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Geriatric fecal incontinence.

Syed H Tariq1

  • 1Department of Internal Medicine, Division of Geriatric Medicine, Saint Louis University School of Medicine, 1402 South Grand Boulevard, M-238, St. Louis, MO 63104, USA. tariqsh@slu.edu

Clinics in Geriatric Medicine
|September 3, 2004
PubMed
Summary
This summary is machine-generated.

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Fecal incontinence in older adults.

Clinics in geriatric medicine·2007

Fecal incontinence affects many elderly individuals, particularly in nursing homes, and is linked to higher mortality. Medical evaluation and interventions like habit training, biofeedback, or surgery can help manage this condition.

Area of Science:

  • Geriatrics
  • Gastroenterology
  • Anorectal Disorders

Background:

  • Fecal incontinence is a prevalent issue among the elderly, especially in nursing home settings.
  • It contributes to increased mortality and is a significant factor in nursing home admissions.
  • Physiologic changes in the anorectal region are implicated in its development.

Purpose of the Study:

  • To summarize the current understanding of fecal incontinence in the elderly.
  • To outline the importance of medical evaluation and management strategies.

Main Methods:

  • Review of existing literature on fecal incontinence in the elderly.
  • Discussion of diagnostic approaches, including exclusion of fecal impaction.
  • Overview of treatment modalities.

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Main Results:

  • Fecal incontinence affects both men and women, with potentially higher prevalence in older men.
  • Initial medical evaluation is crucial for all patients.
  • Cognitively impaired patients respond well to habit training.
  • Biofeedback and surgical interventions are options for selected elderly patients.

Conclusions:

  • Fecal incontinence is a serious geriatric condition requiring thorough medical assessment.
  • Management strategies should be tailored to the individual patient, including those with cognitive impairment.
  • Various interventions, from behavioral to surgical, can improve outcomes for elderly patients experiencing fecal incontinence.