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Dyschezia is a medical condition in which difficulty in defecating is resulted from anal muscles and inabilities to keep pelvic under control. Having a regular bowel movement needs muscle relaxation in the sphincters (circular muscles) and in the pelvic muscles, that keeps the anus closed. Otherwise, defecate effort is futile even with strainings. Individuals who have dyschezia sense the need to have bowel movements, but they may not have one. Even stools that are not hard can be difficult to pass. Medical conditions that may interfere with movement of the muscles include rectal prolapse or rectal ulcer, pelvic floor dyssynergia (muscle coordination disturbance), enterocele (small intestine hernia into the rectum), anismus (a condition, where muscles paradoxically contract during defecation or fail to relax), and rectocele (rectum hernia into the vagina). Curing dyschezia with laxatives is commonly unsatisfactory. Recently, biofeedback and relaxation exercises are tried for pelvic floor dyssynergia and did show greater promise. Surgery can be required to correct large rectocele and enterocele. Constipation may be so severe that stool should be removed by the physician nurse with a probe or a gloved finger if necessary.
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