MOWOOT Device to Treat Constipation in Adults

Inclusion Criteria: * Fulfil Rome III criteria for functional constipation: include any two of the six symptoms of straining, lumpy or hard stools, sensation of incomplete evacuation, sensation of anorectal obstruction or blockage, digital manoeuvres and less than 3 defecations per week. These should be present during at least 25% of defecations for the last 3 months with symptom onset at least 6 months before the diagnosis; * Failed routine management of constipation (lack of response to non-stimulant laxatives), or subjects responding to laxative treatment but with secondary diarrhoea and faecal incontinence. * Duration of constipation more than 6 months. * If subjects have a diagnosis of multiple sclerosis (MS) or Parkinson disease (PD), it is in a stable phase (no major change in medication for 1 month). * Subject that have had no abdominal massage for at least 2 months. * Subjects bothered by their constipation. * Ability to understand the study * Ability to come to the outpatient clinic during the study * Subjects whose constipation aetiology is not only pelvic floor dyssynergia. * Ability to use MOWOOT or have someone to apply it. * Subjects that consent to participate in an informed way Exclusion Criteria: * Pregnancy or attempt to become pregnant in the next 6 months. * Subjects alternating constipation and diarrhoea (not due to laxative use) * Previous large bowel surgery * The presence of a stoma * External rectal prolapse * Active anorexia or bulimia * Mental i…