difference between defecated device and shared device
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Key Words: defecation postural modification device (DPMD), bowel duration, straining patterns, bowel emptiness
Defecation in its simplest form consists of 3 components: spontaneous rectal contraction (autonomic), straightening anorectal angle due to relaxation of puborectalis and external anal sphincter (largely somatic), and straining (somatic).1 Straining is the aspect of defecation over which individuals have the largest control from an anatomic standpoint. Many patients who struggle with chronic constipation may have abnormal rectoanal coordination with paradoxical contraction instead of relaxation of the pelvic floor during defecation, also known as dyssynergic defecation.2,3 While squatting during bowel movements (BMs) is commonly practiced in the Middle East, Africa, and Asia; western populations have transitioned to using the toilet.4 Recently, there has been increasing social awareness of suboptimal bowel habits including increased strain, inadequate bowel emptying, and increased time with defecation in western populations that may be related to positioning during defecation. The introduction of defecation postural modification devices (DPMDs) was developed to replicate the alignment achieved with squatting while using a toilet
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