Bowel incontinence is the loss of bowel control, causing you to pass stool unexpectedly. This can range from sometimes leaking a small amount of stool and passing gas, to not being able to control bowel movements. Urinary incontinence is when you are not able to control passing urine. Incontinence can result from different causes and might occur with either constipation or diarrhea.
Symptoms: They Can't control the passage of gas or stools, which may be liquid or solid, from their bowels. May not be able to make it to the toilet in time. Fecal incontinence may be accompanied by other bowel problems, such as: Diarrhea Constipation Gas and bloating.
Diagnosis: Digital rectal exam. Your doctor inserts a gloved and lubricated finger into your rectum to evaluate the strength of your sphincter muscles and to check for any abnormalities in the rectal area. During the exam your doctor may ask you to bear down, to check for rectal prolapse. Balloon expulsion test. A small balloon is inserted into the rectum and filled with water. You are then asked to go to the toilet and expel the balloon. The length of time it takes to expel the balloon is recorded. A time of one minute or longer is usually considered a sign of a defecation disorder. It also have some of the tests such as Anal manometry, Anorectal ultrasonography, Proctography, Proctosigmoidoscopy.
Treament: Depending on the cause of fecal incontinence, the options include: Anti-diarrheal drugs. Laxatives, if chronic constipation is causing your incontinence. Medications to decrease the spontaneous motion of your bowel.
Epidemology: FI is a common symptom, with a prevalence that ranges from 7 to 15% in community-dwelling men and women, but it is often underreported, as providers seldom screen for FI and patients do not volunteer the symptom, even though the symptoms can have a devastating impact on the quality of life. Rough estimates suggest that FI is associated with a substantial economic burden, particularly in patients who require surgical therapy. Bowel disturbances, particularly diarrhea, the symptom of rectal urgency, and burden of chronic illness are the strongest independent risk factors for FI in the community. Smoking, obesity, and inappropriate cholecystectomy are emerging, potentially modifiable risk factors.