Discussions By Condition: I cannot get a diagnosis.

dyschizia for over ten years

Posted In: I cannot get a diagnosis. 0 Replies
  • Posted By: likejun
  • April 25, 2009
  • 11:19 AM

Gender :female
Age: 52years
Vocation: government officer
Chief complain: dyschizia for over ten years,
Frequency: only one time /five days
Shape :drop-wise liquid feces with oil-like mucus
Color: dark
Other symptom: edema in leg
examination: anorectal manometry
maximal resting anal sphinster pressure 53.3mmHg (110-180);
anal sphinster length:4.0cm (3-4);
effective anal sphinster length in high pressure zone 3.7cm (2-3);
maximal anal sphinster Voluntary Squeeze Pressure 161.6mmHg(>125);
duration of >50% maximal anal sphinster Voluntary Squeeze Pressure 3.8 sec(>4.0);
Resting Anal Inhibitory Reflex (RAIR): normal
Minimum Sensory Volume 50ml(10ml)
Maximal sensory volume 170ml (200-350)
*note: ( ) showed normal range

History of medication
long history of chinese herbal medicine therapy: no effect;
surgery: Prolapse And Haemorrhoids (PPH): to be transient effective ;
antibiotic infusion: to be effective during antibiotic therapy.

please give the diagnosis? how to treat? other examination needed?

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