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The prevalence is greater in older people of both sexes, especially women. Overall, most patients with ODS are females. [23] Some of the reasons for this female predilection are thought to be related to trauma from childbirth through vaginal delivery, menopausal tissue changes and hysterectomy. [5]
The direct (primary) symptom is a lack of control over bowel contents which tends to worsen without treatment. Indirect (secondary) symptoms, which are the result of leakage, include pruritus ani (an intense itching sensation from the anus), perianal dermatitis (irritation and inflammation of the skin around the anus), and urinary tract ...
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 ]
Individuals prone to DIOS tend to be at risk for repeated episodes and often require maintenance therapy with pancreatic enzyme replacement, hydration and laxatives (if the symptoms are also mild). [ 4 ] [ 5 ] Oral contrast instillation into the colon/ileum under radiological control has been found to reduce the need for surgical intervention.
The colon normally removes excess water from feces. If the feces or stool remains in the colon too long due to conditioned withholding or incidental constipation, so much water is removed that the stool becomes hard, and becomes painful for the child to expel in an ordinary bowel movement.
Control your cough Coughing is a physiologic way to rid one of some of the congestion, says Amesh A. Adalja, M.D. , senior scholar at the Johns Hopkins Center for Health Security.
This is known as a closed-loop obstruction because there exists an isolated ("closed") loop of bowel. Acute volvulus often requires immediate surgical intervention to untwist the affected segment of bowel and possibly resect any unsalvageable portion. [11] Volvulus occurs most frequently in middle-aged and elderly men. [11]
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