Dr. Mohammed Hatem Alsubaih · Consultant Colorectal Surgeon

CLINICAL DECISION PATHWAY

Evacuation & pelvic floor analysis

Stool form, straining, outlet blockage, manual assistance and laxative response.

Red flags firstDecision-changing questionsPattern-based resultNext step

For adults: educational guidance to understand your next step and prepare for examination. An urgent warning appears immediately; you may continue documenting your history, but do not delay urgent care to finish the questionnaire.

Tool limits: Structures clinical reasoning, priority and missing information. It does not diagnose disease or choose an operation.

BEFORE YOUR VISIT

Stool is soft—why is it hard to pass?

Describe consistency separately from effort, time and incomplete emptying. Record what treatment changed: softer stool only, or easier passage too? Keep test reports and the type of retraining you tried. The aim is to enter your visit with clear questions rather than repeat a treatment without knowing which problem it targets.

What will you take away?

A next-step guide, discussion points, preparation list and a summary to copy or save for any clinician you choose.

You control sharing

No account, name or intimate images. Answers are temporary within the page. Booking does not send answers; sharing is your choice.

Question guide: how each answer changes the differential

Persistent vomiting with marked distension and no stool or gas?

This question distinguishes stool consistency/transit problems, defecatory disorders, structural outlet disease and secondary causes.

Recurrent bleeding/weight loss/anemia/new persistent bowel change?

This question distinguishes stool consistency/transit problems, defecatory disorders, structural outlet disease and secondary causes.

Stool consistency?

This question distinguishes stool consistency/transit problems, defecatory disorders, structural outlet disease and secondary causes.

Frequency?

This question distinguishes stool consistency/transit problems, defecatory disorders, structural outlet disease and secondary causes.

Marked/prolonged straining?

This question distinguishes stool consistency/transit problems, defecatory disorders, structural outlet disease and secondary causes.

Incomplete emptying?

This question distinguishes stool consistency/transit problems, defecatory disorders, structural outlet disease and secondary causes.

Outlet blockage sensation?

This question distinguishes stool consistency/transit problems, defecatory disorders, structural outlet disease and secondary causes.

Manual pressure/digital assistance?

This question distinguishes stool consistency/transit problems, defecatory disorders, structural outlet disease and secondary causes.

With fiber/laxatives?

This question distinguishes stool consistency/transit problems, defecatory disorders, structural outlet disease and secondary causes.

Prolapse/lump during bowel movement?

This question distinguishes stool consistency/transit problems, defecatory disorders, structural outlet disease and secondary causes.

How long have you had evacuation difficulty?

This question distinguishes stool consistency/transit problems, defecatory disorders, structural outlet disease and secondary causes.

Opioids, iron or constipation-promoting medications?

This question distinguishes stool consistency/transit problems, defecatory disorders, structural outlet disease and secondary causes.

Prior anal/rectal/pelvic surgery?

This question distinguishes stool consistency/transit problems, defecatory disorders, structural outlet disease and secondary causes.

Any thyroid disease, diabetes with neuropathy, neurological disease or spinal cord injury?

This question distinguishes stool consistency/transit problems, defecatory disorders, structural outlet disease and secondary causes.

Any personal history of colorectal polyps/cancer or a first-degree relative with colorectal cancer?

This question distinguishes stool consistency/transit problems, defecatory disorders, structural outlet disease and secondary causes.

Prior anorectal manometry / balloon expulsion test?

This question distinguishes stool consistency/transit problems, defecatory disorders, structural outlet disease and secondary causes.

Prior defecography?

This question distinguishes stool consistency/transit problems, defecatory disorders, structural outlet disease and secondary causes.

Tried pelvic-floor biofeedback?

This question distinguishes stool consistency/transit problems, defecatory disorders, structural outlet disease and secondary causes.

Sources and how they are used

Guidelines and official patient information support the medical principles. Question wording and priority categories are educational adaptations, not a society-validated instrument. No ASCRS, ECCO or NICE endorsement is claimed. Referral and testing systems vary by country. Reference-link checks: 9 September 2026; this is not human clinical review or clinical performance validation.

Privacy and assessment scope

Questions run on this page without requiring your name, phone number or intimate images. You may add a first name for the displayed report; it stays on your device and is not sent to AI. Optional AI assessment sends your answers and text to Cloudflare only with your consent; files are sent when you request extraction. Remove identifiers before upload. The app creates no permanent medical record and no clinician reviews the output. Answers do not persist after reload and are not sent automatically to the clinician. WhatsApp is an external service; the booking button does not attach medical answers. Saved or copied reports contain health information: review them and choose who to share them with.

App files may be cached locally for offline use; this does not include assessment answers. Hosting services process ordinary web requests under their policies. Guidance is automated education, not a diagnosis, prescription or clinician-issued report.