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Faecal incontinence in the elderly.

K S Lee1, R E Owen, P W Choo

  • 1Department of Geriatric Medicine, Tan Tock Seng Hospital, Singapore.

Singapore Medical Journal
|April 1, 1991
PubMed
Summary
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Faecal incontinence can be treated with accurate diagnosis. Identifying the cause, such as faecal impaction, is key to effective management and improving patient and carer quality of life.

Area of Science:

  • Gastroenterology
  • Geriatrics
  • Colorectal Surgery

Background:

  • Faecal incontinence causes significant distress to patients and caregivers.
  • Accurate diagnosis is crucial for effective treatment of faecal incontinence.

Purpose of the Study:

  • To outline the causes and diagnostic approach for faecal incontinence.
  • To emphasize the importance of accurate diagnosis for successful management.

Main Methods:

  • Classification of faecal incontinence causes by pathophysiology.
  • Detailed patient history including bowel habits and medications.
  • Mandatory digital rectal examination to rule out faecal impaction.

Main Results:

  • Faecal impaction with overflow incontinence is the most common cause in the elderly.

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  • Other causes include inflammatory bowel conditions, neurological disorders, functional, and iatrogenic incontinence.
  • Diagnosis relies on thorough history and physical examination.

    • Conclusions:

    • Management of faecal incontinence is contingent upon accurate diagnosis of its underlying cause.
    • Specific treatment strategies should be tailored to the identified cause.
    • Early and accurate diagnosis can lead to improved outcomes and reduced patient distress.