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Reduced Anal Sphincter Tone



    • Feel For

    • Inability to squeeze the anal sphincter against a gloved finger.
    • Causes of Decreased Anal Tone

    • Cauda equina syndrome (internal & external sphincter) - spinal cord compression / trauma
    • Pudendal neuropathy (external sphincter) - obstetric trauma, multiple sclerosis, diabetes mellitus
    • Anal trauma (internal / external sphincter) - obstetric, idiopathic, other
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