Diagnosis and Treatment of Colorectoanal Dysfunctions
Physiotherapy and Rehabilitation in Pelvic and Women’s Health-Related Problems : A Multidisciplinary Approach, Springer Nature, ss.147-161, 2026
- Yayın Türü: Kitapta Bölüm / Araştırma Kitabı
- Basım Tarihi: 2026
- Doi Numarası: 10.1007/978-3-032-28741-0_8
- Yayınevi: Springer Nature
- Sayfa Sayıları: ss.147-161
- Anahtar Kelimeler: Dyssynergic defecation, Fecal incontinence, Functional bowel disorders, Irritable bowel syndrome
- Hacettepe Üniversitesi Adresli: Evet
Özet
Functional bowel disorders (FBDs), the most common diagnoses in gastroenterology, are recognized by morphological and physiological abnormalities that often occur in combination, including motility disturbance, visceral hypersensitivity, altered mucosal and immune function, altered gut microbiota, and altered central nervous system processing. Historically, they were defined as conditions that had no organic basis. Still, this definition has evolved with an increasing understanding of these conditions, and we now know that they arise due to alterations in brain–gut communication. Functional defecation disorders are characterized by constipation symptoms with paradoxical contraction or insufficient relaxation of the pelvic floor muscles (also known as dyssynergic defecation) and/or insufficient propulsive forces during attempted defecation. Symptoms such as excessive straining, a sense of inadequate evacuation, and digital stimulation of bowel movements are commonly linked to these disorders. The current chapter focuses on functional bowel disorders and functional anorectal disorders.