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Dr.Niraj Mahajan
Dr.Niraj Mahajan
Dr.Niraj Mahajan

FECAL INCONTINENCE

What is Fecal Incontinence / Bowel Incontinence?

Fecal Incontinence is the loss of ability to control the bowel movements causing the fecals (stool) to leak unexpectedly from the rectum.

Causes

  • Muscle damage- injury to muscles at the end of the rectum
  • damaging of nerve that sense the stool in the rectum
  • Rectum loses its storage capacity
  • Surgery
  • Constipation
  • Diarrhea
  • Haemorrhoids

When to approach the doctor?

If there are the following symptoms:

  • Not being able to control the passage of gas or stools
  • When you are not able to make it to the toilet on time

Fecal incontinence is often accompanied by other bowel Problems:

  • Diarrhea
  • Constipation
  • Gas
  • Bloating

Diagnosis Tests:

  • Digital rectal exam
  • Balloon expulsion test
  • Anal manometry
  • Anorectal ultrasonography
  • Proctography
  • Proctosigmoidoscopy
  • Endorectal ultrasound
  • Colonoscopy
  • Anal electromyography
  • MRI

Treatment

  • Anti-diarrheal medications
  • Laxatives
  • Change in diet
  • Exercises to strengthen the vital muscles to control bowel movements
  • Stool impaction treatment
  • Pelvic floor muscle training

Surgery if the patient doesn’t responds to the other treatments

  • Sphincteroplasty
  • Treating rectal prolapsed
  • Sphincter replacement

Post-treatment care is very important. Do not ignore the problem for the fear of embarrassment.

"Authored By Dr.Niraj Mahajan"

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Dr. Niraj Mahajan

MD- Gynecologist, Laparoscopic Surgeon, Uro-gynecologist , Infertility specialist & Cosmetic Gynecologist.

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