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Bowel

problems

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The Gold Coast

Gastroenterology and Colorectal

Pelvic Health 

Clinic:

Patients with Bowel Problems can often feel at a loss with their Bowel problems before they see a Pelvic Health Physiotherapist.

These problems are often challenging to self manage and finding answers seems mysterious!

I have a special interest in Bowel Problems and as a result I created the holistic and integrative "Happy Bowels Program" from a background of many years of clinical experience knowledge from extensive advanced training in the assessment of colonic and anorectal problems to help my patients in the most effective and empowering ways. This service is a holistic service that provides an evidence based and integrated approach to pain in a multidisciplinary setting with GPs and Specialists.

Conditions treated:

  • Functional Constipation

  • Irritable Bowel Syndrome (Diarrhoea, Constipation and mixed)

  • Functional bloating

  • Functional diarrhoea

  • Functional Abdominal pain

  • Faecal and Flatus Incontinence 

  • Faecal urgency

  • Pelvic floor Dyssynergia and incoordinate defecation and perineal descent syndrome

  • Pre and post‐operative care – colorectal cancers, Anorectal surgeries, Ileostomy reversal

About The Happy bowels therapy program:

I have put together is a highly evidenced based and experienced program that includes:

  • Subjective and objective assessment that may or may not include: a digital rectal exam, transabdominal and transperineal ultrasound of the to understand anatomy and physiological problems

  • The program Aims:

    • Education about your condition and strategies for managing it on a daily basis, normal bowel function and correcting misinformation about bowel function

    • Establishing a regular bowel habit and corrects defecation dynamics to eliminate straining, pelvic floor muscle awareness and training for strength and relaxation

    • A personalised programme designed to improve the function of the pelvic floor muscles involved in effective bowel emptying and/or effective bowel control.

    •  Daily home program for correcting posture & breathing patterns, Improving control of the abdominal muscles, Improving control of the pelvic floor and sphincter muscles

    • Assistance with diet and medication – learning how to manage without bowel medications/laxatives or how to use them more effectively

    • Low FODMAPs diet assessment, elimination and fodmap rechallenge and individualization/implementation of the FODMAP diet and long term management, Meal plans and eating out options

    • Dietary therapies – fibre, caffeine/fat/alcohol, Food chemical, Meal patterns, dietary triggers, Non‐celiac gluten sensitivity

    • Rectal balloon training ‐ This is a type of biofeedback and is used to teach the muscles (and the brain) how to perform the correct acons of ‘emptying’ or ‘holding on’. It also helps to train bowel sensation – recognising a proper urge to go to the toilet. This treatment is safe and evidenced based and is able to detect clinical change in symptoms and improvement.

    • Non‐diet therapies‐ cognitive behavioural therapy, gut‐directed relaxation: Relaxation strategies using training in Mindfulness Based Cognitive Therapy

    • Ceasing/reducing laxatives, enemas, suppositories

My training and certification includes: Completion of Clinical Masters of Physiotherapy in Continence and Women's health, Postgraduate Conservative management of pelvic organ prolapse, advanced training in anorectal disorders (Sydney colorectal and pelvic floor center, Melbourne Gastroenterology) and advanced training in pelvic floor sonography and prolapse assessment using transperineal and translabial real time ultrasound assessment for pelvic floor dysfunction, defecatory disorders including the assessment of Pelvic floor dyssynergia and levator ani functional assessment, I can also provide advanced Biofeedback treatment for correction of evacuation disorders (ie inability to empty bowel). I have also undergone advanced training in administering low FODMAPs and dietary considerations for cancer recovery and functional gastrointestinal disorders from Monash University, advanced assessment in colorectal disorders.