Health problem that is often hidden by the patient to their doctor, theincontinence fecal affect up to 15 % of the adult population in France. Focus on this evil, its reasons and its symptoms, which can be cured or restricted with a medical care.
The bothersome symptoms of fecal incontinence
Unknown to the French, fecal incontinence is often confused with anal incontinence is the involuntary voiding of gas or stool (liquid or solid) caused by a dysfunction of the sphincter of the anus. Also caused by a loss of control of the anus, fecal incontinence is concerned , as its name indicates, the inability to retain the faeces, namely the saddles, not the gas. These symptoms are perfectly acceptable when they occur in the nursing infant. In contrast, faecal incontinence is often hidden by the adult who feels generally a sense of shame to mention him. However, a prior interview with his doctor remains one of the first things to do to find a way to reduce or cure the symptoms.
Fecal incontinence, a phenomenon that worsens with age
Disorders of continence often find their origin in several factors. The most common is a dysfunction of the anus, including the two sphincters internal and external contract more difficult from year to year, generally due to the health concerns previously encountered (hemorrhoids, anal fissure, pregnancy with prolapse, difficult childbirth, etc). It also happens that in the course of inflammation encountered, the rectum and the colon to see their reservoir capacity decrease, a phenomenon resulting in incontinence. People who have recurring problems of intestinal transit (diarrhoea and constipation chronic) or who are afflicted with a neurological disease (Alzheimer’s, Parkinson’s, etc) are also especially prone to fecal incontinence. Of by the progressive weakening of their bodies, older people can meet more easily than young adults these incontinence problems.
Opportunities to heal, or to limit fecal incontinence
As in the framework of a urinary incontinence in the elderly, a problem of faecal incontinence should be discussed with his doctor first, and then with a specialist where appropriate. In the vast majority of cases, the symptoms can be treated with a simple medical treatment. Alerted by the problems of incontinence of the patient, the doctor consulted him to provide advice first in terms of the regularization of the transit (daily fiber intake in the diet, medications or dietary supplements, etc) and hygiene défécatoire (go to the saddle on a regular basis, do not differ in their desires défécatoires, check her stool, clean the anus, etc). It may also ask the patient to do exercises of contraction of the anus, which will, at the rate of 10 minutes per day, to re-educate and why the sphincters. A physiotherapist specially trained can also re-educate the sensitivity of the rectum or the perineum posterior to the patient, using probes to visualize the origin of the incontinence and to electrically stimulate the perineum (the method is called biofeedback).
If the disorders of fecal continence of the patient are very serious, a surgery may be required. This last may be light if a simple improvement of the functioning of the anus is sufficient ; it would then take the form of a reconstructive surgery (repair of the sphincter) or stimulation (neurostimulation electrical nerves controlling the sphincters of the anus). In more complicated cases, the implantation of an artificial anal sphincter silicone around the anal canal is necessary to compensate for a function sphincter too altered.