Chronic constipation is a common health issue affecting people of all ages, impacting both physical and mental quality of life. Often, changes in diet and medication alone are insufficient to resolve this problem. For patients with chronic constipation, diagnosing the underlying cause through anorectal manometry and treating it with biofeedback therapy is another effective and sustainable option.
What is Biofeedback Therapy? Who Should Consider It?
In normal bowel movements, the body must contract the abdominal muscles and diaphragm to generate the force needed to pass stool while relaxing the anal sphincter muscles. In patients with chronic constipation, more than 30% are found to improperly use or control the muscles involved in defecation.
Biofeedback therapy serves as a treatment for chronic constipation in these cases, training the muscles involved in bowel movements to work in coordination. This is a standard treatment method that addresses the underlying causes, providing targeted and sustainable relief from chronic constipation. This method is suitable for:
- Patients with chronic constipation lasting more than six months who do not respond to other treatments such as dietary changes, medication, or behavioral adjustments.
- Individuals experiencing persistent bowel issues, such as constipation, diarrhea, or fecal incontinence.
- Patients who have undergone pelvic surgery affecting bowel control.
- Those frequently experiencing painful bowel movements or difficulty passing stool.
- Elderly individuals with bowel control issues.
Steps and Methods of Biofeedback Therapy
Biofeedback therapy involves inserting a small catheter (about 6 mm in diameter and 10 cm long) into the patient’s rectum to assess the nature of their defecation problems. The physician will explain the findings based on the graph displayed on the monitor and teach the patient the correct techniques for bowel movements.
Preparation Before Biofeedback Therapy
Patients do not need to make special preparations, but physicians often recommend:
- No need to fast or restrict fluids.
- Do not stop any ongoing medications but inform the doctor of any medications being taken.
- It is advised to have a normal bowel movement in the morning on the day of the appointment.
Self-Care After Biofeedback Therapy
After the therapy session, patients can resume their daily activities as usual and should continue practicing bowel training independently to achieve effective self-defecation without guidance. This is essential for sustainable treatment efficacy.
Biofeedback therapy is a highly effective, safe technique that does not involve medication, typically requiring about 6-8 weeks of training under the supervision of a skilled physician. If you are experiencing chronic bowel issues, biofeedback therapy may be a suitable option for you. It is recommended to consult a physician to evaluate your suitability and receive proper guidance on bowel training.
