We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Office-Based Management of Fecal Incontinence.
- Authors
Costilla, Vanessa C.; Foxx-Orenstein, Amy E.; Mayer, Anita P.; Crowell, Michael D.
- Abstract
Fecal incontinence (FI) is a devastating disorder that is more prevalent than previously realized. FI is the involuntary loss of stool. Many factors contribute to the pathophysiology of FI, including advanced age, bowel irregularity, parity, and obesity. A detailed history and focused rectal examination are important to making the diagnosis and determining contributing causes. Although multiple diagnostic studies are available to assess the cause of FI, specific guidelines that delineate when testing should be done do not exist. Clinicians must weigh the risk, benefit, and burden of testing against the need for empiric treatment. All types of FI are initially managed in the same way, which includes lifestyle modification to reduce bowel derangements, improved access to toileting, and initiation of a bulking regimen to improve stool consistency. If initial conservative management fails, pharmacologic agents, biofeedback, or surgery may be indicated.
- Subjects
TREATMENT of fecal incontinence; FECAL incontinence -- Risk factors; EVALUATION of diagnostic imaging; FECAL incontinence; OBESITY; BARIATRIC surgery; SOCIAL stigma; DIAGNOSIS
- Publication
Gastroenterology & Hepatology, 2013, Vol 9, Issue 7, p423
- ISSN
1554-7914
- Publication type
Article