
Anatomy of the anus and rectum
'Defecation' is the act or process by which organisms eliminate solid or semisolid
waste material (
feces) from the
digestive tract via the
anus.
Humans expel feces anywhere from a few times daily to a few times weekly;
sloths can go for a week. Waves of
muscular contraction known as
peristalsis in the walls of the
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
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. If the urge is not acted upon, the material in the rectum is often returned to the
colon where more
water is absorbed. If defecation is delayed for a prolonged period the fecal matter may harden, resulting in
constipation.
When the rectum is full, an increase in intrarectal 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
peristaltic waves push the feces out of the rectum. The
internal and
external anal sphincters allow the feces to be passed by muscles pulling the
anus up over the exiting feces.
During defecation the
chest muscles,
diaphragm, abdominal wall muscles, and
pelvic diaphragm all exert pressure on the digestive tract and
ventilation temporarily ceases as the lungs push the chest diaphragm down in order to exert pressure.
Blood pressure rises throughout the body and the amount of blood pumped by the heart decreases. For
defecation, we have to consciously relax the
Sphincter ani externus muscle to expel waste.
Sphincter ani externus muscle for anal and urethral are both closely linked by the same nerves. Experiments by Dr. Harrison Weed at the Ohio State University Medical Center have shown that the
Sphincter ani externus muscle for anal and urethral can be contracted only together, not individually, and that they both show relaxation during urination. Thus, it was explained that defecation always accompanied with
urination. During this time, the body is effectively undergoing similar stresses to that of a
valsalva manoeuvre. 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).

Cow feces
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
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-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 toilets), while in most of the
Western World sit-down
toilets are used.
The
anus and
buttocks may be
cleansed with
toilet paper or similar paper products,
rags,
sand,
rocks,
leaves (including
seaweed),
corn cobs or
sticks. In some cultures water is also used (e.g. as with a
bidet). In Japan, some toilets known as
washlets are designed to wash and dry the anus of the user after defecation.
See also
★
micturition
★
Human feces
★
Ecological sanitation