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Bowel management is the process which a person with a bowel disability uses to manage fecal incontinence or constipation. [1] People who have a medical condition which impairs control of their defecation use bowel management techniques to choose a predictable time and place to evacuate. [ 1 ]
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. FI is a sign or a symptom, not a diagnosis.
[5] [6] To achieve its objectives, NAFC offers publications and services, [1] such as: brochures detailing what every woman and man should know about bladder and bowel control, disease-specific booklets on multiple sclerosis, spinal cord injury, and Parkinson's disease, pelvic muscle exercise kits for men and women, Quality Care e-newsletter ...
Although only 20% decided to continue using the plug on a regular basis, anal plugs were generally successful at controlling fecal incontinence. Since anal plugs are considered an invasive strategy, they can result in pain, soreness, irritation, fecal urgency, and societal embarrassment. [2] Bleeding hemorrhoids were a rare adverse event. [13]
A 2007 review by the Cochrane Collaboration was cautiously optimistic about the results of sacral nerve stimulation in fecal incontinence, although it also concluded that trial periods of stimulation did not adequately identify patients that would benefit from the procedure, and that more longer-term studies were needed. [2] [needs update]
Patients spent less time in total on bowel care and were more satisfied with the treatment. [12] Avoids surgery, medications, or other procedures [13] By regularly emptying the bowel using transanal irrigation, controlled bowel function is often re-established to a high degree in patients with bowel dysfunction.
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This may bring the walls of the anal canal into tighter contact, raising the resting pressure, creating more of a barrier to the loss of stool, and thereby reducing fecal incontinence. This procedure has many advantages over more invasive surgery, since there are rarely any serious complications.
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