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Anorectal Manometry

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What is an anorectal manometry?

Anorectal manometry is a test that is performed to evaluate the reflexes and strength of the muscles needed for the performance of a normal bowel movement. The test is usually performed on individuals who are struggling with constipation or fecal incontinence. The test analyzes the pressure of the anal sphincter muscles, the sensation in the rectum, and the reflexes of the bowel muscles. If you need an anorectal manometry test, you can locate a physician who can perform one through your local GI Alliance.

What should I do to prepare for my anorectal manometry?

You will need to “clean out” your bowels prior to the examination. This can be accomplished using a laxative drink, and fasting the day before your appointment. You should speak with your doctor about the specific preparations you should take before your examination.

What should I expect from my anorectal manometry exam?

You will not be sedated during the exam and will lie on your side. A GI Alliance technician or nurse will slowly insert a small flexible tube through your anal sphincter and into the rectum. You may feel slightly uncomfortable, however, should feel no pain. Measurements will be taken based on the response of your internal muscles and interpreted by your gastroenterologist. The exam will last between 10 and 20 minutes, and you will discuss your results with your gastroenterologist immediately afterward. Following your results, you will be free to go home and resume your normal diet and activities.

Is anorectal manometry safe?

Anorectal manometry is a low-risk procedure that is unlikely to cause any pain. While complications are uncommon, a few of the possible risks are perforation (tearing) of the rectum, bleeding, and equipment failure. If you are allergic to latex, you should inform your nurse or technician before the test is performed.

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Why is anorectal manometry performed?

This test is typically performed to diagnose conditions that affect bowel movements, such as chronic constipation or fecal incontinence. It is also used to assess anorectal function before and after surgeries affecting the rectum and anus.

How do I interpret the results of an anorectal manometry?

The results from an anorectal manometry provide detailed information about the pressure and coordination of your rectal and anal muscles. A healthcare provider will explain the results, which can help diagnose conditions or guide treatment decisions related to bowel control problems.

What should I do after an anorectal manometry test?

After an anorectal manometry test, you can usually resume your normal activities immediately. There are no specific post-procedure restrictions unless specified by your doctor. If you experience any unusual symptoms like significant rectal bleeding or severe pain, you should contact your healthcare provider immediately.

Anorectal manometry to diagnose problems

If you or a loved one struggles with constipation or fecal incontinence, anorectal manometry may be able to help evaluate the vital muscles that allow patients to have normal bowel movements. This exam can help your gastroenterologist diagnose and treat whatever condition might be preventing normal bowel movements. To learn more about this and other diagnostic tools for gastrointestinal issues, contact your local GI Alliance.

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