Knowing the process of normal defecation, why can it help in the treatment of defecation problems, fissures, prolapses, hemorrhoids, and constipation?

Late referral of patients due to lack of awareness of the importance of the issue

Anal problems are one of the most common medical problems in society that patients are dealing with, and they usually go to the doctor too late due to cultural issues and shame and generally try to improve their symptoms and solve their problems with arbitrary treatments or treatments recommended by non-specialists… A large percentage of anal diseases are caused by the lack of normal defecation, but knowing this does not mean ignoring important symptoms such as rectal bleeding, which can be caused by dangerous diseases such as rectal and colon cancers. Therefore, any warning signs such as bleeding should be carefully evaluated and checked by a specialist doctor.

Abnormal defecation causes anal problems

It was pointed out that a large percentage of anal problems such as fissures or fissures, rectal prolapse, hemorrhoids, and anal fistulas are rooted in the lack of normal defecation and not having the correct defecation habit, which usually causes anal problems in long periods of time and insufficient attention to the process of normal defecation… In the following, we will review the process of normal defecation so that we can understand the problems in normal defecation and mistakes in defecation habits.

What is normal defecation?

Normally, when a person eats something and the food content enters the stomach, the nervous and hormonal mechanism causes the large intestine to move and discharge some feces into the rectum or rectum. The rectum has special nerve receptors that sense the presence of feces inside and the person will notice that he has defecation in fact a sense of defecation is created if a person has no view of the toilet (a place where a person feels private security), there is no stress in it and a person knows that he can sit there for a while and defecate The brain recognizes this place as safe with the help of the five senses and orders the movement and act of defecation to the rectum. The rectum begins to contract, and the rectal tissue and mucosa are pulled up, and the stool volume is directed towards the exit.

 At this stage, the nerve message is sent from the rectum to the anus, and the message and command to relax the anus reaches it, and the muscles of the anal sphincter relax, and the volume of stool is expelled through the anus through the rectal pressure from above and the relaxation of the anal path. Finally, complete emptying should take place. Again, I emphasize that in the process of excreting, the person has not done anything other than going to the toilet, and this whole process is done automatically and guided by the body’s own nervous system. So let’s know that any interference in this process will disrupt the natural process of defecation and gradually cause problems in defecation and cause neurological and structural disorders in the rectum and anus.

So, by correcting the defecation pattern and bringing it closer to normal defecation, anal problems can be reduced, and in many cases, by correcting it, the need for heavy and complicated surgeries can be reduced.

How to correct the pattern of defecation?

1-Go to the bathroom regularly and at certain times to defecate – it doesn’t matter if you feel defecation or not, for example, go to the bathroom 3 times a day after every meal and sit calmly

2- There is no need to mentally concentrate or think about elimination. In fact, the more your mind is away from the elimination process and you think about other issues, the more possibility of normal elimination.

3- It doesn’t matter if you defecate in these times or not, the important thing is to be in the bathroom calmly and without hurry and stress. It is possible to defecate every 3 days, which is not a problem.

4- Avoid forcing and doing auxiliary work for elimination, such as drinking water, pressing with hands and fingers, or enemas.

5- Drink a lot of water, about 8 glasses a day

6- Sufficient fiber means about 300 grams per day – too much fiber will cause bloating, constipation and bowel problems.

7-Reduce the volume of food – the more controlled from the top and the less you eat, the better your defecation will be from the bottom

8- Have a regular daily activity – this activity should make your heart beat, sweat, and pant, and even if it is short, it will be more effective.

Do these things continuously and hope for long-term results – don’t expect problems that have developed over the years to be solved in a short time, so give these things long-term continuity.

If you have any questions, ask them in the comment section