Puborectalis dysfunction?

Ah, the puborectalis muscle. So tiny, and yet so very complicated. It seems like it should be such a simple thing: just hold your poop in until you’re ready to release it, right? If only.

In reality, the puborectalis is capable of causing all sorts of problems when it doesn’t work as intended. From embarrassing accidents to chronic pain and even constipation – this little guy can really wreak havoc on your life.

But fear not! In this article, we’re going to dive deep into the wild world of puborectalis dysfunction and give you all the answers you need (and possibly some that you don’t). Let’s get started!

Where is my Puborectalis Muscle?

Before we can talk about what happens when things go wrong with your pubreocotalis (Yes, that’s short for ‘pubo-what-now’), let’s first make sure everyone knows where this elusive muscle actually is.

Located in the pelvic floor between your anus and your rectum (not somewhere else entirely), the puborectalis looks kind of like a hammock or sling that cradles these two important body parts.

Its job is simple: keep everything tidy down there until it’s time to evacuate waste from your body. But sometimes – well, sometimes things don’t quite go according to plan…

What Exactly Is “Puborectal Syndrome?”

At its core, “puboretalic syndrome,” also known as anismus or dyssynergic defecation (bet you never heard those words before) refers simply to any case where something has gone awry with how our bodies are going about getting rid of poo-poo; hence making pooping quite literally harder than usual

So if it sounds like one person could experience incredibly different symptoms compared another, you’re spot on. Its symptoms can range from slight difficulties having a bowel movement, to chronic pain and discomfort that can make “answering nature’s call” feel like an actual nightmare.

Some might experience an inability or difficulty in passing stool even when the rectum is full, others might only show it through constipation – but either way, no matter how minor or severe the effects seem to be, dealing with these sorts of issues can really take toll on your daily life – not just physically but often mentally as well.

What causes Puborectal Syndrome?

Ah, wouldn’t it be great if there was one simple cause for all our pooping problems? But alas (no pun intended), things are never quite so straightforward. The truth is that any number of factors could be contributing to puborectalis dysfunction:

Physical Trauma

One possible culprit here is physical trauma; injuries from surgery (especially pelvic cancer surgeries) childbirth or some sort of accident could affect muscle strength and overall function.

Psychological Problems

We’ve said it once before and we’ll say again: your mind matters! Stress , depression or anxiety have also been found to contribute largely in this case

Pelvic organ prolapse

This usually happens when connective tissue holding the organs become weak causing them descend downwards towards rectal end. Causes include aging vagina after childbirth and hormonal changes .

Rectal hypersensitivity

A condition where your rectal walls interpret pressure-causing stimuli such as stool as being painful which leads to strain while tryingto pass stool . This makes diseases that usually lead to constipation worse(read hemorrhoids).

If any of these issues sound familiar (and let’s face it, they probably will), then you should start exploring potential treatments sooner rather than later!

How Is It Diagnosed?

You may disagree with me about this but personally I think nobody likes talking poo circumstances except those little kids we are still trying to teach bathroom manners so, discussing your bowel habits – let alone any difficulties you might be having in that department- can feel…well, a little awkward.

So the first thing you have to do is BE brave and break through that discomfort because if not for oneself then at least for the sake of good gastrointestinal health

So what happens when someone goes to a doctor and expresses concerns regarding issues like anal pain or chronic constipation?

The practitioner will evaluate all factors such as the length of time symptoms been going on,the intensity degree of severity levels overall medical history plus they would probably run some form of tests (like pelvic MRI scans or even specialised x-rays) ,to determine whether it’s indeed puborectal syndrome (which accounts for about half cases )or something else entirely.

How Can Puborectal Syndrome Be Treated

Alrighty then! It’s official: you’ve got pubo-something-or-other. What do you actually do about it? Themagical part here is how there isn’t exactly one-size-fits-all solution since every case is unique but Treatment options aimed at getting relief from P.R.S generally include :

Manual methods

This involves an approach targeted towards regaining strength by using manual techniques/procedures . This type typically requires invasive methods intended to manipulate muscles internally.Most common procedures used include forceful dilation,biofeedback training; once viewed as effective fad but now recognised considerably as useful therapy among them..


Of course, if things really go south surgical intervention may become necessary; this could take different forms ranging from Simple anal sphincterotomy ,to more complicated surgeries —depending on just how severe your particular issue has gotten.

Oral Medication-Different types medicine management approaches including increasing fiber intake,laxatives which can help alleviate constipation induced dysfunctions etc.

Whichever treatment alternative(s), up getting approved and recommended, it’s important that you keep in mind every treatment plan has its own unique set of drawbacks and benefits. Your doctor will likely be the one to guide any decision making process, but make sure you’re actively involved in weighing your options as well.

What Can You Do To Prevent Puborectal Syndrome from Recurring?

As with many chronic conditions , there are always measures that can be taken to lower chances of reoccurrence:

Pay attention to personal behavioural patterns

Identify those situations that triggered the syndrome symptoms last time – anything as apparently insignificant like certain food groups or even just timing ??-then avoid whenever possible!

Take steps towards reducing anxiety

This could include seeing a licensed therapist,taking some form of medication or supplements(anxiety management) —anything so long as it actually helps lower stress levels both overall or while youre attemptingto have bowel movements again.

Consistently practice pelvic floor-strengthening exercises

Since weak muscles is a major factor contributing to puborectal dysfunctions developing consistency strengthening by including proper pelvic muscle workouts into daily routines(is an effective way).

Keep these points top-of-mind alongside preventative approach measures that work for YOU specifically; this might mean seeking out assistance from a trained professional( perhaps see listed down under diagnosing )but whatever choices you do decide on make sure they fit comfortably within lifestyle requirements..


Well folks,considerably quite happy we made through discussion….Dysfunctional puborectalis problems may not exactly be anyone’s favorite topic (Tehe!), but taking initial steps towards addressing them head-on is very necessary because once left untreated ,issues arising around defecation become increasingly harder more complicated over time .

Hope this information provides insight regarding issues surrounding pubo-whatever dysfunction.If experiencing issues,get take action & speak with a healthcare practitioner ASAP!

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