Chronic constipation affects 15 to 20 percent of the U.S. population. Nearly one-third of affected people have dyssynergic defecation, in which muscles used for bowel movements do not work well, but there’s some good news. University of Iowa research shows biofeedback treatment can successfully retrain muscles.

The biofeedback approach was better than standard treatment of laxatives, diet and exercise or another treatment (sham) that included muscle relaxation and coping strategies. The findings appear in the March issue of the journal Clinical Gastroenterology and Hepatology.

Many people with dyssynergic defecation have life-long constipation and experience significant difficulty with passing stools but are unaware that they have this particular type of chronic constipation, said Satish Rao, M.D., professor of internal medicine at the UI Roy J. and Lucille A. Carver College of Medicine.

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