Procedure
Anorectal Manometry for Children
A targeted study that measures the muscles and reflexes of the rectum and anal canal.
Anorectal manometry helps explain why some children stay constipated despite a strong medical plan, and screens for conditions like Hirschsprung disease.
Dr. Mendez orders and interprets this test in the context of your child's full history, then uses the results to refine treatment, including biofeedback for pelvic floor dyssynergia.
Conditions & concerns we address
Refractory constipation
When standard clean-outs and maintenance therapy are not enough.
Hirschsprung disease screening
Checking for the recto-anal inhibitory reflex when Hirschsprung is suspected.
Pelvic floor dyssynergia
Identifying kids who cannot relax their pelvic floor with attempts to defecate.
Post-surgical evaluation
Assessing anal sphincter function after pull-through or imperforate anus repair.
How Dr. Mendez approaches care
- Pre-procedure review of bowel history and prior treatment.
- Gentle, child-friendly preparation with clear expectations.
- Detailed interpretation and a written follow-up plan.
- Referral to pediatric pelvic floor PT and biofeedback when indicated.
Signs it's time for a consultation
- Chronic constipation not responding to standard therapy.
- Suspicion of Hirschsprung disease.
- Stool withholding patterns that suggest pelvic floor dysfunction.
- Ongoing soiling after a complete clean-out.
Ready to talk it through?
Concierge access means we have the time to listen, evaluate carefully, and stay with your family through every step.