Chronic Constipation in a 25-Year-Old Male Corporate Patient

Home Chronic Constipation in a 25-Year-Old Male Corporate Patient

Details of the Patient:

  • Patient’s Name: XYZ
  • Patient’s Age: 25
  • Patient’s Gender: Male
  • Occupation: Corporate employee
  • Primary Complaint: Chronic constipation

Background:

A 25-year-old male corporate employee presented with a history of chronic constipation spanning 3-4 years. The patient reported significant distress due to incomplete evacuation, prolonged toilet time, sensation of blockage, and bloating, which adversely impacted his work performance. Despite trying various constipation therapies, his symptoms persisted.

Symptoms shown by the Patient:

  • History of chronic constipation spanning 3-4 years
  • Incomplete evacuation
  • Prolonged toilet time
  • Sensation of blockage
  • Bloating

Diagnostic Approach:

After a thorough examination, we decided to perform anal manometry to assess his condition more accurately. The results revealed that the patient had Type 2 dyssynergia, characterized by:

  • Low rectal pressure
  • Paradoxical anal muscle contraction

Treatment Plan:

Based on the anal manometry findings, we designed a biofeedback therapy program tailored to the patient’s specific needs. The therapy focused on:

  • Improving Rectal Pressure: Incorporating breathing exercises to enhance rectal pressure.
  • Enhancing Anal Relaxation: Introducing anal relaxation exercises to alleviate paradoxical contractions.

Outcome:

After 4-5 sessions of biofeedback therapy, the patient experienced significant improvements. The first noticeable change was a reduction in bloating, as he was able to pass gas more easily. Gradually, his other symptoms also began to improve.

Medical Tests Performed: