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Incontinence problem - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Women Sexual Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
Doctor :   hi
Doctor :   how can i help you
User :   hi there
Doctor :   Hi AAAAAAA how can we help you
User :   umm i wanted to speak to a female doctor
Doctor :   yes ur talking to female doctor
Doctor :   Dr AAAAAAA here
User :   hi dr AAAAAAA
Doctor :   please go ahead with ur medical query
User :   umm i have been having problems with incontinence
Doctor :   since how long?
User :   probably 6months
Doctor :   Please provide these details: Age, Gender, Location, Occupation, Marital status, Height and Weight.
Doctor :   are you there?
Doctor :   I have to close this window since there is no response from your side, please get back to us if you need further medical advice.
User :   sorry doctor AAAAAAA i was writing out my details
Doctor :   thats fine
Doctor :   so how old are you
User :   age: 29, gender: female, location: US, occupation: teacher, marital status: not married, height: 5 foot 4 inches, weight: 160 pounds
Doctor :   ok
Doctor :   so what would you like to know about incontinence
User :   well i think i have caused it as i have been inserting things in my ass for about 10years
Doctor :   it is unlikely
Doctor :   did u suffer any injury to pelvic region anytime recently
User :   no
Doctor :   Weakened and stretched pelvic muscles,thinning and drying of the skin in the vagina or urethra,Certain medicines,Build-up of stool in the bowels,Overweight and obesity, which increases pressure on the bladder and muscles that control the bladde, UTi, Vascular disease,Diseases such as diabetes, Alzheimer's disease and multiple sclerosis
Doctor :   will cause incontinence
Doctor :   does urine leak of sudden pressure?
Doctor :   or u have incontinence when u have urge to urinate
User :   umm it is fecal incontinence
Doctor :   yes
Doctor :do u have incontinence when u have urge to pass urine or sudden leaks
User :   no
Doctor :   are you able to follow
Doctor :   if u have any doubts please ask
Doctor :   do u have burning sensation when u pass urine?
User :   no
Doctor :   as this is online medical consultation
Doctor :   i need to ask more question
Doctor :   so please bear with us
User :   ok, that is fine
Doctor :   Do you smoke or chew tobacco/drink alcohol/Any illicit drugs
User :   no
Doctor :   Do you have Allergies / Diabetes / Thyroid problem / High Blood pressure/Heart disease/ Asthma/use medicines for any illness
User :   no
Doctor :   Have you taken/taking any medicines or had any consultation with a Doctor?
User :   no
Doctor :   Have you had any similar problems in the past?
User :   no
Doctor :   i would suggest you to consult a urologist
Doctor :   Treatment depends on what's causing the problem and what type of incontinence you have
User :   it is fecal incontinence, not urinary
Doctor :   ur have fecal incontinence isit
User :   yes
Doctor :   yes it could be due to some inserted into ur anal canal
Doctor :   which might have damaged the sphincter
Doctor :   anal sphincter
User :   ok
Doctor :   Bowel function is controlled by 3 things: anal sphincter pressure, rectal sensation and rectal storage capacity
Doctor :   as ur aware, anal sphincter is a muscle that contracts to prevent stool from leaving the rectum
Doctor :   this muscle is critical in maintaining continence
Doctor :   this is the rectal storage capacity. Rectal sensation tells a person that stool is in the rectum and that it is time to go to the bathroom
Doctor :   the rectum can stretch and hold stool for some time after a person becomes aware that the stool is there
Doctor :   person also must be alert enough to notice the rectal sensation and do something about it,you must also be able to move to a toilet.
Doctor :   If something is wrong with any of these factors, then fecal incontinence can occur
User :   ok
Doctor :   severe and prolonged straining for stool,During childbirth,diseases such as diabetes, spinal cord tumors and multiple sclerosis will cause fecal incontinence
Doctor :   u need not worry
Doctor :   ur prolong can treated if found out in time
Doctor :   all u need to do is talk to doctor about this
Doctor :   becoz attempts at self-treatment are usually unsuccessful
User :   do u think it has happened because of me putting things in there?
Doctor :   yes it could be the cause of fecal incontinence
Doctor :   last time i though it was urinary incontinence u were refering so told no
Doctor :   Along with a physical exam, your doctor may want to do other tests such as an anorectal manometry, which tests anal pressure, rectal elasticity and rectal sensation
Doctor :   any doubts?
Doctor :   It shows you have moved away from the chat, so I close the window. Please log in again if you need further medical advice.
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