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Home > Categories > Health and Beauty > Hygiene > View Advice  

Query from: Bob Smith, United States of America, 10/05/06
Topic: HYGIENE      Submitted on: Ammas.com
Subject: Unpredictable leakage, after bowle movement

I have a friend that seem to have Unpredictable leakage after bowle movement. He has to take a few trips to that bathroom for wiping and cleaning. This is causing big social embarassment. What is the and how can it be treated ?

Rate = 3 (Rated by 5 Council Members)
[ This query closed ]
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Response from: prity prabh,   
Featured Member on Ammas.com
u friend maybe suffering from Bowel incontinence or Fecal incontinence,it is better to go to doctors immediately. Causes
    Fecal incontinence can have several causes:

  • Constipation

  • damage to the anal sphincter muscles

  • damage to the nerves of the anal sphincter muscles or the rectum

  • loss of storage capacity in the rectum

  • diarrhea

  • pelvic floor dysfunction
    Diagnosis
  • The doctor will ask health-related questions and do a physical exam and possibly other medical tests.

  • Anal manometry checks the tightness of the anal sphincter and its ability to respond to signals, as well as the sensitivity and function of the rectum.

  • Anorectal ultrasonography evaluates the structure of the anal sphincters.

  • Proctography, also known as defecography, shows how much stool the rectum can hold, how well the rectum holds it, and how well the rectum can evacuate the stool.

  • Proctosigmoidoscopy allows doctors to look inside the rectum for signs of disease or other problems that could cause fecal incontinence, such as inflammation, tumors, or scar tissue.

  • Anal electromyography tests for nerve damage, which is often associated with obstetric injury.
    Treatment
  • Treatment depends on the cause and severity of fecal incontinence; it may include dietary changes, medication, bowel training, or surgery. More than one treatment may be necessary for successful control since continence is a complicated chain of events
  1. for more information u can go to these sites and take ur friend to a doctor http://digestive.niddk.nih.gov/ddis…
  2. http://www.mayoclinic.com/health/fe…
  3. http://familydoctor.org/067.xml…
  4. http://www.aboutincontinence.org/…
  5. http://www.aboutincontinence.org/ca…

Rate = 3 (Rated by 4 Council Members)

 
Response from: Geetha Gopakumar,   
Council Member on Ammas.com
Uncontrollable passage of feces; Loss of bowel control; Fecal incontinence; Incontinence - bowel

Bowel incontinence is the loss of bowel control, resulting in involuntary passage of feces. This can range from an occasional leakage of stool with the passage of gas to a complete loss of control of bowel movements.

Urinary incontinence, a separate topic, is the inability to control the passage of urine.

Considerations Return to top

Among people over the age of 65, women more frequently experience bowel incontinence, with 13 out of every 1,000 women reporting loss of bowel control.

The most common cause of bowel incontinence, ironically, is constipation. Constipation causes the muscles of the anus and intestines to stretch and weaken. The weakened muscles will prevent the rectal sphincter from tightly closing thus resulting in leakage of stool. Weakened intestinal muscles will further slow down the transit time of the bowels, making it difficult to pass stools and further worsening the constipation.

Chronic stretching of the anal and intestinal muscles can also make the nerves of the anus and rectum less responsive to the presence of stool in the rectum.

The ability to hold stool and maintain continence requires normal function of the rectum, anus, and the nervous system. Additionally, the person must possess the physical and psychological ability to recognize and appropriately respond to the urge to defecate.

Problems with incontinence should be reported to the health care provider. Incontinence is not a hopeless situation. Proper treatment can help the majority of people, and often the problem can be eliminated altogether.

Common Causes Return to top

chronic constipation or impacted stool in the rectum leading to diarrhea and stool leakage around the impacted stool (see encopresis) severe diarrhea that overwhelms the ability to control passage of stool In women, injury to the anal sphincter muscles due to childbirth stress of unfamiliar environment decreased awareness of sensation of bowel fullness nerve or muscle damage (from stroke, trauma, tumor, or radiation) emotional disturbance (psychological) gynecological, prostate, or rectal surgery severe hemorrhoids or rectal prolapse colectomy or bowel resection surgery chronic laxative abuse Home Care Return to top

Treatment of bowel incontinence should begin with identifying the cause of the incontinence and taking measures to correct the dysfunction. There are several measures that can be taken to promote normal bowel function and enhance the tone of the rectal sphincter.

Please download the attachment.

Uncontrollable passage of feces.doc (51.2k)

Rate = 3 (Rated by 3 Council Members)
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Response from: NEERAJA NAVEEN,   
Registered Member on Ask Agent
Every person is different, not only in the type of injury but in personal habits, such as the time of day bowel movements usually occur, dietary likes and dislikes, and the amount of fluids taken during the day. Daily activities play an important part in bowel planning such as working hours

Safe Use of Oils Mineral oil, castor oil, or milkinol used on a regular basis should be avoided because the bowel can be overly coated with the oil, and this prevents the absorption of vital nutrients and fluids, and causes overly soft or runny stool. These oils are useful only when you have severe constipation or impaction.

Fluid Fluid intake is another important part of a good bowel program. Drinking at least 6 to 8 glasses of liquid daily will provide enough moisture to keep the stool from becoming too dry and hard. Dry, hard stools are hard to get out and can lead to hemorrhoids. Limit the amount of alcohol you drink, if any. Alcoholic drinks cause bowel accidents and disrupt your daily schedule.

High Fiber Diet High fiber foods provide enough bulk to help form normal consistency stools, some examples of high fiber foods are:

Grains:

Bran (Bran cereals/muffins/breads) Whole wheat (bread/rolls/cereals) Oat (Oatmeal/cereals/cookies/muffins) Rice (whole-grain unbleached)

Fruits:

apples, apricots, bananas, oranges, peaches, plums, prunes, raisins .

Vegetables:

beans* , peas , celery, turnips* , plantains, yucca, mustard greens* , potatoes , cucumber, cauliflower* , tomatoes , onion , cabbage* , yams, lentils, broccoli, mushrooms , green peppers, beets .

* These foods are gas formers, large amounts are not good.

This list is not meant to provide you with all the high fiber foods, but to give you an idea of the variety of foods that you can include in your diet. For additional lists you can look in your favorite cook-book. Often there is a very complete list of high fiber foods.

Medicines There are many different medicines used to help your bowel program. Some of the medicines listed will be familiar to you.

Stool Softeners: Stool softeners act by pulling fluid into the colon to make the stool a softer. These medicines are mild and the only side effect to be expected is too soft or liquid stool if too much is taken. Soft softeners are non-habit forming and they are safe.

Some examples of stool softeners are:

Colace®

Surfak®

Senokot® tablets act specifically on the colon. It is gentle and produces well formed stools within 8 to 10 hours. It has no side effects such as abdominal cramping or diarrhea.

see in the link :

http://um-jmh.org/body.cfm?id=7501…

Rate = 3 (Rated by 3 Council Members)

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Response from: Lathaa Manavalan,   
Council Member on Ask Agent
your friend can go to a Gastroenterology and Liver Diseases specialist. And this may be due to some infection in bowel or rectum. So Doctor may tell the result after a colonscopy. There are various factors and a doctor will explain you well .

Rate = 2 (Rated by 3 Council Members)

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Response from: Keep Smiling .,   
Council Member on Ammas.com
Fecal incontinence is the inability to control your bowel movements, causing stool (feces) to leak unexpectedly from your rectum. Also called bowel or anal incontinence, fecal incontinence can range from occasional leakage of a small quantity of stool while passing gas to a complete loss of bowel control.

If you leak large amounts of stool frequently, consider applying a moisture-barrier cream to prevent direct contact between irritated skin and feces. Ask your doctor to recommend a product. Be sure the area is clean and dry before you apply any cream. Nonmedicated talcum powder or cornstarch also may help relieve anal discomfort. Wear cotton underwear and loose clothing and change your soiled underwear quickly. If you use pads or adult diapers, be sure they have an absorbent wicking layer on top; this layer wicks moisture away from your skin.

Some people with fecal incontinence may require surgery. Examples where surgery may be beneficial include women who have fecal incontinence due to anal sphincter damage caused by childbirth, or in patients with rectal prolapse. A sphincteroplasty is an operation to repair a damaged or weakened anal sphincter. Other operations, such as an artificial sphincter or a muscle transplant (graciloplasty) are not done very often because they are often associated with complications. A colostomy is the last resort to treat fecal incontinence. A colostomy is an operation that diverts stool through an opening in the abdomen instead of through the rectum. A special bag is attached to this opening to collect the stool.

There are many options to help patients with fecal incontinence. Make an appointment with a gastroenterologist for an evaluation.

For more details about the treatments, please visit: http://www.gi.org/patients/gihealth…

Rate = 3 (Rated by 3 Council Members)

 
Response from: Badshah .,   
Council Member on Ammas.com
Dear Bob, Tell your friend to follow instructions on site below: http://www.um-jmh.org/body.cfm?id=7…

Rate = 1 (Rated by 3 Council Members)

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Response from: Akilesh R,   
Registered Member on Ammas.com
Disclaimer: this is for informative purposes only and CANNOT replace the opinion/consultation of a qualified medical professional. ---- This is called fecal incotinence. Fecal incontinence is the inability to control one's bowels.

An doctor needs to be consulted to find out the best option(s).

Treatment options: 1. Dietary changes 2. Muscle exercises ->that increase anal muscle strength. 3. Biofeedback retraining 4. Surgical options

Conclusion: A qualified medical professional is to be consulted for best treatment options available.

Links that might help you learn more about fecal incontinence: 1. http://en.wikipedia.org/wiki/Fecal_…

2. http://www.mayoclinic.org/fecal-inc…

Rate = 2 (Rated by 3 Council Members)

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