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I thought mine was PFD related. I got all the Atlanta Falcons Skull Flower Ugly Christmas Ugly Sweater down to the anorectal manometry, which had two parts. I failed the initial part with the catheter that measured the muscle responses but passed the second part where I had to expel an inflated device under a certain amount of time. Apparently it’s not considered a fail if you pass part of the test. I never did follow up with the MR defacography. I feel the urge to go and pass a small, soft stool but have incomplete evacuation. I still feel the need to go but can’t. I feel bloated and uncomfortable. I had a vaginal delivery 10 years ago (rather traumatizing physically) but the problems only started about 5 years ago. I have been on several antidepressants over the long term and after reading some of the information in this thread I wonder if that is a factor. I’ve recently started a new antidepressant Trintellix. Interestingly constipation is a common side effect, but it’s made my stools firmer and bulkier so I don’t feel the incomplete evacuation anymore. It’s a nice bonus in addition to treating the awful, treatment resistant depression I have. I also have diarrhea pretty frequently, which I prefer to the incomplete evacuations.
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I understand what you are saying. But you also need to know that China has its own unique set of Atlanta Falcons Skull Flower Ugly Christmas Ugly Sweater that they have solved their own way. That they cannot just acquiesce to your demands and judgement of how they should be, without it drastically affecting 1.4 billion people. China would become a failed state overnight if they became democratic and included these freedom of speech and freedom to demonstrate and protest every little action the government took that people disagreed with. PR and overseas chinese intelligentsia largely agrees with this policy as well. Democracy and freedom wouldn’t work for China at this stage of their national development. It’s telling that the west and HK insists on democracy , while the whole lot of Chinese, a good 1/7 the of the population, a group larger than the pro-democrach disagrees. What you would have when you take a billion and a half rural agricultural and largely uneducated PR chinese, and give them democracy , is essentially mob rule by popularity , which is essentially what’s happened in India and Philippines, where half the country still remains in poverty, illiterate, without sanitation, truly corrupted , without health, electricity etc – take your pick. Which is also what turned Iran from a largely free and progressive one-party society , to the ayatollah khomeni, an effective theocracy. That’s the difference between you and me. You think democracy and freedom works for a billion and a half chinese people. I don’t. And I’m an overseas chinese from Singapore. Many chinese leaders and thinkers such as Lee Kuan Yew have said no . Another example. Look at philippines under democracy. The whole country basically got by stolen a populist party, who plundered the state coffers and let the country run amok with drugs and social disorder , forcing Filipinos to emigrate for work , and today they have elected an autocrat like Duterte to run the country. Strong hard leadership has always worked for asian countries from Mahatir to Lee Kuan Yew to Park Chung Hee, and many others. Governments need strong clear leadership and vision , not just political ideology like democracy to work. Western notions of democracy in Asia is largely trying to force a square peg into a round hole. It sounds great in theory, but does not work in practice. There have been many examples.
()Endoscopy does not reveal motility disorders. You need a Atlanta Falcons Skull Flower Ugly Christmas Ugly Sweater. It’s a very simple test and your specialist can order it. Do not take any antibiotics from this quack until you talk to your new specialist. Wiping out your small intestinal flora is the last thing you want to do. You could end up with SIBO or some other horrible issue. Get rid of that primary care doctor. Talk to specialist about gastric emptying and domperidone or any other upper GI motility drug. There are many. Explain that you are suspicious you have upper GI dysmotility. Start go ogling and reading all about peristalsis and the disease called gastroparesis. Educate yourself broadly before you go into your appointment. Bring paper and a pen with you to write down what the specialist says, and bring a list of questions.
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