Fecal Incontinence

When fecal incontinence is defined as the unwillürliche defecation.

(See also Clarification of Anorektalkrankheiten)

When fecal incontinence is defined as the unwillürliche defecation. (See also Clarification of Anorektalkrankheiten) Fecal incontinence can in the wake of injuries or diseases of the spinal cord, in congenital disorders, accidental injury to the rectum and anus in rectal or anal prolapse, diabetes mellitus, severe dementia, Stuhleinklemmung, in extensive inflammatory processes, tumors, obstetric injury and occur in operational divisions or extensions of the anal sphincter. On physical examination, the rough sphincter and the perianal sensitivity should be assessed and a Stuhleinklemmung be excluded. An endoscopic ultrasound of the anal sphincter, an MRI of the pelvis and perianal region, a Beckenbodenelektromyographie and anorectal manometry may also be useful. Therapy program for the chair adjustment pelvic floor exercises, sometimes in conjunction with biofeedback Partial surgery Treatment fekaler incontinence consists of a special program to educate the intestine to a predictable behavior chair. Component of the program is also an appropriate liquid and sufficient fiber intake with food. The stay on the toilet, or other common stimulants of bowel movements (eg. As coffee) promote defecation. Suppositories (eg., Glycerol, bisacodyl) or phosphate enemas are also beneficial. If a regular Defäkationsverhalten does not stop, a low-residue diet and oral administration of loperamide can reduce the frequency of defecation. Simple exercises of the perineum, where the patient strengthens by repeated contractions of the sphincter, perineal muscles and buttocks these structures can v. a. contribute to continence in mild cases. In well-motivated patients who understand instructions and follow and in which the anal sphincter may react to an expansion of the rectum, biofeedback should be considered (to train the patient to use his sphincter maximum and better involve the physiological processes) before recommending a surgical procedure. About 70% of these patients respond to biofeedback. A defect in the sphincter, which is determined by endoscopic ultrasonography can be sewn directly. When running out Restsphinkter is a repair facility, especially in patients <50 years, a transposition of the M. gracilis can be performed. However, the positive results of these procedures take not last long in general. Some centers also use a pacemaker for the gracilis muscle where others use an artificial sphincter. These and other experimental methods are available only in a few centers in the US as part of studies. The sacral nerve stimulation has shown promise in the treatment of fecal incontinence. Alternatively, you can create a Thiersch wire or other material around the anus. If all these measures do not lead to success, you have to draw a colostomy considered.

Health Life Media Team

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