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What Does My Anorectal Manometry Test Report Indicate?

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Posted on Mon, 23 Oct 2017
Question: Dear Doctor
I am writing in continuation with our correspondence earlier.

My ANAL manometry report is as follows:

Basal median 99, XXXXXXX 108, min 90
Squeeze median 188, XXXXXXX 188, min 161
Rectanalnhibitory reflex- present
Rectal sensory function- marginal

First sensation (ml) 300
Urge (ml) 420
Discomfort (ml) 0

ANAL canal length 35

High basal ANAL sphincter tone with good increase with cough and squeeze.

Indication pelvic floor dysfunction.

Please explain what the above report means. And advice the possible remedies.



Regds

doctor
Answered by Dr. Sunil (18 hours later)
Brief Answer:
Answer to follow up of patient.

Detailed Answer:
Hi,

I have seen the reports you attached with your follow up query.


Tests are normal and i don't think that you have any problem with your sphincter.

So i would treat you on guidelines of constipation

Start taking Laxative like Looz syrup 30 ml once daily at night timer before going to bed.
Take isabghull husk 2 tsf once daily soaked in XXXXXXX warm water.

A probiotic like Vizylac should be taken twice daily for 10 days.

You are a patient of chronic constipation and there is nothing wrong with you anal functions or sphincter patency.

Take care!
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Sunil (3 hours later)
Thanks for your quick response.

Additional report detail;
Was able to expel 60cc balloon even though there was little splinter relaxation.

How long should I take the laxative?

In one of your earlier responses you had mentioned about MRI test . Is it required now?

I am having some burning sensation after bowel movement of late. For that I am applying neo healer anti- hemmoroid ointment internally. Is that Ok?

With regards
doctor
Answered by Dr. Sunil (15 hours later)
Brief Answer:
Follow up suggestions.

Detailed Answer:
Hello there laxatives should be taken initially for 10 days to see response however they can be continued till years without any significant side effect.
No MRI is not required right now initially i want to see your response to laxatives.
Yes you can apply it but take 2tsf of mucaine gel three times a day this will help to neutralise acid in stomach try to avoid red mirchi in food.

Follow up after 10 days.
Above answer was peer-reviewed by : Dr. Kampana
doctor
Answered by
Dr.
Dr. Sunil

Gastroenterologist

Practicing since :1982

Answered : 351 Questions

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What Does My Anorectal Manometry Test Report Indicate?

Brief Answer: Answer to follow up of patient. Detailed Answer: Hi, I have seen the reports you attached with your follow up query. Tests are normal and i don't think that you have any problem with your sphincter. So i would treat you on guidelines of constipation Start taking Laxative like Looz syrup 30 ml once daily at night timer before going to bed. Take isabghull husk 2 tsf once daily soaked in XXXXXXX warm water. A probiotic like Vizylac should be taken twice daily for 10 days. You are a patient of chronic constipation and there is nothing wrong with you anal functions or sphincter patency. Take care!