Why is it done?

• Chronic constipation
• Difficulty passing stool despite straining
• Feeling of incomplete evacuation
• Fecal incontinence (loss of bowel control)
• Before starting biofeedback therapy
• Evaluation of pelvic floor dysfunction

What does the test measure?

• Strength of anal sphincter muscles
• Coordination between rectum and anal muscles
• Rectal sensation
• Reflexes involved in bowel movement

How is the procedure performed?

• A small, soft tube (catheter) with sensors is gently inserted into the rectum
• You will be asked to perform simple actions like squeezing, relaxing, and pushing
• The machine records pressure and muscle coordination
• The procedure usually takes about 15–20 minutes

Is it painful?

The test is not painful. You may feel mild discomfort or awkwardness, but it is well tolerated.

How should I prepare?

• You may be asked to empty your bowel before the test
• Sometimes a small enema is given prior to the procedure
• Follow your doctor's instructions

What happens after the test?

• You can return to normal activities immediately
• Your doctor will analyze the results and plan further treatment (such as biofeedback therapy if needed)

Is it safe?

Yes. Anorectal manometry is a safe, minimally invasive test with very low risk.