The Role of Functional GI Testing in Comprehensive Colorectal Health

Published on Mar 3, 2025

Introduction

Early detection and comprehensive colorectal health care are essential for improving patient outcomes and quality of life. Many patients experience persistent GI symptoms that require more than just structural testing like colonoscopy and imaging—they need functional assessments to uncover the underlying cause of their discomfort and concerns.

Screening vs. Functional Testing: Why Clinics Need Both

Clinicians know that colorectal health is more than just cancer detection—it’s about ensuring patients have healthy, functional GI systems. While colorectal screenings are crucial, they don’t assess muscle function, rectal sensation, or coordination of the pelvic floor—all of which can contribute to ongoing GI symptoms.

Colorectal Cancer Screenings (e.g., Colonoscopy, Imaging)

  • Detect polyps, tumors, and structural abnormalities

  • Identify inflammation and other visible GI conditions

  • Rule out colorectal cancer as a cause of symptoms

Functional GI Testing (e.g., Anorectal Manometry with mcompass®)

  • Assesses muscle strength, coordination, and rectal sensation

  • Identifies pelvic floor dysfunction, outlet dysfunction constipation, and incontinence

  • Helps differentiate between structural and functional disorders, preventing unnecessary treatments

By integrating both structural and functional testing, clinicians can provide a more accurate diagnosis and personalized treatment plans for their patients.

How Functional Testing Enhances Colorectal Patient Care

Pre-Screening Clarity

Many patients with chronic constipation or incontinence undergo colorectal screenings, only to find no visible abnormalities. This can lead to frustration and misdiagnosis. ARM helps differentiate between functional GI disorders and structural issues, ensuring patients receive the right care sooner.

Post-Treatment Recovery & Surgical Outcomes

For patients recovering from colorectal cancer surgery or bowel resections, functional issues can arise due to nerve damage or muscle dysfunction. ARM provides objective data on anorectal function, helping guide biofeedback therapy, rehabilitation strategies, and long-term recovery.

Reducing Unnecessary Medications & Procedures

Patients with undiagnosed functional GI disorders are often prescribed laxatives, anti-diarrheal medications, or undergo unnecessary procedures—without addressing the real issue. Functional testing helps prevent overtreatment by ensuring clinicians have the right diagnostic data to guide care.

Enhancing GI Diagnostics with mcompass®

Providing comprehensive colorectal care means ensuring functional disorders aren’t overlooked. Many patients suffering from chronic constipation, incontinence, or unexplained GI symptoms require more than imaging to identify the root cause of their discomfort. Anorectal Manometry (ARM) with mcompass® gives clinics the ability to assess muscle function, coordination, and the reflexes and sensation inside the rectum. By incorporating mcompass® into your practice, you can expand your diagnostic capabilities, improve workflow efficiency, and provide more holistic, patient-centered care.

Conclusion

Colorectal health goes beyond cancer screenings—comprehensive care requires both structural and functional assessments. While screenings detect polyps and tumors, many patients experience chronic GI symptoms that stem from functional disorders like pelvic floor dysfunction, chronic constipation, and fecal incontinence. By integrating Anorectal Manometry (ARM) with mcompass®, clinics can provide a complete diagnostic approach, ensuring patients receive accurate diagnoses and targeted treatments.

Ready to enhance your clinic’s approach to GI diagnostics? Contact us today to learn how mcompass® can help improve patient outcomes and practice efficiency.


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