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How Can Bowel Incontinence Be Managed?
I am 72 years old, no diagnosed elimination problems, yet I often skid marks on my underwear. Give me some toileting, personal hygiene tips, dietary tips, bathing tips, ass wiping tips.. My wife is fed up with me and will not have any sexual relations at all. Larry In Ct.
Thu, 26 Jul 2018
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.
Treatment may usually depends upon cause. common causes like Alzheimer's disease or infections or spinal cord problems or electrolyte imbalance etc. Until examination is done it is difficult to say what it is. Some tips are : 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. For people with a specific cause of diarrhea, such as inflammatory bowel syndrome, other medications may also help.Begin a program of regularly contracting the muscles used to control urinary flow (Kegel exercises). This builds strength in the pelvic muscles and may help reduce bowel incontinence. Schedule bowel movements at the same times each day. This can help prevent accidents in between. Surgery may be recommended for people whose bowel incontinence is not helped by noninvasive treatments. The types of surgery include:
1. sphincter surgery by stitching the anal muscles.
2. sacral nerve stimulation.
3. sphinter cuff device.
4. colostomy.
5. Radiofrquency anal sphincter remodeling.
6. injectable bio medical like silicon and collagen etc.
Please consult your physician/surgeon they will examine and treat you accordingly.
Hope I have answered your query. Let me know if I can assist you further.
Treatment may usually depends upon cause. common causes like Alzheimer's disease or infections or spinal cord problems or electrolyte imbalance etc. Until examination is done it is difficult to say what it is. Some tips are : 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. For people with a specific cause of diarrhea, such as inflammatory bowel syndrome, other medications may also help.Begin a program of regularly contracting the muscles used to control urinary flow (Kegel exercises). This builds strength in the pelvic muscles and may help reduce bowel incontinence. Schedule bowel movements at the same times each day. This can help prevent accidents in between. Surgery may be recommended for people whose bowel incontinence is not helped by noninvasive treatments. The types of surgery include:
1. sphincter surgery by stitching the anal muscles.
2. sacral nerve stimulation.
3. sphinter cuff device.
4. colostomy.
5. Radiofrquency anal sphincter remodeling.
6. injectable bio medical like silicon and collagen etc.
Please consult your physician/surgeon they will examine and treat you accordingly.
Hope I have answered your query. Let me know if I can assist you further.
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