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Constipation and Fecal Incontinence in the Elderly.
Brototo Deb1, David O Prichard1, Adil E Bharucha2
1Division of Gastroenterology and Hepatology, Mayo Clinic, 200 1st Street, Rochester, MN, 55905, USA.
Current Gastroenterology Reports
|August 26, 2020
Summary
Constipation and fecal incontinence are common in older adults. Management involves addressing bowel disturbances, with biofeedback therapy showing promise for fecal incontinence.
Area of Science:
- Gastroenterology
- Geriatrics
- Colorectal Health
Background:
- Constipation and fecal incontinence are prevalent in the elderly population.
- Understanding the epidemiology, pathogenesis, and clinical features is crucial for effective management.
Purpose of the Study:
- To review the epidemiology, pathogenesis, clinical features, and management of primary constipation and fecal incontinence in the elderly.
Main Methods:
- Literature review of studies on constipation and fecal incontinence in older adults.
- Analysis of epidemiological data, risk factors, and treatment outcomes.
Main Results:
- Prevalence rates for functional constipation (6.5%), IBS-C (1.7%), and OIC (1.1%) in the elderly.
- Colonic motor dysfunction may stem from decreased cholinergic function.
- Risk factors for fecal incontinence include reduced physical activity, low fiber intake, and hormonal therapy.
- Biofeedback therapy is effective for fecal incontinence, with combined loperamide and biofeedback showing superior results.
Conclusions:
- Constipation and fecal incontinence are common and distressing in the elderly.
- Management should focus on addressing underlying bowel disturbances.
- Diagnostic tests, medications, and surgical options should be considered when necessary.
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