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Fecal incontinence (FI), or in some forms, encopresis, is a lack of control over defecation, leading to involuntary loss of bowel contents — including flatus (gas), liquid stool elements and mucus, or solid feces.
Symptoms include a painful lump, bleeding, pruritus ani, tenesmus, discharge or possibly fecal incontinence. SSC in the anal canal most commonly causes bleeding, but may also cause anal pain, a lump, pruritus ani, discharge, tenesmus, change in bowel habits and fecal incontinence. Because these symptoms are so unspecific, and because symptoms ...
The relative effectiveness of surgical options for treating fecal incontinence is not known. [2] A combination of different surgical and non-surgical therapies may be optimal. [2] A surgical treatment algorithm has been proposed for FI, [3] although this did not appear to include some surgical options. Isolated sphincter defects may be ...
The standard behavioral treatment for functional encopresis, which has been shown to be highly effective, is a motivational system such as a contingency management system. [5] In addition to this basic component, seven or eight other behavioral treatment components can be added to increase effectiveness. [5]
Bowel perforation is when the wall of the bowel ruptures. It is a potentially lethal complication [9] which requires emergency surgery. 49 bowel perforations caused by transanal irrigation were reported between 2005 and 2013. [19] This rate was used to calculate a risk of 2-6 perforations per 1 million procedures. [19]
Where ODS occurs with fecal incontinence, it may represent fecal impaction combined with overflow diarrhea (overflow incontinence). [39] Self-digitation (digital help) is the use of the digits (fingers) to apply pressure in order to achieve defecation. Most people recognize the need for digitation as a symptom, and not a treatment. [20]
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