After listening to the patient's main complaint, Director Jin told the patient that there are many types of constipation. The cause must be determined first, and then the symptoms should be treated. The patients were examined by three-dimensional color Doppler ultrasound, anal canal pressure measurement, defecography, and electronic enteroscopy. The results of the examination showed that the patient had outlet obstructive constipation caused by pelvic floor achalasia.
Director Jin formulated a treatment plan for the patient: oral Chinese medicine + biofeedback treatment. The patient was given a Chinese medicine decoction for dialectical treatment, and at the same time, it was recommended that the patient undergo at least one course of biofeedback treatment. Biofeedback therapy can improve the function of the pelvic floor muscles, resolve the contradiction between the internal and external sphincter and pelvic floor muscles during defecation, relieve the spasm of the anal sphincter, relax the pelvic floor muscles during defecation, and coordinate the contraction of the anal sphincter and puborectalis It stimulates and establishes a normal bowel reflex to correct constipation. It only improves the function of the anal sphincter and rectus pubis, so that it can relax better during defecation. It does not damage the pelvic floor muscles without any side effects and Complications, relatively non-invasive, "green treatment" and other advantages are significantly better than traditional drugs and surgical treatments, and are currently the preferred method of treating constipation caused by pelvic achalasia.
After 1 course of biofeedback treatment, Grandma Cheng's constipation symptoms were significantly relieved, her stools can be discharged on her own every day, defecation is not laborious, no need to resort to Kaisailu, and the patient's anal bulging symptoms have completely disappeared. The patient was very happy, but he did not expect the symptoms of constipation for more than 40 years to be relieved. Director Jin urged the patient to go home and insist on levator anus exercise. In order to prevent the recurrence of constipation, he would have another biofeedback treatment six months later.