Doctor insights on:
Fecal Incontinence Post Colonoscopy
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
The tests for Fecal incontinence include:: Anorectal manometry, C reactive protein, Complete blood count, Electromyography, MRI of entire spine with and without contrast, Free T4, Rectal biopsy, Sigmoidoscopy, Stool culture, Sweat chloride test, Thyroid stimulating hormone, Tissue transglutaminase IgA, Xray of abdomen. ...Read more
See a doctor: I would follow up with a urogynecologist or colorectal surgeon for a full evaluation. Fecal incontinence can occur because of damage to the sphincter muscle or from nerve disorder. In the meantime, try increasing fiber in diet or with supplements. Sometimes a more firm stool is easier to hold in. Look for Butterfly pad at Target or Walmart, pad made for fecal incont. ...Read more
Sphincter can't shut: In rectal prolapse the sphincter is generally intact but because the rectum is coming out of the anus it is in a somewhat open position and although constipation is the most frequent cause of prolapse once the prolapse is full thickness any loose stool will likely escape. ...Read more
Depends on cause: There are many causes for fecal incontinence ranging from nerve injury due to diabetes or trauma from childbirth. The treatment depends on the cause. Generally you want to reduce or eliminate things that increase colon motility such as caffeine & add enough fiber to make your stools formed and firm since loose stools are harder to control. Pelvic floor training can make the muscles work better. ...Read more
Ultrasound: Endoanal ultrasound is common. A specialized prob is inserted into the rectum and ultrasound images are obtained to evaluate the muscles of the anal sphincter. If defects are noted they may be repaired ...Read more
Both situations: Are not healthy for an individual on a chronic basis. Neither should be ignored if the condition is chronic or more than just occasional. See your primary doctor and if necessary they will refer you to the appropriate specialist. ...Read more
Is a anorectal manography used to help diagnose the cause of constipation and fecal incontinence?
I have a Malone ACE. I'm having trouble figuring out what to use to produce a BM without having fecal incontinence. I was never instructed on how to?
OTC stool softener: Start out with a stool softener such as colace or miralax. A stool softener will only retain moisture in your stool. Avoid laxatives since laxatives cause contractions and spasms of your colon to induce a bowel movement. If you use colace, ask for it at your pharmacy, use once or twice daily. You can taper it to once daily or increase it if you need to. Drink lots of water. ...Read more
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