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Related Experiment Videos

Faecal incontinence.

C Staples, P Henschke

    Australian Family Physician
    |August 1, 1989
    PubMed
    Summary
    This summary is machine-generated.

    Faecal incontinence, common in the elderly, often stems from faecal loading or neurogenic causes. Prompt diagnosis via rectal exam and appropriate management can significantly improve patient outcomes and reduce caregiver burden.

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    Area of Science:

    • Geriatrics
    • Gastroenterology
    • Colorectal Surgery

    Background:

    • Faecal incontinence is a prevalent and distressing condition in the elderly population.
    • It significantly impacts the quality of life for both patients and caregivers.
    • Numerous colorectal and anal disorders can contribute to faecal incontinence.

    Purpose of the Study:

    • To identify the primary causes of faecal incontinence in the elderly.
    • To emphasize the diagnostic importance of rectal examination in evaluating faecal incontinence.
    • To outline management strategies for faecal incontinence.

    Main Methods:

    • Review of potential causes of faecal incontinence in the elderly.
    • Highlighting the diagnostic role of rectal examination for anorectal abnormalities.

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  • Differentiating between faecal impaction and neurogenic incontinence based on clinical presentation.

    • Main Results:

    • The two predominant causes of faecal incontinence in the elderly are faecal loading and neurogenic incontinence.
    • Rectal examination is crucial for detecting local anorectal abnormalities contributing to incontinence.
    • Faecal impaction presents with continuous soiling and a loaded rectum, while neurogenic incontinence involves formed stools and a normal rectal exam.

    Conclusions:

    • Faecal incontinence in the elderly has identifiable causes, primarily faecal loading and neurogenic factors.
    • Early and accurate diagnosis through rectal examination is essential for effective treatment.
    • While often treatable, intractable cases can be managed with support from continence nurse advisors.