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Biofeedback therapy for symptoms of bowel dysfunction following surgery for colorectal cancer.
BACKGROUND: Following colorectal cancer (CRC) surgery, up to 60% of patients experience post-surgery bowel dysfunction (PSBD). This retrospective review aimed to evaluate biofeedback therapy with regard to patients' symptoms of fecal incontinence (FI) and stool frequency. METHODS: Patients with symptoms including frequency, urgency, FI, incomplete evacuation, failure to respond to dietary, medication or standard pelvic floor exercises (= 6 months) underwent biofeedback therapy between 2003 and 2006. Patients attended 3-4 sessions 1 week apart incorporating: anorectal function assessment; Fecal Incontinence Quality of Life (FIQL) and severity questionnaires; suggested coping strategies; dietary advice; bowel, food and exercise diary training; relaxation breathing; evacuation techniques; anal and pelvic floor muscle exercises using computerized visual feedback; and were reassessed at a final session following 4 weeks of home practice. RESULTS: Nineteen CRC PSBD patients [anterior resection (3); ultra-low anterior resection (10); segmental colectomy (2); and proctocolectomy (4)], mean age: 64.1 (95% CI: 47.0-81.3) years, participated. FIQL scales improved significantly for lifestyle, coping and embarrassment but not depression. Incontinence severity and number of bowel motions significantly decreased. Satisfaction with results of therapy was high. Subjective bowel control rating improved. FIQL scores further improved 2 years later. CONCLUSION: The holistic biofeedback protocol for PSBD in CRC patients is successful in the short and medium term.
Tech Coloproctol. 2011 Sep;15(3):319-26. Bartlett L, Sloots K, Nowak M, Ho YH. Faecal Incontinence Research Group, School of Public Health, Tropical Medicine and Rehabilitation Sciences, James Cook University, Townsville, QLD, 4811, Australia. Lynne.Bartlett@my.jcu.edu.au
The miracles of modern medicine are not be taken lightly. The mere fact that the longevity of the average person is much longer than it was a few decades ago should be sufficient evidence of its value. However, the story does not stop there. Modern allopathic medicine focus primarily based on systems involving pharmaceuticals and surgery. Very little emphasis is placed on the power of the mind. Even though drug trials will consider placebo and nocebo effects, still little effort is made to understand why they play a role. Furthermore, there's little explanation as to why several research...
I could hardly think of what life would be like without the company of man’s best friend. The bond that comes from the deep understanding between a person and their dog (or dogs) is a unique relationship. Yet, to many people even the thought of being around one makes them very uncomfortable and may even evoke feelings of horror.
A fear of dogs may have been installed during your youth. It could have started due to a warning from a loved one or may even be due to an incident where you were attacked or felt threatened. Like any fear or phobia, this fear is a learned behavior that...
There are very few among us who actually enjoy the presence of spiders. However, when merely disliked of the spider produces such an intense physiological and psychological reaction, which is so extreme as to be out of proportion with the actual threat, then just possibly a phobic condition may exist. If so, then possibly assistance may be warranted.
Actually, the existence of spiders is critical to our own. Indeed, spiders perform several environmentally critical functions. In fact, at any one time there are spiders, which may be hidden from our awareness yet are serving a necessary...