What is the reason for the old man's fecal incontinence?

summary

Fecal incontinence or anal incontinence refers to the uncontrolled defecation and exhaust at least twice a day or more. It is a clinical symptom with a variety of pathophysiological basis caused by various reasons. Fecal incontinence is more common in the elderly, and usually occurs in the weak state of the body, at the same time, constipation or urinary incontinence often exist. What is the reason for the old man's fecal incontinence? Let's talk about it

What is the reason for the old man's fecal incontinence?

Irritable bowel syndrome, inflammatory bowel disease, infectious diarrhea, laxative abuse, malabsorption syndrome, short bowel syndrome, radiation enteritis. Inflammatory bowel disease, rectal volume defect, rectal ischemia, collagen vascular disease, rectal tumor, external rectal compression.

Anatomical defect of sphincter, loss of innervation of pelvic floor muscle and congenital abnormality. Nervous system diseases, overflow incontinence. The causes of fecal incontinence in the elderly may be fecal impaction, abnormal rectal sensation, decreased anal sphincter pressure, neuromuscular dysfunction, dementia, iatrogenic and so on.

The treatment of fecal incontinence in the elderly should attach great importance to individualized treatment, and different treatment measures should be taken for fecal incontinence caused by different reasons. Most patients can get satisfactory curative effect through conservative treatment of internal medicine. The clinical treatment of fecal incontinence includes medical treatment, biofeedback treatment and surgical treatment.

matters needing attention

(1) Adjust diet and living habits, avoid eating a large amount of food, eating rough and stimulating diet（ 2) Clean the part, keep the perineum clean and dry, and take a sitz bath after defecation. Bowel lavage should be used when defecating too frequently, and zinc cream should be used when eczema occurs（ 3) In order to avoid recurrence, patients with fecal impaction should be treated with regular enema, appropriate increase of liquid and cellulose diet, more exercise, medication according to constipation if necessary, and keep the rectum empty and clean.