Hello All who are following this. Very interesting and quite relevant to me as well as you. The link Kaanaz posted was very informative. I have actually been through much of this unique testing at the Mayo clinic, and on to surgery. It was challenging and necessary. The testing provided an immense amount of information. Make sure your prior authorizations are in place prior to some of these unique tests. These tests clarified my pelvic floor issues, which required surgery. I have also received the very specialized pelvic floor rehab provided by the Mayo Clinic, and am scheduled to receive a refresher course. It does help. There is no way to explain it really. Biofeedback is used to counter the dyskinesia of the muscles of defecation. Unique! However, a person may have more than one issue occurring concurrently at a time. Diagnosing this is a great challenge for any one clinician. Therefore, a team approach would be recommended.... Urogynecolegy with gastroenterology? Motility can be interrupted by more than one cause at the same time. Possibly a pelvic floor dysfunction concurrent with a small bowel dis motility of various etiologies? I guess asking questions is the way to proceed. That is what I plan to do. Meanwhile, I am balancing the diet ( timing, liquids, hydration, levels of fiber, medication, and miralax). There seems to be no formula of course, but daily schedule and the relaxation response of our body are huge players in the success or failure of the day to day operation of the bowel. I hate NG tubes, as I am sure you do to. I want to avoid future surgeries and incapacitation secondary to pain and nausea. So I monitor the posts on this blog. I can learn and improve my outlook with information. So thank you for all the information you provide freely! It helps.
Respectfully,
UPArtist