What should I do if spinal bifida causes fecal incontinence?

Written by Chen Yu Fei
Neurosurgery
Updated on September 15, 2024
00:00
00:00

When patients with spina bifida experience fecal incontinence, it generally indicates that the condition is quite severe and often requires prompt treatment. Many of these patients have an overt form of spina bifida. In such cases, a localized bulging mass can be found at the lower back, possibly accompanied by protruding spinal cord, meninges, and nerve roots. For these patients, early surgical intervention is recommended. Clinically, surgery is usually advised to remove the bulging mass and effectively separate and release the adhered nerve roots. If possible, it is best to reposition them back into the spinal canal to achieve the surgical treatment goals. Such surgeries are generally recommended to be performed at well-known, top-tier hospitals locally.

Other Voices

doctor image
home-news-image
Written by Chen Tian Jing
Colorectal Surgery
1min 4sec home-news-image

What should be noted for fecal incontinence?

Patients with fecal incontinence should first pay attention to the cleanliness and hygiene of the anal area. Due to fecal incontinence, there will be fecal residue around the anus, so it is important to clean up promptly when there is fecal residue. Since feces contain certain irritating substances, these can irritate the skin around the anus, causing pain, eczema, or even provoking bedsores. Therefore, patients with fecal incontinence must frequently change positions, clean regularly, and further carry out local treatment. The most common cause of fecal incontinence is relaxation of the anal sphincter. If it is confirmed that it is due to the aforementioned reason, an anal constriction surgery can be chosen to tighten the local sphincter, thereby preventing the feces from being expelled abnormally from the anus. It could also be due to the patient being elderly and frail, with a nervous system disorder, and the primary disease needs to be actively treated.

doctor image
home-news-image
Written by Chen Tian Jing
Colorectal Surgery
49sec home-news-image

Can fecal incontinence be cancer?

The most common causes of fecal incontinence are neurological dysfunction or relaxation of the local anal sphincter. In some cases of advanced rectal cancer, excessive tumor growth can enlarge the local intestinal contents, leading to involuntary expulsion of feces. Diagnosis involves further examination using electronic colonoscopy, digital anal examination, and assessment of neurological function. If the cause is related to a neurological disorder, treatment by a neurologist is required. If the cause is relaxation of the anal sphincter, then anal sphincter tightening surgery may be considered. In cases where fecal incontinence is caused by an intestinal tumor, surgery to remove the tumor is recommended, along with radiation or chemotherapy.

doctor image
home-news-image
Written by Wang Shuai
Urology
1min 2sec home-news-image

What are the symptoms of urinary incontinence?

Urinary incontinence mainly refers to the uncontrolled flow of urine from the urethral opening. There are several types of urinary incontinence, including stress incontinence, urge incontinence, overflow incontinence, tension incontinence, and neurogenic incontinence. Stress incontinence, commonly seen in women who have given birth, mainly refers to the leakage of urine from the urethral opening during actions that increase abdominal pressure, such as coughing, jumping rope, or sneezing. Urge incontinence is commonly seen in acute cases of bladder inflammation, where the inflammation stimulates the bladder, causing the patient to have a strong urge to urinate, thus losing control over urination, with urine flowing out from the urethral opening. Neurogenic incontinence is due to nerve damage, such as after spinal injury, leading to loss of bladder and urinary muscle function, causing urine to continuously flow out from the urethral opening.

doctor image
home-news-image
Written by Deng Heng
Colorectal Surgery
1min 20sec home-news-image

How is fecal incontinence treated with Chinese medicine?

How is bowel incontinence treated with Chinese medicine? Bowel incontinence, also known as anal incontinence, refers to the inability to voluntarily control bowel movements or gas due to various reasons, leading to autonomous control issues at the anus. In Traditional Chinese Medicine (TCM), treatment is divided into herbal medicine therapies and non-medicinal treatments. Herbal medicine treatment can be classified into several types, primarily the Qi Deficiency and Sinking type and the Spleen and Kidney Deficiency type. Each type utilizes different herbs. The Qi Deficiency and Sinking type, characterized by inability to control bowel movement and gas, anal prolapse, fatigue, poor appetite, a thin white tongue coating, and a fine pulse, is typically treated with Bu Zhong Yi Qi Tang. The Spleen and Kidney Deficiency type, which includes symptoms such as difficulty in controlling bowel and gas, sensation of dullness, dizziness, tinnitus, sore waist and knees, a thin white tongue coating, and a weak and fine pulse, is mainly treated with Jin Gui Shen Qi Wan, with an added dose of Bu Zhong Yi Qi Tang, indicating a somewhat more severe condition compared to the Qi Deficiency and Sinking type. Medications should be used under the guidance of a physician.

doctor image
home-news-image
Written by Zhou Yan
Geriatrics
53sec home-news-image

What should elderly people do if they have slight urinary incontinence?

Urinary incontinence is relatively common in the elderly. After excluding organic causes of urinary incontinence through examination, we should consider functional causes. This is mainly due to the relaxation of the urethral sphincter, pelvic floor, and the muscles around the urethra, which decreases the urethral pressure. When the abdominal pressure increases, it can cause urinary incontinence. We can improve the muscles of the pelvic floor gradually by undergoing pelvic floor rehabilitation therapy, which increases their strength and improves urinary incontinence. The key to pelvic floor rehabilitation is to provide patients with guidance and exercises for lifting the anus. By persisting in these exercises, the symptoms of urinary incontinence can be alleviated or eliminated.