Faecal Incontinence: Management Strategies
Faecal incontinence is the failure to manage defecation; in other words one may lose control over passage of faeces or gas and make it to leak suddenly. Whatever the cause, faecal incontinence can be unpleasant. Do not avoid speaking to your physician regarding this issue. Therapies can improve faecal incontinence as well improve ones lifestyle.
Causes of Faecal Incontinence
- Giving birth
- Injury to the rings of muscular tissue at the end of the anus (rectal sphincter) might make it challenging to hold stool back successfully. This kind of damages can happen throughout giving birth, especially if you have an episiotomy or forceps are utilized throughout delivery.
- Road traffic Mishap or accident
- Industrial Trauma
- Fracture of the Pelvis
- Diabetic issues mellitus
- Multiple sclerosis
- Chronic Constipation
- Persistent Diarrhoea
- Anorectal Surgical treatment
- Radiation treatment
- Inflammatory bowel disease
- Haemorrhoid or piles Surgery
- Fistula-in-ano Surgery
- Surgery for Fissure
- Rectocoele
Sequele
Psychological distress. The loss of dignity related to loosing control over one’s bodily functions can bring about embarrassment, dissatisfaction and likewise depression. It’s usual for individuals with faecal incontinence to try to hide the difficulty or to stay away from social communications and engagements. Marital problems too emerge in this situation.
Skin irritation. The skin around the anus is delicate as well as also fragile. Repeated contact with stool can cause pain and irritability, in addition to potential occurrence of sores (ulcers) that call for medical treatment.
Investigations:
A number of tests are available to assist establish the type and cause of faecal incontinence:
Management of Faecal Incontinence
1. Drugs and medications.
A number of tests are available to assist establish the type and cause of faecal incontinence:
If muscle damage is creating faecal system incontinence, your medical professional might recommend a program of workout in addition to other therapies to recover muscular tissue function. These therapies can increase anal sphincter control in addition to the understanding of requirement to excrete. These may include:
- Kegel exercises.
- Biofeedback Exercises
- Digestive tract re-training
- Bulking agents
3. Implanting a device that sends out little electrical impulses continually to the nerves which can improve power in the sphincter muscles.
4. Surgery for Faecal Incontinence
Surgical treatment stays the pillar of therapy where there is damages to the controlling muscular tissues, which are called anal sphincter complex.
Surgeons recognize a damaged area of muscle mass along the defect and then proceed to free its sides from the surrounding tissues. They afterwards bring the muscle edges back with each other to fill the gap and make the ring intact again; and also sew them in an overlapping style, boosting the muscle as well as also tightening the sphincter.
Colostomy (colon diversion). This medical treatment diverts faeces via an opening created on the abdominal wall. A special bag is connected to this opening to gather the faeces. Colostomy is commonly taken into account only after various other treatments have not been successful.
5. Nutritional modifications.
You may be able to acquire far better control of your defecation by doing some alterations to the diet regimen. The dietician helps to determine these changes.
