Impossibility of relaxation of the sphincter apparatus of the anus during defecation, has been implicated as a major factor in the problem of constipation. Current methods of diagnosing anism depends on laboratory tests, the dynamic proctographie, review the most complex, has been, until now, the most conclusive review. With the use of a computerized ambulatory record, we found a 80% reduction in our rates of diagnosis, which suggests that conventional tests do not make a correct diagnosis, probably because they do not adequately consider the natural physiology of defecation. The treatment of this entity is complex and alarmingly many pharmacological or surgical methods have failed. By cons, biofeedback and anorectal training are often successful and represent the therapeutic method of choice.
Tags: Constipation, problem of constipation.
