What medicine to take for fecal incontinence?

Written by Chen Tian Jing
Colorectal Surgery
Updated on January 23, 2025
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There are many causes of fecal incontinence, and it is first necessary to further clarify the cause. Most cases of fecal incontinence are mainly due to excessive relaxation of the local anal sphincter or damage to the patient's nervous system, thus requiring oral medication to treat the nervous system. When there is relaxation of the local anal sphincter, simply taking oral medication does not have significant local therapeutic effects. The most effective method is to directly perform a sphincter tightening surgery. After the local sphincter is tightened surgically, it can control the excretion of feces, thereby further alleviating the situation of fecal incontinence. If the patient also has a neurological disorder, it is necessary to actively treat the underlying disease. (The use of medications should be done under the guidance of a doctor.)

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Written by Yang Dong
Colorectal Surgery Department
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How to recover from fecal incontinence?

For fecal incontinence, we must first conduct an effective evaluation and complete relevant examinations. For instance, we need to perform anal canal pressure measurements and examine the anal sphincter muscle imaging. Through these examinations, we can determine the extent of fecal incontinence and then adopt corresponding treatment methods. For fecal incontinence, we can initially choose conservative treatments, such as treatment with biofeedback therapy.

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Written by Du Rui Xia
Obstetrics
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Can you sit for a long time with postpartum urinary incontinence?

When postpartum urinary incontinence occurs, it is not advisable for the mother to sit for extended periods. This is because urinary incontinence in women is primarily due to pelvic floor muscle dysfunction. Sitting for long periods is detrimental to the recovery of pelvic floor muscle function. It is recommended that women pay attention to rest, avoid prolonged walking or standing, and also avoid sitting for long periods. Rest is important, as is ensuring adequate sleep and enhancing nutrition by consuming foods rich in protein and vitamins. It is advised to seek early pelvic floor rehabilitation training at a hospital and to adhere to the rehabilitation exercises. Generally, good recovery can be achieved within six months.

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Written by Du Rui Xia
Obstetrics
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Can you have intercourse with postpartum urinary incontinence?

Postpartum urinary incontinence should preclude sexual intercourse, as intercourse can exacerbate the condition. It is necessary to wait until recovery is achieved before resuming sexual activities. It is advised that patients promptly seek hospital treatment for pelvic floor muscle rehabilitation, which can generally bring effective relief within six months. If recovery begins after more than six months, the results can be poor. It is also important to develop good living habits, ensuring adequate sleep, avoiding fatigue, and refraining from heavy physical labor. Proper bowel movements should be maintained to prevent constipation, which can increase abdominal pressure and worsen urinary incontinence.

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Written by Du Rui Xia
Obstetrics
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Will postpartum urinary incontinence heal itself?

Symptoms of urinary incontinence after childbirth are curable for most women. Postpartum urinary incontinence results from the relaxation and strain of the pelvic floor muscles during pregnancy and childbirth, thus it is necessary to exercise these muscles after giving birth. Additionally, pelvic physiotherapy can also be performed. Generally, normal function can be restored within six months, and for those in better health, recovery can occur as soon as one month postpartum. It is critical to adhere to treatment under medical guidance when experiencing urinary incontinence; otherwise, the impact on a woman's health can be significant, affecting normal social interactions and work.

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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.