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motility, or the speed of the contractions of the muscles in the intestinal system, can be a problem in irritable bowel syndrome (ibs). Often, colon contractions are too fast in people with diarrhea-predominant ibs (ibs-d) and too slow in people with constipation-predominant ibs (ibs-c). The primary functions of the rectum and pelvic floor muscles are to prevent incontinence (loss of control) and to allow defecation to occur. This requires intact sensation as well as normal anatomy and coordination to work as it should. In certain situations, an inability to relax the pelvic floor muscles or certain anatomic changes can lead to difficulty getting stool out, which is called. The colon is the last major organ in the gastrointestinal tract. Therefore, it plays a critical role in regulating the frequency of defecation and consistency of stools. The two primary symptoms of colonic motility dysfunction are altered bowel habits (constipation, diarrhea) and intermittent abdominal cramping. Additional symptoms include straining, urgency, feeling of incomplete evacuation. Motility is a term used to describe the contraction of the muscles that mix and propel contents in the gastrointestinal (gi) tract. The gastrointestinal tract is divided into four distinct parts that are separated by sphincter muscles these four regions have distinctly different functions to perform and different patterns of motility (contractions). In this report the functional anorectal disorders, the etiology of which is currently unknown or related to the abnormal functioning of normally innervated and structurally intact muscles, are discussed. These disorders include functional fecal incontinence, functional anorectal pain, including levator ani syndrome and proctalgia fugax, and pelvic floor dyssynergia. Motility testing last updated efecating proctography. The test measures the pressures in the rectum and in the anal canal and is helpful in defining the strength or weakness of the anal muscles and the sensation and reflex activity of the rectum. It helps to identify the nature of anorectal disorders such as incontinence. the motility clinic consists of physicians who have special training and interests in disorders of gastrointestinal motility. diagnosis and management of intestinal motility disorders. Motilitytransit studies motilitytransit investigations help to define the degree of contractile abnormality as well as propulsive abnormality of the intestines. Biopsies biopsy samples of the intestine are obtained at endoscopy or surgery, and may detect the cause of the dysmotility.