How to express fecal incontinence

Written by Deng Heng
Colorectal Surgery
Updated on April 21, 2025
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Fecal incontinence, also known as anal incontinence, means that when the function of the anus is impaired, feces or intestinal fluid involuntarily leaks out of the anus. Therefore, it can be divided into two aspects: the first aspect is that some people only have incontinence of liquid stool, not solid feces; the other is that both solid and liquid stools are incontinent, both can involuntarily leak out, with the latter scenario being more severe. The causes are generally due to damage to the anus, congenital anomalies of the anus, damage to the anal sphincter, or diseases of the anus, among other reasons.

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The difference between bedwetting and urinary incontinence

Bedwetting, commonly known as wetting the bed, mainly refers to involuntary urination during sleep. Urinary incontinence, on the other hand, primarily refers to the situation where urine leaks from the urethral opening during the process of cleansing. There are many causes of urinary incontinence, and there are also various types, usually divided into stress incontinence, urge incontinence, overflow incontinence, and true incontinence. Treatment should be based on the specific type and cause of the incontinence. For mild stress urinary incontinence, it can be improved through exercises for the pelvic floor muscles and the detrusor muscle. For moderate to severe stress urinary incontinence, surgical treatment is recommended. If the urge incontinence is caused by an infection, antibiotic treatment is needed.

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Can elderly people with prostate enlargement experience urinary incontinence?

In the advanced stages of lower urinary tract obstructive diseases caused by prostate enlargement, overflow urinary incontinence can occur. After chronic urinary retention caused by prostate enlargement, if the bladder is extremely full, the pressure inside the bladder can exceed the resistance of the normal urethral sphincter, allowing urine to overflow through the urethra. Additionally, pressure incontinence can also be caused by damage to the external urethral sphincter or to the perineal and urethral areas following prostate surgery due to prostate enlargement.

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What department should I go to for fecal incontinence?

If there is fecal incontinence, it is first necessary to determine the cause. If the incontinence is due to general neurological symptoms and neuropathy, then it is necessary to register for a neurology department consultation. If it is due to relaxation of the local anal sphincter, then registration with the proctology department is needed. Generally, for local sphincter relaxation causing fecal incontinence, an anal sphincter tightening procedure can be opted for, to provide local symptom relief. Additionally, it is important to also consider coordinating with traditional Chinese medicine enemas, which can enhance the mucosa within the rectum.

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How many types of urinary incontinence are there?

Urinary incontinence refers to the uncontrolled release of urine through the urethra. There are several types of urinary incontinence, including urge incontinence, stress incontinence, overflow incontinence, and true incontinence, each requiring treatment tailored to the specific type. The most common type is stress incontinence, which is often seen in women who have given birth. It is mainly caused by relaxation of the bladder sphincter and typically occurs when sudden increases in abdominal pressure, such as during coughing, laughing, or lifting heavy objects, cause urine to flow from the urethra. If the symptoms are mild, improvement can be achieved through exercises for the pelvic floor and bladder sphincter muscles. If the symptoms are severe, surgical treatment is recommended.

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Do elderly people with urinary incontinence have catheters?

Elderly people with urinary incontinence do not need a catheter. Urinary incontinence refers to the uncontrolled flow of urine from the urethra, independent of conscious control. There are many causes of urinary incontinence, but none require catheterization for urine drainage. Catheterization is only necessary when urine cannot be expelled, such as in cases of chronic urinary retention caused by an enlarged prostate, where the bladder pressure exceeds the resistance of the urethral sphincter. Other types of urinary incontinence do not require the use of a catheter for urination; instead, treatment should be based on the specific cause of the incontinence.