High-Resolution Anorectal Manometry in Ahmedabad

High-Resolution Anorectal Manometry Test in Ahmedabad

Patients with constipation and/or faecal incontinence are evaluated using high-resolution anorectal manometry. This test assesses the anal sphincter muscle pressures, rectum sensation, and neural reflexes required for normal bowel movements. It aids in the identification of specific problems and the best treatments.

What are the common symptoms ?

  • Difficult passing stool
  • Fecal incontinence (can't control bowels and this results in a leakage of feces).
  • Constipation (less than three bowel movements a week).
  • Hirschsprung's disease in children (a disease that can cause a blockage in the large intestine)

Why High-Resolution Anorectal Manometry Used ?

High-resolution anorectal manometry is used to diagnose and evaluate anorectal disorders, which can cause symptoms such as constipation, fecal incontinence, and pelvic pain. It is a diagnostic test that uses a small, flexible catheter to measure the pressures and movements of the muscles in the rectum and anus.
There are several reasons why high-resolution anorectal manometry may be used :

  1. Diagnosis of anorectal disorders: High-resolution anorectal manometry is used to diagnose anorectal disorders such as rectal prolapse, fecal incontinence, and pelvic floor dysfunction.
  2. Evaluation of treatment effectiveness: This test can be used to evaluate the effectiveness of treatment for anorectal disorders, such as biofeedback therapy or surgery.
  3. Pre-operative evaluation: High-resolution anorectal manometry is often used as part of the pre-operative evaluation for surgical procedures such as rectal prolapse repair or sphincteroplasty.
  4. Research: High-resolution anorectal manometry is also used in research studies to better understand anorectal disorders and to develop new treatments.

High-resolution anorectal manometry is a valuable tool for diagnosing and evaluating anorectal disorders, and for guiding treatment decisions.

Types of High-Resolution anorectal Manometry procedure

There are typically two types of High-Resolution Anorectal Manometry (HRAM) procedures : Resting Pressure and Squeeze Pressure.

High-Resolution anorectal Manometry
  • Resting Pressure : This procedure involves measuring the pressure inside the rectum while the patient is resting. The goal is to determine the resting pressure of the anal sphincter muscles and identify any abnormalities in their function.
  • Squeeze Pressure : This procedure involves measuring the pressure inside the rectum while the patient squeezes their anal sphincter muscles. The goal is to determine the strength and coordination of the muscles and identify any abnormalities in their function.

In some cases, both Resting and Squeeze Pressure procedures may be combined to provide a more comprehensive assessment of the anal sphincter muscles and pelvic floor function.

High-Resolution anorectal Manometry may be used in conjunction with other diagnostic tests such as defecography, electromyography (EMG), and ultrasound to provide a more detailed evaluation of pelvic floor disorders.

the specific High-Resolution anorectal Manometry procedure used will depend on the patient's symptoms and individual needs as determined by their healthcare provider.

Benefits of High-Resolution anorectal Manometry

High-resolution anorectal manometry is a diagnostic test that helps to evaluate the functional disorders of the rectum and anal canal. The benefits of this procedure are :

  1. Accurate diagnosis : High-resolution anorectal manometry provides accurate information about the pressures and contractions of the rectum and anal sphincter muscles. This helps in the diagnosis of conditions such as fecal incontinence, constipation, and pelvic floor disorders.
  2. Tailored treatment : With the help of this test, physicians can tailor treatment plans based on the patient's individual needs. It helps to determine the most appropriate treatment for the patient, including lifestyle changes, medication, or surgery.
  3. Minimally invasive : High-resolution anorectal manometry is a non-invasive test that does not require sedation or anesthesia. The procedure is comfortable and does not cause any pain.
  4. Early detection : The test can detect the early stages of rectal and anal sphincter disorders. Early detection can lead to prompt treatment, which can prevent the condition from worsening.
  5. Cost-effective : High-resolution anorectal manometry is a cost-effective diagnostic test that can save patients time and money by reducing the need for additional tests and procedures.

Case Study

Successful High-Resolution Anorectal Manometry Procedure in a 31-Year-Old Male Patient

Patient Information :31-year-old male who presented to our clinic with complaints of chronic constipation and fecal incontinence. He reported having to strain during bowel movements and having incomplete evacuation. He also reported occasional episodes of fecal incontinence, particularly when he was unable to reach the toilet on time. He had no significant medical history and was not taking any medications.

Conclusion : This case demonstrates the successful use of high-resolution anorectal manometry in diagnosing anorectal dysfunction in a 31-year-old male patient with chronic constipation and fecal incontinence. High-resolution anorectal manometry is a safe and minimally invasive procedure for evaluating anorectal function and can help guide appropriate treatment strategies. With experienced endoscopic technique, high-resolution anorectal manometry can provide valuable information to manage patients with anorectal dysfunction.


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Best Doctor For High-Resolution Anorectal Manometry

Best Doctor For High-Resolution Anorectal Manometry

Dr Vivek Tank

Endoscopic Surgeon


Dr vivek tank qualified from prestigious M.P.Shah medical college; Jamnagar; Gujarat in the year 2004.he then completed training in advanced surgery and endoscopy from Rajkot cancer hospital and apollo hospital Hyderabad. He received his diploma in minimal access surgery from World Laparoscopy hospital ; new delhi in 2008. He is one of the few surgeons who are well versed in Open; laparoscopy and endoscopic domains of surgery. Under the care of dr. vivek , patients undergo surgery and endoscopy at same place by the same surgeon.

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Frequently Asked Questions (FAQ)

1. How long does High-Resolution Anorectal Manometry take?
High-Resolution Anorectal Manometry typically takes about 30-60 minutes to complete, although the length of the procedure may vary depending on the individual case.
2. What should I expect after High-Resolution Anorectal Manometry?
After High-Resolution Anorectal Manometry, patients may experience some mild discomfort or a feeling of fullness in the rectum for a short time. Most patients are able to resume their normal activities immediately after the procedure.
3. How accurate is High-Resolution Anorectal Manometry?
High-Resolution Anorectal Manometry is a highly accurate diagnostic tool for anorectal disorders. It provides detailed information about the function of the rectum and anal sphincter, which helps in the diagnosis and treatment of anorectal disorders.

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