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Incontinence (Bowel)
Published in Charles Theisler, Adjuvant Medical Care, 2023
Fecal or bowel incontinence is the loss of bowel control, causing a person to pass stool unintentionally and unexpectedly. Like urinary incontinence this is a highly distressing problem that has a significant negative impact on the quality of life. Severity can range from an infrequent involuntary passage of small amounts of stool to a total loss of bowel control.
Neurologic disorders in pregnancy
Published in Hung N. Winn, Frank A. Chervenak, Roberto Romero, Clinical Maternal-Fetal Medicine Online, 2021
Robert Burger, Terry Rolan, David Lardizabal, Upinder Dhand, Aarti Sarwal, Pradeep Sahota
Autonomic disturbance: Many MS patients complain of difficulty with bowel and bladder or sexual dysfunction. Most patients have constipation but bowel incontinence and fecal urgency may occur. Bladder frequency and urgency is also common in MS. Urodynamic studies may be necessary to define bladder dysfunction. Up to 50% of female MS patients may report sexual dysfunction, which may be due to decreased libido, vaginal dryness, or impaired perineal sensation.
Patient Advocacy and Self-Help Groups
Published in Kevin W. Olden, Handbook of Functional Gastrointestinal Disorders, 2020
With the support of Sinai Samaritan Medical Center in Milwaukee, we were able to sponsor the first public symposium on functional bowel disorders. The hospital covered the expenses for a meeting room, advertising, and printing the agenda. We were able to get a local home-health-care company to furnish refreshments. We offered a small exhibit space for vendors and the IFBD had a table filled with our publications. The program focused on IBS and fecal incontinence. The agenda included the following topics: Medical evaluation and treatment of IBS Signs and symptomsAnatomy and physiology of the digestive systemMedical evaluation of the bowel and treatmentNew developments in treatment of functional bowel disordersBowel incontinence: etiology, treatment and biofeedbackEmotional aspects and support groups
A narrative review of biopsychosocial factors which impact overweight and obesity for individuals with acquired brain injury
Published in Brain Injury, 2021
Simon Driver, Megan Douglas, Megan Reynolds, Evan McShan, Chad Swank, Randi Dubiel
Problems with bowel and bladder are common after ABI and include urinary incontinence (UI), urinary retention, constipation, or bowel incontinence (BI). These problems may be caused by the injury or may be due to certain medications. Research suggests between 12% – 20% of individuals with stroke have UI at six months post injury and 9% −22% have BI at 6 months post injury (61–63). Bowel and bladder problems can lead individuals to restrict fluid intake and alter physical activity in order to avoid unwanted consequences. For example, in a qualitative study of individuals with incontinence post stroke, participants report decreased participation in leisure activities and decreased water consumption as methods to manage UI (64). Though interventions do exist for incontinence after ABI, most are in the inpatient rehabilitation setting, such as prompted or scheduled voiding, and may not be effective for community-dwelling individuals (65). Weight loss is an effective intervention for incontinence, as obesity is shown to be a risk factor (66) with increasing body mass index (BMI) associated with increased risk of daily incontinence (67). Therefore, it is important for individuals to work with their physician or physical therapist to identify strategies to address incontinence and its effect on healthy lifestyle.
Retrospective study of functional outcomes and disability after non-ischaemic vascular causes of spinal cord dysfunction
Published in The Journal of Spinal Cord Medicine, 2021
Chiu Pin Teo, Kevin Cheng, Peter Wayne New
Currently, there is no literature on outcomes of bowel and bladder function following non-ischemic vascular SCDys. In this study, we compare bowel and bladder outcomes following non-ischemic vascular SCDys with those of non-traumatic SCDys.30 Loss of voluntary bowel control after SCDys is socially and psychologically distressing, resulting in significant impact on quality of life.33,34 Rehabilitation goals include bowel continence, independent defecation, and prevention of intestinal complications. In a study of non-traumatic SCDys, 76% achieved continence with a bowel program, 18% were continent without aperient, 5% were fecally incontinent, and 1 patient had colostomy for bowel management.30 In our study, majority patients achieved bowel continence using a bowel program, no one received colostomy, and the number of patients with bowel incontinence was reduced by two thirds on discharge. We reported higher proportion of patients (25%) who were fecally incontinent on discharge compared to the study of non-traumatic SCDys. Most of these patients were either discharged to nursing home or transferred to another hospital. In our study, bladder function outcomes were similar to non-traumatic SCDys. In non-traumatic SCDys, 48% had bladder continence, 11% used intermittent self-catheterization, 37% used indwelling or suprapubic catheter, and 3% had reflex voiding.30
Faecal incontinence: a narrative review of clinic-based management for the general gynaecologist
Published in Journal of Obstetrics and Gynaecology, 2018
Kathryn S. Williams, Dara F. Shalom, Harvey A. Winkler
The most important aspect in determining whether a patient may have faecal incontinence is by simply asking if she has ever experienced a loss of bowel control. Directly questioning the patient about episodes of faecal or anal incontinence increases patient disclosure from 2 to 12% (Yawn et al. 1998). When screening for FI, it is important to use patient-preferred terminology. In one study, 71% of women preferred the term accidental bowel leakage (ABL) to bowel incontinence or faecal incontinence (Brown et al. 2012). However in a more recent study, Heyman et al. (2014) reported and ranked the following preferred terms for faecal incontinence: (1) bowel incontinence, (2) bowel control issues, (3) accidental bowel leakage. They also reported that the term faecal incontinence did not rank in the top 10 preferred terms among patients with and without faecal incontinence (Heyman et al. unpublished). The authors of this review recommend using one of the aforementioned terms to facilitate better communication and help to place your patient at ease.