1. How to use Colorec?
Seat gently and comfortably so that the tip of coccyx is pointing in the depression on HPS device. At this time the tip of HPS will be exerting pressure again the area behind anus (posterior perianal region). By leaning backward the pressure will be increased. This is found to stimulate the feeling and enhance the reflex of defecation. By leaning to the front the pressure will be decreased. With some self learning and adaptation one will know the correct way to use it easily. Please bear in mind there should not be any pain cause by sitting on Colorec. If there is any pain the way of sitting could be wrong or there is condition that not suitable to use Colorec. Please consult your doctor before continue to use the device.
2. Will Colorec cause any side effect?
Its action is mechanical, nothing is hidden. Should not have any major side effect if it use properly as what it indicated for.
3. Is there any contraindication?
Anterior anal fissure and coccygodynia. For these cases the HPS should be lifted up and use colorec as normal toilet seat.
4. Will the HPS become dirty easily and became source of infection?
HPS is hidden by the side of anal opening and away from the direction of feces during defecation. In addition to that the HPS’s material is mixed with nano silver which is an effective anti microbial agent to prevent the grow of micro organism inside and on the surface of HPS.
5. Can a children use it?
No. It is design for user with adult side structure. In the other word it is also not suitable for underdeveloped adult.
6. Will it cause any discomfort and prevent defeacation?
May be yes for initial stage period of usage before get used to it, for those without any pain. For those who are with pain due to posterior anal fissure usually enjoy the decrease in pain right from the very initial stage of usage. With period of learning, almost all get us to the HPS and started to enjoy the benefits of the device.
7. Will the user become dependent to it?
Not really but they may pampered by the great experience of easy defeacation with HPS. For those who need laxative for normal defeacation may really become dependent on HPS instead of laxative he or she used before.
8. Once the anal fissure heals will it recur of we stop using it?
May be at later stage as separate incidence. Not immediately after stoppage of HPS usage because a properly healed fissure should be able with stand stretch of normal defeacation.
9. Will it benefit hemorrhoid patient and how?
Yes. By enhancing reflex of defeacation, the need of straining during defeacation can be minimize. With minimal straining there will not be any significant engorgement of hemorrhoidal veins. By supporting perianal region sagging down of pelvic floor will be prevented. This will prevent evasion and prolapsed of anal mucosa.
10. Will it help patients with constipation?
Yes. In our early stage of clinical trial, it benefited patients with constipation. Its mechanism is only by mechanically enhance the reflex of defeacation (mechanical laxative), so it should be able to benefit certain types but not all the constipation patients.
11. Can it be used by pregnant lady?
Since it is only mechanical and externally only, so it should be no problem. At least it should be safe than oral medication.
12. Can it help to reduce pain during defeacation in women immediately period after delivery?
Yes. By supporting at posterior perianal region, it help the pelvic floor to take the pressure by descending feces, prevent the part of pelvic floor from being push down ward. This will prevent tension build up along the whole pelvic floor and prevent the pelvic floor trauma or episiotomy wound from being torn apart. Even in our preliminary investigation it show strong evidence it benefit episiotomy wound pain.
13. Can it use by patient after hemorrhoid surgery?
Yes. Infect it will be very helpful except the anterior perianal contracture. There is no case report but based on the logic Colorec guilde the feces more anteriorly it may cause stretching of the anterior anus scar. If this happen the patient will experience and this can easily counter by applying anterior HPS manually using own fingers during defeacation.
14. Can it be useful for with fail to improve after surgery anal fissure?
Logically, with HPS the lateral aspect will be stretched more than usual since the HPS prevent stretching of the posterior part. In patient who had undergone lateral internal sphincterotomy (LIS), with HPS the lateral aspect may be overstretched. This depends on the level of cut by the LIS. So the answer should be no.
15. For those who are having only squatting type of toilet at home, how should I do?
Best is to renovate it will be very beneficial for long run. Temporally one can fix the Colorec on chair type of toilet seat which is easily available in market.
16. I don’t defeacate at home all the time, will I benefited?
The more percentage of your defecation on Colorec the more benefit you are going to gain.
17. Will it benefit those already with vaginal prolapsed, urinary incontienence etc. (pelvic floor disorders)?
In this situation it is better compare the role of HPS to the role of crutches in osteoarthritis. HPS may not reverse the damage. But by supporting at least it will not allow the lax pelvic floor from being stretched during routine defecation. Hopefully with pelvic floor exercise ( Kegel’s Exercise ) the muscle can be strengthen.
