Accidental Bowel Leakage/Fecal Incontinence

Fecal incontinence is the uncontrolled passage of feces or flatus. It is a debilitating and often unrecognized condition whose prevalence is increasing with our aging population and often carries significant stigmata associated with decreased quality of life. It is also one of the leading causes of nursing home admissions in the United States. The etiology of fecal incontinence is multifactorial, with many risk factors contributing to this disease process. Treatment may be challenging and needs to be individualized. In this review, we discuss the initial evaluation of the patient presenting with fecal incontinence, adjunctive testing modalities, and nonoperative management. This review contains 6 figures, 2 tables and 50 references Key words: accidental bowel leakage, biofeedback, bowel incontinence, fecal incontinence, pelvic floor physical therapy, pelvic floor retraining

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Fecal Incontinence: Nonsurgical Management

10.2310/obg.19158 ◽

2017 ◽

Author(s):

Madeleine Blank ◽

Lilian Chen

Keyword(s):

Quality Of Life ◽

Fecal Incontinence ◽

Pelvic Floor ◽

Nonoperative Management ◽

Disease Process ◽

The United States ◽

Pelvic Floor Physical Therapy ◽

Nonsurgical Management ◽

Accidental Bowel Leakage

Fecal incontinence is the uncontrolled passage of feces or flatus. It is a debilitating and often unrecognized condition whose prevalence is increasing with our aging population and often carries significant stigmata associated with decreased quality of life. It is also one of the leading causes of nursing home admissions in the United States. The etiology of fecal incontinence is multifactorial, with many risk factors contributing to this disease process. Treatment may be challenging and needs to be individualized. In this review, we discuss the initial evaluation of the patient presenting with fecal incontinence, adjunctive testing modalities, and nonoperative management. This review contains 6 figures, 2 tables and 50 references Key words: accidental bowel leakage, biofeedback, bowel incontinence, fecal incontinence, pelvic floor physical therapy, pelvic floor retraining

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Central Nervous System Processing of Emotions in Children with Fecal Incontinence and Constipation

Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie ◽

10.1024/1422-4917/a000638 ◽

2019 ◽

Vol 47 (1) ◽

pp. 67-71

Author(s):

Monika Equit ◽

Justine Niemczyk ◽

Anna Kluth ◽

Carla Thomas ◽

Mathias Rubly ◽

...

Keyword(s):

Central Nervous System ◽

Nervous System ◽

Fecal Incontinence ◽

Event Related Potentials ◽

Anterior Cingulate ◽

Afferent Pathways ◽

Study Results ◽

Related Potentials ◽

The Central Nervous System ◽

Cortical Regions

Abstract. Objective: Fecal incontinence and constipation are common disorders in childhood. The enteric nervous system and the central nervous system are highly interactive along the brain-gut axis. The interaction is mainly afferent. These afferent pathways include centers that are involved in the central nervous processing of emotions as the mid/posterior insula and the anterior cingulate cortex. A previous study revealed altered processing of emotions in children with fecal incontinence. The present study replicates these results. Methods: In order to analyze the processing of emotions, we compared the event-related potentials of 25 children with fecal incontinence and constipation to those of 15 control children during the presentation of positive, negative, and neutral pictures. Results: Children with fecal incontinence and constipation showed altered processing of emotions, especially in the parietal and central cortical regions. Conclusions: The main study results of the previous study were replicated, increasing the certainty and validity of the findings.

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