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Some people have great difficulty emptying their rectum due to what is called rectal descent. Rectal descent is a problem that appears to be related to childbirth. When a women gives birth, the normal attachments of the rectum to the lower backbone may get stretched or torn. This tearing allows the rectum to fall into the pelvis where it assumes a horizontal position. The front of the rectum can fall into the top of the anal canal and block the anal opening.
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Rectal Descent and Rectal Prolapse

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Numerous protozoa inhabit the gastro-intestinal tract of humans see Box. This list includes representatives from many diverse protozoan groups. The majority of these protozoa are non-pathogenic commensals, or only result in mild disease. Some of these organisms can cause severe disease under certain circumstances. For example, Giardia lamblia can cause severe acute diarrhea which may lead to a chronic diarrhea and nutritional disorders; Entamoeba histolytica can become a highly virulent and invasive organism that causes a potentially lethal systemic disease.
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Bladder and Bowel Incontinence

Numerous protozoa inhabit the gastro-intestinal tract of humans see Box. This list includes representatives from many diverse protozoan groups. The majority of these protozoa are non-pathogenic commensals, or only result in mild disease. Some of these organisms can cause severe disease under certain circumstances. For example, Giardia lamblia can cause severe acute diarrhea which may lead to a chronic diarrhea and nutritional disorders; Entamoeba histolytica can become a highly virulent and invasive organism that causes a potentially lethal systemic disease.
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The purpose of this article is to review the literature related to the effects of spinal cord injuries on genitourinary, gastrointestinal, and sexual function. These important areas of function are profoundly affected by spinal cord injuries, with the effects of injury being dependent on the specific level and degree of neurologic dysfunction. Our ability to manage neurogenic bladder dysfunctions and neurogenic bowel dysfunctions has improved over the past few years; however, in general the techniques used have not significantly changed. In contrast, a significant amount of new information has been made available regarding the effects of specific neurologic injuries on sexual response, particularly female sexual response. Moreover, techniques to remediate erectile dysfunction and infertility in the male have vastly improved the fertility potential of men with spinal cord injuries.
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