The clearest case, the most obvious, is the repetition of thrust forces, among constipated "patients", spending much time and doing abdominal thrusts to defecate. But this cause is not always found and other factors are involved: Perineal muscle weakness, and in malnourished elderly "patients" or undernourished and constipation (as anorexic young women). Longer fasteners pelvic viscera due to pregnancy, Specific anatomical conditions, such as Douglas cul de sac (peritoneal pocket located between the rectum back and genitalia in front), deep, allowing the engagement of small bowel loops (called enterocele) to the perineum. Or too rectum vertical (as the axis of the rectum and anal canal are normally different) ... Thank you our expert Doctor Valerie Lusaka .
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Duration: 2m 38s
Rating: 116