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Fascinating, this is a problem many will want to put behind them. ------------------------------ Robert Khoo MD Meridian Healthcare Manahawkin NJ (609) 978-3390 ------------------------------

Lots of possibilities: 1. Life-long constipation? With an absent RIR, it could be short segment Hirschsprung's ds. Do rectal wall biopsy 2 cm above the dentate to assess ganglion cells. 2. Internal anal sphincter hypertonicity. Mostly seen in women. ...

Hi, Emad: The patient looks slow transit with pelvic floor dysfunction. You can try to find an acupuncturist in your country. I attached two papers. One is for slow transit patten, one is for pelvic floor patten. thanks Shuqing Ding ------------------------------ ...