BOWEL INCONTINENCE

constipationDescription

  • inability to control bowel movements, resulting in involuntary soiling
  • also sometimes known as faecal incontinence.

 

Symptoms

  • Diarrhea
  • Constipation
  • Gas and bloating

 

Causes

  • Muscle damage.
  • Nerve damage.
  • constipation
  • diarrhea
  • Loss of storage capacity in the rectum.
  • surgery
  • Rectal prolapse.
  • Rectocele
  • Hemorrhoids
  • Pelvic Floor Dysfunction

 

Risk factors

  • age
  • Being female.
  • Nerve damage.
  • dementia
  • Physical disability

 

Diagnostic Tests

  • physical examination of the rectal area
  • stool culture
  • barium enema (X-ray of the large intestine, including the colon and rectum)
  • blood tests
  • electromyography (to test the function of muscles and related nerves)
  • ultrasound
  • X-ray,MRI
  • Digital rectal exam.
  • Balloon expulsion test.
  • Anal manometry.
  • Anorectal ultrasonography.
  • proctography
  • proctosigmoidoscopy
  • colonoscopy

 

Treatments

  • Anti-diarrheal drugs such as
  • Bulk laxatives such as , if chronic constipation is causing your incontinence
  • Injectable bulking agents
  • Dietary changes
  • biofeedback
  • Bowel training.
  • Sacral nerve stimulation (SNS).
  • Posterior tibial nerve stimulation (PTNS/TENS).
  • Vaginal balloon (Eclipse System).
  • surgery
  • sphincteroplasty
  • Treating rectal prolapse, a rectocele or hemorrhoids.
  • Sphincter replacement.
  • Sphincter repair (dynamic graciloplasty).
  • Colostomy (bowel diversion).

 

Medication

  • loperamide hydrochloride (Imodium) and
  • methylcellulose (Citrucel) and psyllium (Metamucil)
  • diphenoxylate and atropine sulfate (Lomotil)
  • Dextranomer Microspheres/Hyaluronate Sodium in 0.9 % Nacl (Solesta)

 

Lifestyle Management

  • dietary changes
  • kegel exercise
  • maintaining regular bowel movements
  • by keeping the pelvic muscles strong
  • proper skin care
  • apply creams/powders