dɔktɔ we de mɛn yu go tich yu difrɛn ɛksesaiz, fɔ mek yu mɔsul dɛn kɔntrakt, ɛn aw fɔ rilaks. As yu de du dɛn ɛgzampul ya, yu kin wach di tin dɛn we de kɔmɔt na di skrin ɛn lan aw fɔ kɔntrol yu mɔsul dɛn fayn fayn wan. We yu praktis dis we, yu go ebul fɔ push fayn fayn wan fɔ pas stɔl ɛn rilaks di mɔsul dɛn we de rawnd yu ans fayn fayn wan.
Bayofidbak kin ɛp yu bak fɔ mek yu no mɔ bɔt di sɛns. Sɔm pipul dɛn kin gɛt rεktal hayposɛnsitiviti. Wit dis trenin, yu go bigin fil se yu nid fɔ defecate kwik kwik wan.
2. Di tin dɛn we yu fɔ du fɔ mɛn yu layf:
Ilɛksɛf yu de du bayɔfidbak tɛrapi ɔ yu nɔ de du am, yu dɔktɔ go tɛl yu fɔ mek sɔm chenj dɛn na yu layf, lɛk dɛn wan ya, fɔ ɛp fɔ mek di bɔdi muvmɛnt izi:
Nɔ tek mɛrɛsin dɛn we de mek yu kɔnstipɛt.
Drink inof wata ɔl di de.
It bɔku it dɛn we gɛt fayv (vɛjitebul, frut, ligɛm, ɔl gren).
Tek shɔt waka afta ɛvri it.
Go na tɔylɛt jɔs lɛk aw yu fil se yu nid fɔ pul dɔti. Nɔ put am bifo.
Tray fɔ go na tɔylɛt di sem tɛm ɛvride (fɔ ɛgzampul, afta yu it brɛf).
3. Di mɛrɛsin dɛn we dɛn kin yuz fɔ mek pɔsin gɛt kɔnstipɛshɔn:
If ɔda we dɛn nɔ wok, yu dɔktɔ kin gi yu wan mɛrɛsin we de mek yu nɔ gɛt bɛlɛ ( laxative ) fɔ mek yu nɔ gɛt bɛlɛ.Dɛn kin gi yu ɔda mɛrɛsin dɛn. Dɛn mɛrɛsin ya nɔr spɛshal fɔ anismus. Bɔt dɛn kin gi rilif fɔ lɔng tɛm kɔnstipɛshɔn. Ivin if dɛn nɔ kɔrɛkt di mɔsul prɔblɛm, dɛn kin ɛp fɔ mek di stɔl nɔ at tumɔs ɛn i nɔ izi fɔ pas.
4. Botox® injɛkshɔn dɛn:
Dɛn dɔn yuz botulinum toxin injection fɔ trit anismus, bɔt di rizɔlt dɛn dɔn miks. Dɛn kin yuz bɔtɔks fɔ rilaks di mɔsul dɛm (bɔku lɛk aw dɛn kin yuz am fɔ ridyus di wrinkles). כltu, dis na כnli bכt 50% ifektiv fכ anismus. Dis kin bi bikɔs anismus kin kɔmpleks pas jɔs we di mɔsul dɛn kin kɔntrakt. Bɔt, i tan lɛk se i kin wok mɔ pan pikin dɛn.
Wetin na di fiuja fɔ di wan dɛn we de liv wit Anismɔs? (Autluk) .
If yu gɛt akses to bayɔfidbak tɛrapi, i kin ɛp. Bɔt dɔktɔ dɛn se dis tritmɛnt nɔ kin izi fɔ ɔlman. Dɛn de mek bak di tin dɛn we dɛn kin yuz fɔ mek bayɔfidbak insay os. Yu kin gɛt sɔm rilif bak wit mɛrɛsin fɔ kɔnstipɛshɔn ɛn fɔ chenj yu layf.
Dɔktɔ dɛn kin tek kɔnstipɛshɔn ɔltɛm, mɔ if i nɔ de mɛn, rili siriɔs. If yu gɛt sayn dɛn fɔ anismus, go to dɔktɔ wantɛm wantɛm . Dis kin bi wan tɔpik wae nɔr kin izi fɔ tɔk bɔt, bɔt e bɛtɛ pas fɔ kip de sik to yusɛf.
Tɔk opin wan wit yu dɔktɔ bɔt yu sayn dɛm. Mɛmba se na dɛn de yɛri ɛn si dɛn tin ya ɛvride. If yu ebul, kip “poop journal” bifo yu go to yu dɔktɔ. Dat min se, rayt wetin apin ɛni tɛm we yu go na tɔylɛt, aw lɔng i tek, ɛn aw i nɔ bin izi. Di mɔ infɔmeshɔn we yu de gi, na di mɔ i go izi fɔ mek yu dɔktɔ ɛp yu.
Mɛsej we dɛn kin kɛr go na os
Anismus na wan sik we gɛt fɔ du wit kɔnstipɛshɔn we di mɔsul dɛn na di bɛlɛ nɔ de rilaks fayn we di bɔdi de muv ɛn tayt.
Dis kin kam pan ɛnibɔdi we gɛt ɛni ej, bɔt i kin apin mɔ pan uman ɛn ol pipul dɛn.
Di sayn dɛm na we yu strɛs pasmak, we yu nɔ de pul yu stɔl kɔmplit wan, yu stɔl we at, ɛn yu bɛlɛ de pen.
Nɔ wɔri, spɛshal tɛst dɛn de fɔ no dis, ɛn wan tritmɛnt we dɛn kɔl bayɔfidbak kin rili wok.
If yu gɛt dɛn kayn sik ya, i impɔtant fɔ go to dɔktɔ we nɔ go shem ɔ shem. Di kwik we yu bigin fɔ tek tritmɛnt, na di mɔ yu go ebul fɔ wɛl kwik kwik wan.
👩🏽 ⚕️ Ɔda kwɛstyɔn dɛn (FAQ dɛn)
💬 Na Anismus (Dyssynergic Defecation) na di nem we dɔktɔ dɛn kin gi fɔ kɔnstipɛshɔn?
Nɔ! di kכnstipeshכn de mek di rεktum tayt, bכt 'anismus' na wan strenj kכndyushכn. we wi defecate, wi de ‘rilaks’ di mכsul dεm na di rεktum εn push di stכl kכmכt. Bɔt wetin kin apin pan dɛn sik pipul ya na dat di kɔnekshɔn wit di bren kin ambɔg, ɛn instead fɔ rilaks, dɛn mɔsul dɛn de ‘kɔntrakt’ mɔ.
💬 Yu kin tray fɔ kɔmɔt we yu tayt yu mɔsul dɛm?
Na dat na di prɔblɛm wit dis! Di pɔsin kin spɛn bɔku awa fɔ strɛs fɔ kɔmɔt na di tɔylɛt, bɔt natin nɔ kin kɔmɔt bikɔs di anal sfincter tayt so i nɔ go opin. Ɔl dis kin dɔn fɔ mek pɔsin blɔd ɛn ɛmoroyd.
💬 Yu tink se dis nɔ go fayn fɔ di wan dɛn we de tek bɛlɛ pil?
If yu tek laxative, i nɔ go sɔlv di prɔblɛm we di domɔt nɔ de opin. Di tritmɛnt we go wok pas ɔl fɔ dis na fisiotɛrapi we dɛn kɔl ‘Biofeedback therapy’. Insay dis, dɛn kin tren di pɔsin fɔ rilaks ɛn kɔntrakt dɛn tayt mɔsul dɛn fayn fayn wan bay we dɛn de luk na kɔmpyuta skrin.
` Anismus, dyssynergic defecation, konstipeshכn, pelvik fכl mכsul dεm, bayofidbak, difεlεshכn fכ tכylεt, bכwel muvmεnt
⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.
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