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Doctor insights on: Bowel Incontinence In The Elderly

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How common is fecal incontinence in the elderly?

How common is fecal incontinence in the elderly?

Common: At least to some degree. Urinary incontinence is more common there is some promising research into slings for this type of incontinence just like with urine. ...Read more

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Intestine (Definition)

The gastrointestinal tract starts at the mouth, travel down the tunnel (esophagus), which connects to the stomach, which then empties into the duodenum, jejunum, and ileum---the three parts of the small intestine (@25 feet). This empties into the colon or large intestine (about 5 feet), which then becomes the sigmoid colon, rectum and out the anus. So, every morsel eaten ...Read more


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Is incontinence a problem seen mostly in the elderly?

No: We hear about it a lot in older patients because it can really affect their life. However, we see incontinence in all ages especially in women. The great news is it can usually be cared for once the reason for the leakage is identified. Look at www.Nafc.Org (national assoc for continence) for more information. ...Read more

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What are the complications of bowel obstipation in kids?

What are the complications of bowel obstipation in kids?

Chronic constipation: Can lead to encopresis, (liquid stool leaking around impacted stool), distention of the colon, difficulty toilet training, stool with-holding; also, diverticulosis/ diverticulitis & possible increased incidence of colon cancer in one's 40's. It requires thorough clean-out with go-litely or enemas, then MiraLAX (polyethylene glycol) & bowel re-training for at least 6 mos, aiming for soft stools at least every other day. ...Read more

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What is the average compensation for bowel injuries, resulting in a stoma bag?

What is the average compensation for bowel injuries, resulting in a stoma bag?

Legal not medical: This is a question that needs to be answered by an attorney. Would probably also depend on whether is is temporary or perminent colostomy ...Read more

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What causes the inability to control urine (bed wetting) in elderly especially at night?

What causes the inability to control urine (bed wetting) in elderly especially at night?

Weaker pelvic muscle: Weaker internal & external urinary spincters. Increase in women after multiple childbirth and men with large prostates. Also nervous system may be less responsive with age, especially the bladder control mechanism in the brain. Can be affected by reduced blood flow to certain ares of brain & advancing senility. Also ? Kidneys less able to reabsorb urinary water after filtration from blood. ...Read more

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Why the patient with multiple sclerosis develop urinary incontinence?

MS lesions in CNS: Bladder dysfunction, which occurs in at least 80 percent of people with MS, happens when MS lesions block or delay transmission of nerve signals in areas of the central nervous system that control the bladder and urinary sphincter. See your neurologist for further discussion. http://www.healthline.com/health/multiple-sclerosis/incontinence ...Read more

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Urinary frequent accidents and "potty pain" due to infection in elders?

Urinary frequent accidents and "potty pain" due to infection in elders?

Treat the infection: If an elderly person is having accidents and pain with urination get them treated right away. Some elderly people need to be on daily antibiotics to keep infections away. ...Read more

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Can diverticulitis play a role in herniation of the colon?

Can diverticulitis play a role in herniation of the colon?

No.: These are two separate diagnoses. A hernia is a hole in the abdominal wall through which the colon may protrude, albeit rarely. Diverticulitis is inflammation of the colon brought about by the rupture of a diverticulum. ...Read more

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Does colon resect surgery result in blood in the urine?

Does colon resect surgery result in blood in the urine?

Not directly: If there has been surgical trauma to a ureter or bladder there could be some blood in the urine, but the removal of all or part of the colon with re-anastamosis or stoma formation would not cause hematuria. Trauma from foley placement could cause microscopic or even gross hematuria. Good luck. ...Read more

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Is dropping bladder a cause of stress incontinence in women ?

Associated: They occur commonly together, but not always. ...Read more

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Can excess stool in the colon cause general intestinal "rumbling"? Can excess stool in the colon cause backup into the small intestine? What exams?

Can excess stool in the colon cause general intestinal "rumbling"? Can excess stool in the colon cause backup into the small intestine? What exams?

Associated problems: "Excess stool in the coloin" implies a motility disorder of the colon. A motility problem can involve multiple organs in the GI tract. Stool does not generally back up from the colon into the small intestine, other than during episodes of colon obstruction. ...Read more

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Does the mesh implant to treat stress urinary incontinence resulted in complications?

Does the mesh implant to treat stress urinary incontinence resulted  in complications?

A urethral sling: is a thin strip of mesh that is used to support only the urethra. This particular use of mesh has been very thoroughly studied and has a low (NOT zero) risk of serious complications and a high (85-90% in most cases) success rate. If your surgeon is experienced with these devices and you have been properly evaluated, it is a reasonable recommendation. I hope this helps ...Read more

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Is loss of bladder control the same thing as incontinence?

Is loss of bladder control the same thing as incontinence?

Yes: There are several types of incontinece, urge, stress and overflow. Urge incontinence may require medication. Stress incontinence may respond to exercise or a quick in office procdure called renessa. Other surgeries are more extensive. Timed voiding, justy emptying your bladder every your or 2 can go a long way toward managing the problem. Renessa is new. You can contact me about it. ...Read more

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Why do a spinal cord injuries usually result in the loss of voluntary bladder tone?

Why do a spinal cord injuries usually result in the loss of voluntary bladder tone?

Nerve damage: Spinal cord injuries usually result in nerve injuries. Thus, nerves that travel to or from the bladder may become severed. The bladder muscle needs nerve connection to the spinal cord to maintain tone. Damage to nerves leaving the bladder can lead to loss of bladder sensation. Same applies to the muscles which cotrol the urinary sphincters and hence can affect urinary continence. ...Read more

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Can a daily routine (years) of excessive straining on the bowel cause a loss of peristalsis in the colon? What is the chance of diverticulitis?

Can a daily routine (years) of excessive straining on the bowel cause a loss of peristalsis in the colon? What is the chance of diverticulitis?

NO: The straining won't cause loss of normal gut motility, but it could cause anorectal problems, such as hemorrhoids. I suggest you focus on a good, fibre rich diet, good hydration, and add a bulk laxative to your daily regimen. These steps will not only help your bowel function, thus reducing your need to strain, but will also reduce your risk of diverticular disease. Good luck. ...Read more

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What cause pressure in the rectum eve after a bowel movement?

What cause pressure in the rectum eve after a bowel movement?

Rectal spasm: Motility, compliance ; sensation of the rectum are important to fecal continence. Assuming you have undergone appropriate testing to rule out structural ; inflammatory causes (had colonoscopy?), hypersensitivity to distension ; abnormal motility patterns in the rectum are common. Clinical testing distinguishes ibs from levator ani muscle dysfunction, sphincter dysfunction, dyssynergia, proctalgia. ...Read more

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Is lubrication used for urinary catheterisation in case of spinal epidural in men?

Is lubrication used for urinary catheterisation in case of spinal epidural in men?

Lidocaine jelly: In can be put in after the spinal block is done so you do not feel it. The catheter can be rubbed with Lidocaine (numbing) jelly. ...Read more

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What causes the disability to control urine (bed wetting) in elderly, specifically at night?

What causes the disability to control urine (bed wetting) in elderly, specifically at night?

It varies: Use of water pills, use of narcotic pain meds, loss of specific nerve in the bladder, loss of bladder control due to structural or mechanical problems (such as tumor or trauma) may cause accident in the bladder thus possible bedwetting or incontinence. So please check with the physician. ...Read more

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Are e.Coli infections severe in the elderly?

Are e.Coli infections severe in the elderly?

Can be: The elderly, due to diminished immune function, can react more severely to all infections, including e. Coli infections. This is also true with colds, flu's, influenza, etc. When the elderly (or very young) get sick, be more diligent in getting them to the doctor. ...Read more

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Dr. Scott Beard
572 doctors shared insights

Incontinence (Definition)

Incontinence denotes involuntary leaks of body wastes from urethra or anus; that from urethra is urinary incontinence, which may be classified as stress, urge, mixed (stress + urge), total, & overflow urinary incontinence, signifying its timing & specifics; that from anus is fecal incontinence, which may be urge, stress, total, etc. reflecting the ...Read more


Dr. Thomas Fiala
1 doctor shared a insight

Bowel Incontinence (Definition)

Bowel incontinence is the loss of bowel control, leading to an involuntary passage of stool. This can range from occasionally leaking a small amount of stool and passing gas, to completely losing control of bowel movements. Causes are numerous but include neurological, psychiatric, gynecologic, dietary and traumatic causes. Referral to a colorectal surgeon ...Read more