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Published on: 3/5/2025

How Can Incomplete Bowel Evacuation Be Managed or Treated Effectively?

Incomplete bowel evacuation can often be helped by changing your diet, doing special exercises for your pelvic muscles, and sometimes using medicine. A doctor may also suggest biofeedback therapy to teach your muscles how to release stool more completely.

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Explanation

One way to treat incomplete bowel evacuation is by making healthy lifestyle changes. Eating more high-fiber foods like fruits, vegetables, and whole grains, and drinking plenty of water can help soften your stool and make it easier to pass. Regular exercise can also improve how your bowels work. If these changes do not completely solve the problem, your doctor may recommend techniques to help your pelvic floor muscles work better. For example, biofeedback therapy is a treatment that teaches you how to control your muscles when you try to go to the bathroom. This therapy is helpful if your muscles are not coordinating correctly, a condition sometimes called dyssynergic defecation. Sometimes, if needed, medications that help increase bowel movement may be considered. In some cases, if the problem is severe, further tests or even surgery might be discussed. The treatments chosen usually depend on a careful evaluation of your symptoms and overall health by your healthcare provider.

(References)

  • Podzemny V, Pescatori LC, Pescatori M. Management of obstructed defecation. World J Gastroenterol. 2015 Jan 28;21(4):1053-60. doi: 10.3748/wjg.v21.i4.1053. PMID: 25632177; PMCID: PMC4306148.

  • Bharucha AE, Lacy BE. Mechanisms, Evaluation, and Management of Chronic Constipation. Gastroenterology. 2020 Apr;158(5):1232-1249.e3. doi: 10.1053/j.gastro.2019.12.034. Epub 2020 Jan 13. PMID: 31945360; PMCID: PMC7573977.

  • Rao SS, Patcharatrakul T. Diagnosis and Treatment of Dyssynergic Defecation. J Neurogastroenterol Motil. 2016 Jul 30;22(3):423-35. doi: 10.5056/jnm16060. PMID: 27270989; PMCID: PMC4930297.

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