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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 ]
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]
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]
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.
[2] The gastrointestinal tract (GI tract) has a complex control mechanism that relies on coordinated interaction between muscular contractions and neuronal impulses (nerve signals). [3] Fecal incontinence or constipation occurs when there is a problem with normal bowel functioning. This could be for a variety of reasons.
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In addition, a history of chronic constipation and excessive straining with bowel movements are thought to play a role in rectocele. Multiple gynecological or rectal surgeries can also lead to weakening of the pelvic floor. [2] Births that involve babies over nine pounds in weight, or rapid births can contribute to the development of rectocele.