Defecation
75982
225558496
2008-07-14T08:46:16Z
125.168.144.158
{{For|the death metal band|Defecation (band)}}
{{Expert-subject|Animal|date=April 2008}}
{{worldwide}}
{{Refimprove|date=March 2008}}
{{Nofootnotes|date=March 2008}}
{{Cleanup|date=April 2008}}
[[Image:Anorectum.gif|right|frame|Anatomy of the anus and rectum]]
'''Defecation''' is the final act of [[digestion]] by which organisms eliminate solid, semisolid or liquid [[waste]] material ([[feces]]) from the [[digestive tract]] via the [[anus]]. [[Human]]s expel feces with a frequency varying from a few times daily to a few times weekly. Waves of [[muscle|muscular contraction]] known as [[peristalsis]] in the walls of the [[colon (anatomy)|colon]] move fecal matter through the digestive tract towards the [[rectum]]. Undigested food may also be expelled this way; this process is called ''egestion''.
The [[Rectal ampulla|rectum ampulla]] (anatomically also: ''ampulla recti'') acts as a temporary storage facility for the unneeded material. As the rectal walls expand due to the material filling it, stretch receptors from the [[nervous system]] located in the rectal walls stimulate the desire to defecate. This urge to defecate arises from the reflex contraction of rectal muscles, relaxation of the internal anal sphincter and an initial contraction of the skeletal muscle of the external sphincter. If the urge is not acted upon, the material in the rectum is often returned to the [[colon (anatomy)|colon]] by [[reverse peristalsis]] where more [[water]] is absorbed and the faeces is stored until the next mass 'peristaltic' movement of the transverse and descending colon. If defecation is delayed for a prolonged period the fecal matter may harden, resulting in [[constipation]].
When the rectum is full, an increase in intra-rectal pressure forces the walls of the [[anal canal]] apart allowing the fecal matter to enter the canal. The rectum shortens as material is forced into the anal canal and [[peristalsis|peristaltic waves]] push the feces out of the rectum. The [[internal anal sphincter|internal]] and [[External anal sphincter|external]] anal sphincters along with the puborectalis muscle, allow the feces to be passed by muscles pulling the [[anus]] up over the exiting feces.
Defecation is normally assisted by taking a deep breath and trying to expel this air against a closed glottis ([[Valsalva maneuver]]). This contraction of expiratory [[chest]] muscles, [[diaphragm (anatomy)|diaphragm]], abdominal wall muscles, and [[pelvis|pelvic]] diaphragm exert pressure on the digestive tract. [[Ventilation (physiology)|Ventilation]] at this point temporarily ceases as the lungs push the chest diaphragm down in order to exert the pressure. Thoracic [[blood pressure]] rises and as a reflex response the amount of blood pumped by the heart decreases. Death has been known to occur in cases where defecation causes the blood pressure to rise enough to cause the rupture of an [[aneurysm]] or to dislodge [[blood]] clots (see [[thrombosis]]). Also, in release of the Valsalva maneuver blood pressure falls, this coupled often with standing up quickly to leave the toilet results in a common incidence of blackouts in this situation.
When defecating, the external sphincter muscles relax. The anal and urethal sphincter muscles are closely linked, and experiments by Dr. Harrison Weed at the Ohio State University Medical Center have shown that they can only be contracted together, not individually, and that they both show relaxation during urination{{Fact|date=December 2007}}. This explains why defecation is frequently accompanied with [[urination]].
Defecation may be involuntary or under voluntary control. Young children learn voluntary control through the process of [[toilet training]]. Once trained, loss of control causing [[fecal incontinence]] may be caused by physical injury (such as damage to the [[External anal sphincter|anal sphincter]] that may result from an [[episiotomy]]), intense fright, [[inflammatory bowel disease]], impaired water absorption in the colon (see [[diarrhea]]), and [[psychological]] or [[neurological]] factors.
The positions and modalities of defecation are [[Culture#Cultures by region|culture-dependent]]. In some regions of the world, such as [[South Asia]], [[East Asia]] and rural parts of the [[Middle East]], it is customary to squat (typically using [[squat toilet]]s), while in most of the [[Western World]] sit-down [[toilet]]s are used.
The [[anus]] and [[buttocks]] may be [[anal cleansing|cleansed]] with [[toilet paper]], similar paper products, or other absorbent material. In some cultures water is used (e.g. as with a [[bidet]]) either in addition or exclusively. In Japan and South Korea, some toilets known as [[Toilets in Japan|washlets]] are designed to wash and dry the anus of the user after defecation (''see [[anal cleansing]]'').
==References==
*Deeb, Benjamin (2004). "Healthy to the Core: How to Measure Effective Defecation." Greenwood Press.
*Widmaier, Raff, Strang (2006). "Vanders Human Physiology, the mechanisms of body function. Chapter 15. McGraw Hill.
[[Category:Digestive system]]
[[Category:Proctology]]
[[bg:Дефекация]]
[[cs:Vyprazdňování stolice]]
[[de:Stuhlgang]]
[[es:Defecación]]
[[fr:Défécation]]
[[id:Buang air besar]]
[[it:Defecazione]]
[[lt:Tuštinimasis]]
[[nl:Defecatie]]
[[ja:排便]]
[[no:Defekasjon]]
[[pl:Defekacja (medycyna)]]
[[pt:Defecação]]
[[ru:Дефекация]]
[[sk:Defekácia]]
[[ta:மலம் கழித்தல்]]
[[vi:Đại tiện]]
[[zh:排便]]