What department should I go to for fecal incontinence?

Written by Chen Tian Jing
Colorectal Surgery
Updated on September 02, 2024
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"Fecal incontinence requires registration at a colorectal surgery department for consultation. The causes of fecal incontinence mainly include neurogenic and local organic lesions of the anus. If it is due to neurogenic reasons, then it is necessary to coordinate with a neurology department to examine whether the local contraction function of the anus has deteriorated, leading to relaxation of the anal sphincter or incontinence during defecation. If there is an organic lesion in the anal sphincter, especially when the tightness of the sphincter increases leading to excessive relaxation of the anal sphincter, this can also cause fecal incontinence. To treat fecal incontinence, one can opt for local surgery to tighten the relaxed anal sphincter, thereby preventing feces from involuntarily leaking out of the anus."

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Written by Chen Tian Jing
Colorectal Surgery
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What department should I go to for fecal incontinence?

If there is fecal incontinence, it is first necessary to determine the cause. If the incontinence is due to general neurological symptoms and neuropathy, then it is necessary to register for a neurology department consultation. If it is due to relaxation of the local anal sphincter, then registration with the proctology department is needed. Generally, for local sphincter relaxation causing fecal incontinence, an anal sphincter tightening procedure can be opted for, to provide local symptom relief. Additionally, it is important to also consider coordinating with traditional Chinese medicine enemas, which can enhance the mucosa within the rectum.

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Written by Yang Dong
Colorectal Surgery Department
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How to recover from fecal incontinence?

For fecal incontinence, we must first conduct an effective evaluation and complete relevant examinations. For instance, we need to perform anal canal pressure measurements and examine the anal sphincter muscle imaging. Through these examinations, we can determine the extent of fecal incontinence and then adopt corresponding treatment methods. For fecal incontinence, we can initially choose conservative treatments, such as treatment with biofeedback therapy.

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Written by Wang Shuai
Urology
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Stress urinary incontinence clinical manifestations

The primary clinical manifestation of stress urinary incontinence is the leakage of urine from the urethra when sudden increases in intra-abdominal pressure occur, such as laughing, sneezing, or coughing. This condition is commonly seen in women who have given birth. It is mainly caused by the relaxation of the urethral sphincter and pelvic floor muscles after childbirth. The more childbirths a woman has, the higher the frequency of stress urinary incontinence. For mild symptoms, improvement can be achieved through pelvic floor muscle exercises. If necessary, medications such as Midodrine Hydrochloride tablets can be taken orally. For severe symptoms, surgery is recommended. (Medication should be used under the guidance of a doctor based on specific circumstances.)

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Written by Chen Tian Jing
Colorectal Surgery
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Can fecal incontinence be recovered?

If fecal incontinence occurs, the first step is to identify the main cause of the fecal incontinence. If it is caused by relaxation of the anal sphincter and anal canal, then surgery can be performed to tighten this area, specifically through an anal tightening procedure, which can restore control over fecal incontinence. If the patient has other underlying diseases or is elderly and frail, accompanied by changes in the nervous system, the symptoms of fecal incontinence may be alleviated through medication or physical therapy, but complete recovery is unlikely. This is because the recovery of the nervous system requires the integrated regulation of other bodily organs and functions. If there are multiple underlying diseases or if the patient is elderly and frail, especially in the later stages of coma, recovery is difficult.

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Written by Chen Yu Fei
Neurosurgery
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Does spinal bifida cause urinary incontinence during the day?

For patients with spina bifida, if it is occult spina bifida, they generally exhibit nocturnal enuresis, with rare instances of urinary incontinence during the day. For patients with manifest spina bifida, they may experience urinary incontinence during the day. Therefore, for patients with manifest spina bifida, it is usually recommended to perform surgical treatment at an early stage, with earlier surgery leading to better outcomes. It is generally advised for patients with manifest spina bifida to undergo surgery to effectively remove the locally protruding mass and to carefully clear the adherent nerve roots below, while monitoring changes in the patient's condition.