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Suggest Remedies For Bowel Incontinence

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Posted on Thu, 9 Jun 2016
Question: My Mother, 61 yrs old, facing a problem for some months now-----------------
she now has very less control on stooling--i mean she can feel that she needs to go for stooling but before going to the latrine, stool automatically comes out what she can not control.
------------------------ Please suggest
-----XXXX XXXXXXX
doctor
Answered by Dr. Harish Naik (2 hours later)
Brief Answer:
Need to be evaluated.

Detailed Answer:
Hi
Welcome
I have gone through your query.

There are many potential causes of fecal incontinence like diarrhea (which might be due to an infection or IBS), or impacted stool due to severe constipation or inflammatory bowel disease.

More than one cause for fecal incontinence is a strong possibility. A lot of cases of bowel incontinence, occur without a clear cause.

You will need to see a Gastroenterologist and discuss your entire medical history. During a physical examination, the GP may check the strength of the anal sphincter muscle using a gloved finger inserted into the rectum.

Some of the tests that may be needed which are stool testing and endoscopy.
Stool examination is required to rule out any infection and or parasitic infestations

Anorectal manometry to check the pressure of the anus and rectum. This allows measurement of the strength of the sphincter muscles.

Colonoscopy might be needed.
Nerve tests. These tests measure the responsiveness of the nerves controlling the sphincter muscles.

Dietary alteration that might be beneficial - eat 20 to 30 grams of fiber per day. This can make stool more bulky and easier to control.Avoid caffeine. This may help prevent diarrhea.Drink several glasses of water each day. This can prevent constipation.

Methylcellulose can help make liquid stool more solid and easier to control.

This provisional advice provided by me is based entirely on the input provided to me. I would suggest examination by the doctor.

I hope this suggestion might be of some help to you. Please accept my answer in case you do not have further queries.
Take care.
Above answer was peer-reviewed by : Dr. Deepak
doctor
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Follow up: Dr. Harish Naik (4 hours later)
Thank you for your quick reply.
My mother has a history of severe constipation.

I consulted with a Gastoenterologist with a different issue and "endoscopy" and "colonoscopy" done with no problem.

Consulted Gynocologist with abdomainal pain, where the rectum region was tested with a suggestion of rectum muscle controlling exercise and "Ageless tab" as medication.

Please suggest which doctor to meet now--- a neurologist or a gynocologist?
-----------------Biplab XXXXXXX
doctor
Answered by Dr. Harish Naik (6 hours later)
Brief Answer:
Gastroenterologist

Detailed Answer:
Hi Bipul,
Good to hear from you.
You need to visit gastroenterologist, and enquire about nerve test and anorectal manometry.
Hope this helps.
Take care
Note: Get a consultation booked to know more about aging related medical issues. Click here.

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Harish Naik

General & Family Physician

Practicing since :2008

Answered : 2635 Questions

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Suggest Remedies For Bowel Incontinence

Brief Answer: Need to be evaluated. Detailed Answer: Hi Welcome I have gone through your query. There are many potential causes of fecal incontinence like diarrhea (which might be due to an infection or IBS), or impacted stool due to severe constipation or inflammatory bowel disease. More than one cause for fecal incontinence is a strong possibility. A lot of cases of bowel incontinence, occur without a clear cause. You will need to see a Gastroenterologist and discuss your entire medical history. During a physical examination, the GP may check the strength of the anal sphincter muscle using a gloved finger inserted into the rectum. Some of the tests that may be needed which are stool testing and endoscopy. Stool examination is required to rule out any infection and or parasitic infestations Anorectal manometry to check the pressure of the anus and rectum. This allows measurement of the strength of the sphincter muscles. Colonoscopy might be needed. Nerve tests. These tests measure the responsiveness of the nerves controlling the sphincter muscles. Dietary alteration that might be beneficial - eat 20 to 30 grams of fiber per day. This can make stool more bulky and easier to control.Avoid caffeine. This may help prevent diarrhea.Drink several glasses of water each day. This can prevent constipation. Methylcellulose can help make liquid stool more solid and easier to control. This provisional advice provided by me is based entirely on the input provided to me. I would suggest examination by the doctor. I hope this suggestion might be of some help to you. Please accept my answer in case you do not have further queries. Take care.