Glossary

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anal fissure a split or tear in the lining of the anus, at the junction between inside and outside

anorectal outlet the rectum and anal canal, through which faeces is expelled

anus (also anal canal) the short, final component of the large intestine

ascending colon the right side of the colon, immediately beyond the caecum

bowel in medical terminology, synonymous with intestine; in everyday language, refers to the large intestine

caecum the first part of the large intestine

colon the first and longest part of the large intestine; comprises the caecum, the ascending colon, the transverse colon, the descending colon and the sigmoid colon

colonic lavage a commercially available rectal irrigation technique administered by registered nurses

colonic transit time the time it takes faeces to move through the large intestine, from entering the caecum to being expelled through the anus

colonoscopy examination of the colon using a long, flexible telescope inserted through the anus

defecation the act of emptying the bowel

descending colon the left side of the colon joining transverse and sigmoid colon

faecal impaction when a hard mass of stool becomes stuck in the bowel due to chronic constipation

faeces the contents of the large intestine

flatus the gas passed out of the large intestine

insoluble fibre fibre found in foods that remain crunchy even when placed in liquid (nuts, fruit peel and pulp, many vegetables); this type of fibre tends to be more stimulating to our bowels than soluble fibre, and encourages softer stools

large intestine (also large bowel) starts where the small intestine ends; comprises the colon, the rectum and the anus

lavage see colonic lavage

mass movements muscle-contraction waves that propel faeces through the colon

overflow incontinence of faeces in cases of severe constipation, a tendency for softer faecal material to slip between or around the solid masses of constipated stool and leak out of the anus

perianal skin the skin around the anus

peristaltic (of muscle contractions) wave-like

pre-emptive defecation obliging one’s bowel to work when there is no natural urge to do so

premature defecation anticipating the working of one’s bowel when the urge is still some way off

rectal irrigation the instillation of warm tap water into the rectum to effect rectal emptying

recto-anal inhibitory reflex a reflex that relaxes the internal anal sphincter muscle when faeces descends into the lower rectum in anticipation of imminent evacuation

rectum part of the large intestine, approximately 12 cm in length, joining the colon to the anus

sigmoid colon the last component of the colon, usually a tortuous segment joining the descending colon to the rectum

small intestine (also small bowel) starts where the stomach ends and continues until the large intestine begins

soluble fibre fibre found in foods that are soft and that soften further when soaked in liquid (bran, porridge, psyllium husks); this type of fibre tends to encourage bulky and well-formed stools

speculative defecation attempting to defecate in response to a sensation that is not a true and pressing urge

stool the faeces passed out during a bowel action

stool frequency the number of bowel actions an individual has in a given period of time – per day or per week

transverse colon the central component of the colon joining the ascending and descending colon

urge incontinence of faeces inability to control the sudden urge to evacuate stools that have become excessively liquid and pressingly urgent to pass