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Suggest Treatment To Cure Fecal Incontinence Linked To Inflammatory Bowel Disease

Posted on Sat, 3 May 2014

Question: I have been diagnosed as having suspected inflamatory bowel disease - recently I have been suffering severe bouts of urgency (some resulting in incontinance) - these attacks come out of no-where ....one minute I am feeling perfectly normal and the next second I'm struggling to contain a bowel movement (sometimes unsuccessfully) - the usual process involves uncontrolled loss of urine and whilst trying to stop it I can loose control of the bowel. I take 4 x 1g Pentasa per day - I've introduced 4 x Citrucel capsuals a day to off-set watery motions. The majority of my motions have signs of blood in the pan (or in bowel water) or on the paper - afternooons and nights bring the most frequesncy. My question is what can I do to stop the urgency related loss of bowel control .... its affecting my ability to go out to work.

Answered by Dr. Jose Ignacio Artero Munoz (6 hours later)

Brief Answer: Fecal Incontinence Detailed Answer: Hello Delighted to be able to help. Fecal Incontinence linked to inflammatory bowel disease is a complex problem. Due the pathology,occurs hyperstimulation of bowel nerve fibers and the patient feels the need to go to the bathroom urgently. Exercises to strengthen the pelvic floor and external anal sphincter or Neuromodulator therapy are some of the possible therapies but their effectiveness is limited. When a person with inflammatory bowel disease suffers a crisis (with diarrhea and urgency in defecation), the best therapy is to start as soon as possible taking a corticosteroid by mouth (Prednisone, for example). I Hope I have answered your query. If you have any further questions, I will be happy to help.If you do not have any clarifications, please don’t forget to evaluate my answer.I wish you good health.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Jose Ignacio Artero Munoz (17 hours later)

Thank you for your advice. I have Panafcort 5mg tablets (assume similar to Prednisone). My doctor is away and I can't reach him. What dosage should I commence with? In general how long does it take to bring a UC flare under control? I look forward to you answer.

Answered by Dr. Jose Ignacio Artero Munoz (1 hour later)

Brief Answer: Prednisolone Detailed Answer: Hello.Delighted to be able to help. The drug that you refer is appropriate but the recommended dose to start is 25 mg per day. One possible dosage is: -25 mg for two days -20 mg for two days -15 mg for two days -10 mg for two days -5 mg for two days At the end of this guideline,UC must be under control. I Hope I have answered your query. If you have any further questions, I will be happy to help.If you do not have any clarifications, please don’t forget to evaluate my answer.I wish you good health.

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Above answer was peer-reviewed by : Dr. Vinay Bhardwaj