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Management and treatment for neurogenic bowel dysfunction depends on symptoms and biomedical diagnosis for cause of the condition. [14] General practitioners will often refer patients to gastroenterologist to effectively manage the neurogenic bowel dysfunction.
Liquid stool may leak around a fecal impaction, possibly causing degrees of liquid fecal incontinence. This is usually termed encopresis or soiling in children, and fecal leakage, soiling or liquid fecal incontinence in adults. Anismus is usually treated with dietary adjustments, such as dietary fiber supplementation.
Solid stool incontinence may be called complete (or major) incontinence, and anything less as partial (or minor) incontinence (i.e. incontinence of flatus (gas), liquid stool and/or mucus). [2] In children over the age of four who have been toilet trained, a similar condition is generally termed encopresis (or soiling), which refers to the ...
Children with loose stools and diarrhea (colonic hypermotility): This group of children has an overactive colon. Rapid transit of stool results in frequent episodes of diarrhea . This means that even when an enema cleans the colon rather easily, stool keeps on passing fairly quickly from the cecum to the descending colon and the anus.
The predominant approach today is the use of oral stool softeners like Movicol, Miralax, lactulose, mineral oil, etc. Following that, enemas and laxatives are used daily to keep the stools soft and allow the stretched bowel to return to its normal size. The child must be taught to use the toilet regularly to retrain his/her body.
A fecal impaction or an impacted bowel is a solid, immobile bulk of feces that can develop in the rectum as a result of chronic constipation [1] (a related term is fecal loading which refers to a large volume of stool in the rectum of any consistency). [2]
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The water and stool may take some time to fully evacuate, especially with patients with obstructed defecation. People with reduced muscular strength of the anal sphincter may encounter problems with later leakage of the water mixed with stool, which may bring similar, socially devastating problems as seen with fecal incontinence.