What is faecal incontinence? - Health

What is faecal incontinence?

Fecal incontinence is the loss of the ability to control the bowel movement, which causes involuntary bowel movement and unauthorized excretion of stools, and this may range from involuntary intermittent passage of small amounts of stool or passing stool during the passage of gas to the complete loss of the ability to control the process Some people with fecal incontinence may feel a sudden need to go to the toilet, but they cannot reach it in time, and some of them do not even feel the need for stool to leak from them unconsciously during daily activities or exercise, and this disease causes discomfort and discomfort, but it usually gets better with treatment In this article, we answer the question of what is fecal incontinence? We also learn about its symptoms and its treatment options, so stay tuned.

What is faecal incontinence?

Fecal incontinence is a common problem, especially among the elderly, and it is usually not dangerous, but it may interfere with daily life and cause withdrawal from social activities, and one of the most common causes of this disease is damage to the muscles around the anus (anal sphincter) or the nerves feeding it, as in normal childbirth, Or due to a defect in the functions of the rectum (the lower part of the end of the large intestine) or the pelvic muscles, and among the causes of this disease also:

  • Fecal impaction due to chronic constipation, which may cause the stool to become stuck and hardened, weakening the sphincter muscle, and over time it cannot control stool.
  • Diarrhea or loose or liquid stool, which leads to a sudden need to be removed, if the person does not accelerate the stool leakage.
  • Hemorrhoid disease, especially external hemorrhoids , that may block the sphincter muscle from closing completely, leading to the involuntary leakage of soft stools.
  • Damage to the sphincter that prevents the muscles from completely contracting and completely closing the anus, due to injury, constipation, or surgery in or side of it.
  • Damage to the nerves that control the movement of the sphincter muscle, which causes it not to close completely, due to injury during natural childbirth or because of chronic constipation, strokes, diabetes, or multiple sclerosis .
  • Pelvic floor weakness, and it can occur due to natural childbirth as well, which damages the pelvic muscles and nerves, and you may not notice it in time, but its symptoms appear later.
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Symptoms of faecal incontinence

Fecal incontinence may occur temporarily during a bout of diarrhea, but for some people it may be chronic or recurring, so the urge to pass comes so suddenly that the owner cannot reach the toilet in time, or it comes as another type of fecal incontinence in which the owner does not feel the need to pass. Stool leaks out unconsciously, and fecal incontinence may accompany other intestinal problems, such as: Volume 0%

  • Soft or liquid stools (diarrhea).
  • Gas or bloating.
  • Abdominal pain and cramps.
  • Difficulty passing stools or irregular bowel movements, as in constipation.
  • Itching or irritation in the anus.

The stool that comes out unintentionally may be a small piece, liquid or solid, and episodes of fecal incontinence may be daily, weekly, or monthly.

But what are the treatment options for faecal incontinence? This is what we answer in the following.

Fecal incontinence treatment

The treatment of faecal incontinence depends on its cause, and the treatment aims to restore control of excretion or reduce the severity of the disease, and treatment options for it include medications, dietary changes and muscle exercises, and the condition may need surgical intervention, and treatments include:

  • Anti-diarrhea medicine, such as loperamide or Imodium, if it is caused by diarrhea.
  • Laxatives, such as milk of magnesia, methylcellulose, or psyllium, if that is what causes chronic constipation.
  • Retraining the intestine by following a system to stimulate the bowel to pass, by sitting on the toilet at certain times every day, and using laxatives in the form of suppositories (suppositories) to stimulate bowel movements.
  • Doing exercises for contracting pelvic muscles ( Kegel exercises ), which strengthen the pelvic muscles and may reduce fecal incontinence.
  • Changing dietary habits by drinking plenty of water and fluids and eating fiber, to relieve constipation.
  • Solista, a gel injected into the wall of the anus to increase the volume of rectal tissue, which reduces or completely treats fecal incontinence by narrowing the anus and closing it well.
  • Surgery as a last resort if previous procedures do not work.