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Urinary incontinence (UI), also known as involuntary urination, is any uncontrolled leakage of urine. It is a common and distressing problem, which may have a large impact on quality of life. [1] Urinary incontinence is common in older women and has been identified as an important issue in geriatric health care.
People with dementia are four times more likely to have fecal incontinence compared to people of similar ages. [55] [56] Risk factors include age, female gender, urinary incontinence, history of vaginal delivery (non-Caesarean section childbirth), obesity, [35] prior anorectal surgery, poor general health, and physical limitations. Combined ...
There are a number of causes of functional incontinence. These include confusion, dementia, poor eyesight, impaired mobility or dexterity or unwillingness to use the toilet due to depression or anxiety. [2] Functional incontinence is more common in elderly people as many of the causes are associated with conditions that affect people as they age.
Neurogenic bowel dysfunction (NBD) is reduced ability or inability to control defecation due to deterioration of or injury to the nervous system, resulting in fecal incontinence or constipation. [1] It is common in people with spinal cord injury (SCI), multiple sclerosis (MS) or spina bifida .
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]
Dysautonomia, autonomic failure, or autonomic dysfunction is a condition in which the autonomic nervous system (ANS) does not work properly. This may affect the functioning of the heart, bladder, intestines, sweat glands, pupils, and blood vessels.
Age: Older people may have degeneration of neural pathways involved with bladder function and it can lead to an increased risk of postoperative urinary retention. [6] The risk of postoperative urinary retention increases up to 2.11 fold for people older than 60 years. [6]
The presentations may be vague and include incontinence, a change in mental status, or fatigue as the only symptoms, [10] while some present to a health care provider with sepsis, an infection of the blood, as the first symptoms. [7] Diagnosis can be complicated by the fact that many elderly people have preexisting incontinence or dementia. [11]
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