Constipation is not just the inability to poop. Hard poop or inability to empty the poop is also an indication of constipation. In constipation, there is constant poop in the rectum. Accumulated poop adds weight, pelvic floor muscles work harder to carry this load and get tired. The pelvic floor muscles, which are constantly contracted, cannot relax after a while. The pelvic floor muscles that cannot relax also prevent the evacuation of poop. The poop that stays inside hardens, and then it becomes more difficult to remove. If we want to get rid of constipation, we need to break this cycle.
In poop incontinence, there can be 3 scenarios that affect the pelvic floor. In the first, the pelvic floor muscles are very weak and cannot hold the poop. Urinary incontinence may not always be seen because poop is much heavier than urine, so it requires more force to hold it. In this case, strengthening the pelvic floor muscles will solve the problem. In the latter, the pelvic floor muscles are overactive. Overactive pelvic floor muscles are very tired because they are constantly active. After a while, it becomes unable to bear the weight of the poop, and poop incontinence develops. In the third, the pelvic floor muscles are dyssynergic. When he needs to push the poop, he can't push it, he contracts. This prevents the poop from being emptied. The poop that accumulates in the rectum, which is the last part of the intestine, becomes hard, the soft poop that comes later leaks through these hard poops and the child poops.
With pelvic floor rehabilitation and healthy bladder and bowel training, all these pelvic floor disorders can be corrected, constipation and incontinence can be prevented.