defecating proctogram

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LondonGirl22
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Date Joined Jan 2006
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   Posted 3/23/2011 12:17 PM (GMT -6)   
Has anyone ever had this test??
Have to have it as I have been diagnosed with IBS, Solitary Rectal Ulcer syndrome and ?? internal prolapse.

shawn12
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Date Joined Jul 2004
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   Posted 3/23/2011 9:00 PM (GMT -6)   
Tori, I have not had this test, but I have heard of others who have had it. Did they talk to you about it?



" A defecating proctogram is a study commonly used to demonstrate the functional problem in a person with pelvic floor dysfunction. During this study, the patient is given an enema of a thick liquid that can be detected with x-ray. A special x-ray video records the movement of the pelvic floor muscles and the rectum while the individual attempts to empty the liquid from the rectum. Normally the pelvic floor relaxes allowing the rectum to straighten and the liquid to pass out of the rectum. This study will demonstrate if the pelvic floor muscles are not relaxing appropriately and preventing passage of the liquid.

The defecating proctogram is also useful to show if the rectum is folding in on itself (rectal prolapse). Many women have outpouching of the rectum known as a rectocele. Usually a rectocele does not affect the passage of stool. In some instances, however, stool may become trapped in a rectocele causing symptoms of incomplete evacuation. The defecating proctogram helps to identify if liquid is getting trapped in a rectocele when the individual is trying to empty the rectum."

http://www.fascrs.org/patients/conditions/pelvic_floor_dysfunction/


How long ago were you diagnosed with IBS?
IBS Forum Moderator


I am not a doctor. All information I present is for educational purposes only and should not be subsituted for the advise of a qualified health care provider.

Please make sure you have your symptoms diagnosed by a medical practitioner or a doctor.

LondonGirl22
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Date Joined Jan 2006
Total Posts : 1629
   Posted 4/4/2011 10:36 AM (GMT -6)   
Ok .... had this test today and it showed a small bowel prolapse. Have to wait and see the consultant to see how they can repair it.

rufous57
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Date Joined Apr 2011
Total Posts : 116
   Posted 4/27/2011 5:35 PM (GMT -6)   
I realize this is an old thread, but I have recently learned that I may have a similar condition. The Colon/Rectal Specialist that I saw called it and Internal Rectal Prolapse/Obstructive Outlet Syndrome/intusseception. Do you mind if I ask what your symptoms were? And has any further testing been completed and what treatment options were given? Currently, my doctor suggested 2-3 servings of Citrucel and I will go back in 3 weeks for another check up. Thank you for any information you might have. Ruth

LondonGirl22
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Date Joined Jan 2006
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   Posted 4/28/2011 2:44 AM (GMT -6)   
They said that I had a small bowel prolapse (enterocele), a rectocele and rectal interssuception.
I am awaiting more tests and then they will decide whether to operate.
What is citrucel? I haven't heard of that before.
Tori xx

Forum Moderator - IBS and UC

rufous57
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Date Joined Apr 2011
Total Posts : 116
   Posted 4/28/2011 5:28 PM (GMT -6)   
Interssuception, hard to pronounce and spell lol!

Thank you for your response! Citrucel is a plant fiber supplement made from methylcellulose. It is designed to add bulk to the stool and so help waste travel smoothly through the digestive system. Metamucil is another fiber supplement made from psyllium hulk, I was using this before my doctor said to switch to Citrucel as it causes less gas. Believe it or not, I get constipation from having a Rectal Prolapse, it was very painful to have a bowel movement, and worse than that, I also developed hemmoroids and anal fissures from straining. My Colon/Rectal Specialist said to try Citrucel for 3 more weeks and I will go and see him again. If it doesn't improve I may be looking at surgery also. That's why I was interested in what your surgical options would be? Thanks, Ruth

Ides
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Date Joined Nov 2003
Total Posts : 6796
   Posted 4/28/2011 5:57 PM (GMT -6)   
My mother has intusseception and her GI put her on lots of fiber supplements. It has really helped prevent those episodes.

In December I had a total pelvic organ reconstruction. My bladder, bowel and rectum were all prolapsed. They decided to exit via my vagina during a particularly violent episode of C. diff hemmorhagic colitis. The surgery was 5 hours, done vaginally and some laproscopically in the abdomen, buttocks, and groin. I had a sling placed to hold everything plus an additional sling to give additional support to the bladder.

I had some complications but everything is now in the proper place and working properly. Amazingly, my HUGE hemorrhoids are all but gone. I had internal ones that constantly pushed out and bled like crazy.
Moderator Crohn's disease, Osteoarthritis and Irritable Bowel Forums

CD, Ankylosing Spondylitis, small fiber peripheral neuropathy, avascular necrosis, peripheral artery disease, pulmonary hypertension, degenerative disc disease, asthma, severe allergy and a host of other medical problems.

LondonGirl22
Veteran Member


Date Joined Jan 2006
Total Posts : 1629
   Posted 4/29/2011 4:49 PM (GMT -6)   
I am awaiting an MRI, colonoscopy and further ano-rectal physiology tests to determine how bad mine is. I am only 28 so they are quite shocked that I have this, especially the small bowel prolapse.
Think, if they operate, they can do it laparoscopically and sort of 'hitch' it back into place!
I dont get constipation, I go about 6 times a day! Very strange symptoms!
Tori xx

Forum Moderator - IBS and UC

rufous57
Regular Member


Date Joined Apr 2011
Total Posts : 116
   Posted 5/2/2011 8:28 AM (GMT -6)   
Ides, Wow you have been through a lot! What kind of a doctor did you see about your pelvic organ reconstruction? I had to seen 2 Walk-In Clinic docs, my regular PCP, my gallbladder surgeon, and a GI; none of them were able to see that I have an Internal Rectal Prolapse. Only the Colon/Rectal Specialist saw it with a digital exam and scope(ouch) I was only seeing the Colon/Rectal Specialist because I had chronic anal fissures and hemmoroids, and he started asking all these questions and came up with this diagnosis. I fear I have issues with my bladder also, but I don't know what kind of doctor could help me? I am glad to hear that things are working for you now, thanks for sharing your story. So you never needed hemmoroid surgery?

Tori, thank you for your response! You are very young, I am sorry to hear that. I am 53 and have 2 adult kids, so age is a factor with my problems. I can't even find a hospital or doctor who can do a defecating proctogram in my hometown, I think I have to start looking in Seattle. It's frustrating. I wish you the best of luck, please keep us posted as to your conditon. Thanks, Ruth

Ides
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Date Joined Nov 2003
Total Posts : 6796
   Posted 5/2/2011 6:15 PM (GMT -6)   
Ruth, my surgeon is a uro/gyn surgeon and specializes in pelvic reconstructive surgery. He is an Army surgeon and one has to be eligible access to the military medical system. Are you south of Seattle or north? If in the south sound, I can ask my guy for the name of a civilian uro/gyn surgeon. He knows all of the local ones. You can email me. Under my name on the left, click on the envelope icon.
Moderator Crohn's disease, Osteoarthritis and Irritable Bowel Forums

CD, Ankylosing Spondylitis, small fiber peripheral neuropathy, avascular necrosis, peripheral artery disease, pulmonary hypertension, degenerative disc disease, asthma, severe allergy and a host of other medical problems.
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