Hi,thanks for query.The anal sphincter tone is more or less same in every individual.Prolonged constipation can lead to weakness of the external sphincter in some cases and may lead to development of piles also.bye.
puckerness is due to external anal sphincter .
it is natural that every person has different size and shape so pluckerness also vary.
constant constipation cause tightness of the sphincter and not looseness.
Answered: Mon, 13 Jun 2011
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