The feces are formed in the colon and pass down into the rectum by the process of peristalsis. When the rectum is sufficiently distended, nerve endings in its wall signal a need for evacuation, which is made possible by a voluntary relaxation of the sphincter muscles around the outer part of the anus.
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But if you do not qualify for premium-free Part A, your Medicare costs would include a monthly Part A premium as well. You may pay for these premiums these four different ways: Pay by check, and mail your payment to: Medicare Premium Collection Center. P.O. Box 790355. St. Louis, MO 63197-0355. Pay by credit card. Complete the bottom portion of the payment coupon on your bill, and mail to the address above.