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 Wang Shuai

Urology

1min 8sec

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What are the characteristics of the various types of urinary incontinence?

There are several types of urinary incontinence, common ones include stress incontinence, urge incontinence, overflow incontinence, and true incontinence. Stress incontinence, which is common in clinical practice, primarily occurs in women, especially in those who have given birth, are obese, or are elderly. It is characterized by the involuntary leakage of urine through the urethra during coughing, laughing, or sneezing. Urge incontinence, often seen in acute bladder inflammation, usually presents with symptoms such as frequent urination, urgency, painful urination, and pain in the lower abdomen before the onset of incontinence. Overflow incontinence is more common in elderly men, caused by urinary obstructions, such as those resulting from prostatic hyperplasia compressing the urethra, leading to urinary retention. In this case, the patient's bladder area may exhibit significant distension and tenderness. True incontinence is often seen in cases of neurological damage, such as from spinal injury or intracranial disorders.

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Written by Sun Chun

Urology

1min 10sec

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Urinary incontinence includes three types: stress incontinence, urge incontinence, and overflow incontinence.

Urinary incontinence, in clinical terms, is divided into the following categories: First, there is urge incontinence, where the main symptom is that as soon as one thinks of urinating, the urine comes out uncontrollably. This is commonly seen in urinary tract infections, among other conditions. Second, there is overflow incontinence, also known as pseudo-incontinence, which is actually due to an obstruction in the lower urinary tract, leading to an overfilled bladder that naturally overflows, causing involuntary urination. Third, there is true incontinence, which occurs because the mechanism controlling the urinary tract is damaged, resulting in leaks as soon as there is a small amount of urine in the bladder. If urinary incontinence occurs, it is recommended to visit a hospital. First, a routine urine test should be conducted; second, a color Doppler ultrasound of the urinary system should be performed, which can be done while holding urine or during routine times; lastly, a urodynamic test should be carried out to examine bladder function and determine the type of urinary incontinence.

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Written by Deng Heng

Colorectal Surgery

1min 20sec

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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 Chen Yu Fei

Neurosurgery

48sec

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What should I do if spinal bifida causes fecal incontinence?

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.

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Written by Du Rui Xia

Obstetrics

51sec

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Can you sit for a long time with postpartum urinary incontinence?

When postpartum urinary incontinence occurs, it is not advisable for the mother to sit for extended periods. This is because urinary incontinence in women is primarily due to pelvic floor muscle dysfunction. Sitting for long periods is detrimental to the recovery of pelvic floor muscle function. It is recommended that women pay attention to rest, avoid prolonged walking or standing, and also avoid sitting for long periods. Rest is important, as is ensuring adequate sleep and enhancing nutrition by consuming foods rich in protein and vitamins. It is advised to seek early pelvic floor rehabilitation training at a hospital and to adhere to the rehabilitation exercises. Generally, good recovery can be achieved within six months.