Sphincterotomy for constipation linked to tight internal sphincter??
HEy all. I have had problems with constipation for a while. My stools are not hard, I just have a hard time getting it out (Obstructed defecation). I have had so many different tests. Several defecographies, dynamic pelvic floor mris, anal manometries, etc. My rectum looks fine, no rectocele, enterocele, prolapse, etc. My puborectalis does not paradoxically contract. The only thing is on my EMG it shows y muscles tighten when I bear down instead o relaxing, and the anal manometry showed the same thing for my internal sphincter pressure (it goes up instead of down when I bear down to have a BM). I treid some nitroglycerin and it did help relax things and help me go, but my bum is so irritated its like putting fire on it, and it gives me wicked headaches. I think based on my results we may try the sphincterotomy to relax my internal shincter and allow me to poop.
HAs anyone ever had this done for constipation, or just fissures and such? I have seen many peoples posts how it hasindirectly helped there constipation a lot though.