The most important and relevant symptoms of colonic dysfunction are di
arrhea, constipation, urgency, and pain. Despite the efforts of many i
nvestigators over several decades, the motor physiology of the human c
olon is still relatively obscure. In practice, measurements of transit
are the best characterized and most widely available tests of colonic
motor function. Colonic hypersensitivity, implying an abnormality of
afferent signalling, is assuming greater importance in the pathophysio
logy of conditions as common as irritable bowel syndrome and inflammat
ory bowel disease.