How Is Incomplete Defecation Diagnosed and Treated?

When someone feels they have not completely emptied their bowels, doctors listen to the patient’s story and do a careful exam. They may use tests like a digital rectal exam, which is a way to feel for any problems, or more special tests such as anorectal manometry and a balloon expulsion test. These tests help see if the muscles used for pooping are not working well together —a condition sometimes called dyssynergic defecation. Other imaging tests might check the shape and movement of the muscles too. Once the cause is understood, treatment usually starts with lifestyle changes. This means eating more fiber-rich foods (like fruits, vegetables, and whole grains), drinking plenty of water, and getting regular exercise. Doctors may also suggest medications like stool softeners or laxatives if needed. If these changes do not help, a therapy called biofeedback can be used. In biofeedback, special techniques help the patient learn how to coordinate the muscles better during a bowel movement.