What department should I go to for fecal incontinence?

Written by Chen Tian Jing
Colorectal Surgery
Updated on September 02, 2024
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"Fecal incontinence requires registration at a colorectal surgery department for consultation. The causes of fecal incontinence mainly include neurogenic and local organic lesions of the anus. If it is due to neurogenic reasons, then it is necessary to coordinate with a neurology department to examine whether the local contraction function of the anus has deteriorated, leading to relaxation of the anal sphincter or incontinence during defecation. If there is an organic lesion in the anal sphincter, especially when the tightness of the sphincter increases leading to excessive relaxation of the anal sphincter, this can also cause fecal incontinence. To treat fecal incontinence, one can opt for local surgery to tighten the relaxed anal sphincter, thereby preventing feces from involuntarily leaking out of the anus."

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Written by Chen Xiao Jun
Emergency Department
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Can shock cause incontinence?

Shock patients often experience incontinence, which is very common in clinical settings. Various reasons can lead to shock, causing a decrease in the body's blood pressure. This results in severely inadequate perfusion of the brain, heart, and blood vessels, leading to the loss of control over the body's urinary and fecal reflexes and resulting in incontinence. Therefore, when shock occurs, we should strengthen nursing care, actively rehydrate, and actively treat the shock. It is also important to promptly identify and treat the cause of the shock. Only comprehensive treatment can save the patient's life. Moreover, enhancing nursing care is very important for shock patients, as they are prone to suffocation and incontinence.

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Written by Zhou Yan
Geriatrics
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What causes urinary incontinence in the elderly?

Urinary incontinence in the elderly refers to individuals over the age of 60 who experience involuntary urine leakage from the urethra, beyond their subjective control. Based on different mechanisms of onset, there are four main types: genuine urinary incontinence, stress urinary incontinence, overflow urinary incontinence, and urge urinary incontinence. Persistent urinary incontinence is due to neurogenic bladder dysfunction, excessive contraction of the urinary muscles, severe damage to the urethral sphincter, and the bladder losing its storage function. This type can be seen in conditions like chronic stroke, dementia, Parkinson's disease, and spinal disease. Stress urinary incontinence occurs due to relaxation of the urethral sphincter, pelvic floor muscles, and muscles around the urethra, leading to reduced urethral pressure. This situation is more common in elderly women and in the perineum of men, or due to urethral damage and urethral surgery. The third major category is overflow urinary incontinence, mainly seen in obstructive lower urinary tract diseases such as prostatic hyperplasia. Chronic urinary retention due to various causes results in bladder pressure exceeding the resistance of the normal urethral sphincter, causing urine to leak from the urethra. Lastly, urge urinary incontinence generally refers to overactivity of the bladder muscles, typically associated with bladder inflammation, acute urethritis, or the presence of bladder stones, bladder tumors, or obstructions at the bladder outlet, all of which can cause urge urinary incontinence.

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Written by Zhang Lu
Obstetrics
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How to recover from postpartum urinary incontinence?

During the process of natural childbirth, the presenting part of the fetus significantly compresses the woman's pelvic floor, causing conditions such as uterine prolapse and bladder prolapse. Postpartum, many women experience urinary incontinence. Postpartum urinary incontinence can be alleviated through the following methods. First, one can perform Kegel exercises independently. Kegel exercises, a set of movements that contract the pelvic floor muscles, are quite effective in treating mild urinary incontinence. Second, if the urinary incontinence is more pronounced, it is advisable to undergo assisted treatment at a hospital, mainly involving electrical stimulation. This can stimulate the local pelvic floor muscles, promoting recovery and alleviating symptoms of urinary incontinence. Third, if the symptoms are very severe and conservative treatment is ineffective, pelvic floor functional repair surgery should be considered.

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Written by Liu Hong Mei
Neurology
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What causes sudden fainting and loss of bladder/bowel control?

Sudden fainting and incontinence may be due to a sharp decrease in blood pressure, a sudden reduction in cardiac output, and widespread insufficiency in brain artery supply. It is related to cardiogenic syncope, cerebrogenic syncope, and vasovagal inhibitory syncope. This is caused by a temporary sudden decrease in cerebral blood flow, resulting in insufficient blood and oxygen supply to the brain, which leads to suppression of the reticular activating system and loss of consciousness and incontinence. Further actions should include ambulatory electrocardiograms, dynamic blood pressure monitoring, dynamic electroencephalograms, cranial magnetic resonance imaging, and vascular imaging to clarify the cause of the syncope. Further tests should include complete blood count, liver function tests, kidney function tests, and electrocardiograms.

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Written by Gao Yi Shen
Neurosurgery
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What should I do if spina bifida causes fecal incontinence?

Patients with spina bifida who experience fecal incontinence are in a relatively severe condition. In such cases, it is best to actively pursue surgical treatment to prevent further progression of the condition. This includes suturing the dura mater of the corresponding spinal defect, repositioning the spinal cord, and appropriately repairing the bone structure, all of which are very important. Additionally, it may be possible to partially restore bowel function, but complete recovery is not guaranteed. If there is no significant improvement later on, a colostomy might be considered. This involves creating an opening in the abdominal wall, forming a stoma, and using an artificial method for bowel movement. This can help reduce contamination and restore some bowel function.