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[Music] dr. round what is dis energic defecation and what causes it well thats a great question Ginetta so pooping is something thats natural for all of us something that we rarely think twice majority of people get a nourish they go the spends a short time in the restroom and then theyve never even think about it but for a third of the patients with chronic constipation they have a condition called dis synergic defecation its a little bit of a mouthful but essentially pooping or defecation has become in coordinated or dis energy that is why we call it the synergy defecation so in these patients the whole act of having a bowel movement has gone awry so they either dont know how to push or they push excessively unbeknown to them they obstruct their own bowel movement many times they push the stool back inside them or they only pass a small amount and they have this incomplete evacuation so this is the synergy defecation which is in coordinated ball movement and it is very common ov