What should be noted for fecal incontinence?

Written by Chen Tian Jing
Colorectal Surgery
Updated on September 25, 2024
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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.

Other Voices

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Written by Guan Hai Fang
Urology
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Where is there a specialty for urinary incontinence?

Generally speaking, urinary incontinence falls under the category of urology, though some aspects could also be seen by specialists in men's health, who can effectively treat symptoms of urinary incontinence. Generally, it is recommended that patients seek examination and treatment in public hospitals, as the treatment provided in private hospitals is often not as reliable. For patients with urinary incontinence, it is advisable to consult the urology department if visiting a hospital. The urology department primarily deals with diseases of the kidneys, ureters, bladder, and urethra. Typically, urinary incontinence involves issues with the urethra or bladder, which can lead to incontinence. Therefore, it is advisable for patients to visit a reputable public hospital and consult the urology department.

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Written by Chen Feng
Urology
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How much water should a patient with urinary incontinence drink each day?

Patients with urinary incontinence generally need a daily water intake of about 1000 to 2000 milliliters. Although those suffering from urinary incontinence may involuntarily excrete urine from the urethra, their water intake needs to be the same as that of normal individuals. Drinking more water is beneficial for the body, as it increases urine production, which can dilute the concentration of stone-forming substances in the urine, thus reducing the likelihood of developing urinary stones. Increased urine production due to higher water intake can promptly flush the urinary tract, especially washing away bacteria on the urethra, thereby reducing the chances of urinary tract infections. Furthermore, drinking more water increases urine production and promptly excretes metabolic waste products produced in the body through the urine, thus preventing the accumulation of metabolic products.

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Written by Chen Xiao Jun
Emergency Department
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Can shock cause incontinence?

Shock patients often experience incontinence, which is very common in clinical settings. Various reasons can lead to shock, causing a decrease in the body's blood pressure. This results in severely inadequate perfusion of the brain, heart, and blood vessels, leading to the loss of control over the body's urinary and fecal reflexes and resulting in incontinence. Therefore, when shock occurs, we should strengthen nursing care, actively rehydrate, and actively treat the shock. It is also important to promptly identify and treat the cause of the shock. Only comprehensive treatment can save the patient's life. Moreover, enhancing nursing care is very important for shock patients, as they are prone to suffocation and incontinence.

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Written by Deng Heng
Colorectal Surgery
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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.

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Written by Du Rui Xia
Obstetrics
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Can postpartum urinary incontinence be recovered?

Most cases of urinary incontinence postpartum in women are treatable. To manage postpartum urinary incontinence, it is essential to develop good urination habits. Patients with postpartum urinary incontinence should urinate every two to three hours. This practice can help train the bladder control muscles and enhance the new mother’s awareness of urination. Each time you urinate, try to empty the bladder completely to train the pelvic floor muscles. Regularly performing exercises that strengthen the pelvic floor muscles can increase their contraction and control abilities, alleviating cases of urinary incontinence. Most conditions can improve; however, more severe cases may require further treatment.