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Related Experiment Videos

Fecal incontinence.

Arnold Wald1

  • 1Division of Gastroenterology, Hepatology and Nutrition, University of Pittsburgh Medical Center, PUH, Mezzanine Level, C-wing, 200 Lothrop Street, Pittsburgh, PA 15213, USA. walda@upmc.edu

Current Treatment Options in Gastroenterology
|July 13, 2005
PubMed
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Fecal incontinence management involves identifying fecal impaction and treating diarrhea with diet or medication. For persistent cases, diagnostic studies and therapies like biofeedback or surgery are considered.

Area of Science:

  • Gastroenterology
  • Colorectal Surgery
  • Pelvic Floor Physical Therapy

Background:

  • Fecal incontinence is a complex condition frequently managed by general practitioners.
  • Understanding and effective treatment remain challenging for many patients.

Purpose of the Study:

  • To outline the diagnostic and therapeutic approaches for fecal incontinence.
  • To highlight conservative and advanced treatment options.

Main Methods:

  • Identification of fecal impaction through history and physical examination.
  • Management of diarrhea with dietary modifications, medications, and bile salt binders.
  • Utilizing diagnostic studies for anorectal continence mechanisms when conservative therapy fails.

Main Results:

Related Experiment Videos

  • Fecal impaction with overflow incontinence is treatable with basic clinical assessment.
  • Diarrhea, a common factor, can be managed through various conservative measures.
  • Advanced diagnostic and therapeutic interventions are available for refractory cases.

Conclusions:

  • A stepwise approach to fecal incontinence is effective, starting with identifying impaction and managing diarrhea.
  • Biofeedback, pelvic floor retraining, and surgery are established treatments.
  • Sacral nerve stimulation shows future promise for select patients.