Did you mean
team held come

Search results

  1. Medical Service

    Head & Neck Surgery

    The Brooklyn Hospital Center's Division of Head and Neck Surgery manages the diagnosis and surgical treatment of benign and malignant tumors of the head and neck. Staffed by a team of highly capable sur ...

  2. Medical Service

    Otolaryngology (ENT)

    ring, balance, smell, taste, voice, speech and language. Common ENT Conditions and Services head and neck inf ... cer papillomas spasmodic dysphonia throat infections vocal fold nodules Head ...

  3. Medical Service

    Pediatric Surgery

    anomalies and tumors of the head, neck, chest, abdomen and pelvis ...

  4. Medical Service

    Neuroscience Center

    entias  Guillain-Barre syndrome  Headaches/migraine  Hemifacial spasm  Huntington's ...

  5. Medical Service

    Allergy & Immunology

    rrhea, headache, runny nose itching of the nose, mouth, throat, skin, or any ...

  6. Medical Service

    Plastic Surgery

    years of specialty training in head and neck surgery and facial pla ... of the head and neck provides the facial plastic surgeon with a strong foc ...

  7. Medical Service

    Neurology

    disorders neck and back pain stroke headaches carpal tunnel syndrome ...

  8. Medical Service

    Nuclear Medicine

    including one single-head and three dual-head gamma cameras. We are als ...

  9. Medical Service

    Pediatric Genetics

    lude: unexplained developmental/speech delays or mental retardation small head siz ...

  10. Medical Service

    Speech & Hearing

    rehabilitation for head and neck cancer patients Voice disorders (vocal nod ...

Pages

Site | The Brooklyn Hospital Center
 
Did you mean
team both come

Search results

  1. Medical Service Parent

    Cancer Care

    cer, but being aware of your body and seeking medical care when you start to notice ...

  2. Heart Disease

    tent above is based on Adam Health Content, for  more details related to  ... .599.6200   HEALTH RESOURCES Wellness for Life Club   What is Your  BODY MASS IND ...

  3. Diabetes

    el.   The content above is based on Adam Health Content, for  more details related ... t is Your  BODY MASS INDEX >   Need Help Losing Weight?  Visit our Wei ...

  4. Article

    Cared For — Body and Mind

    When I woke up in the middle of the night with a very painful "charley horse" in my calf after a trip to Washington DC, I thought nothing of it. I just figured I had strained it from the active day, no big deal. But the pain lingered on, intensi ...

  5. Medical Service

    Otolaryngology (ENT)

    us disease swallowing and voice disorders snoring and sleep apnea foreign body ... d and Neck Surgery foreign body removal infections, cysts, lesions and masses ...

  6. Medical Service

    Dermatology

    n and body, offering skin care for the entire family. Not all skin conditions ... cer, ethnicity matters Malignant melanomas can appear anywhere on the body ...

  7. Medical Service

    Wound Care

    O” therapy is a medical treatment that enhances the body’s natural healing ...

  8. Medical Service

    Allergy & Immunology

    is oversensitive in a person with allergies. When the body recognizes an all ...

  9. Medical Service

    Palliative Care

    decisions Help improving your body’s tolerance for medications Coordination ...

  10. Docs

    Docs body content ...

Pages

Bowel incontinence

Definition

Bowel incontinence is the loss of bowel control, causing you to pass stool unexpectedly. This can range from sometimes leaking a small amount of stool and passing gas, to not being able to control bowel movements.

Urinary incontinence is when you are not able to control passing urine. It is not covered in this article.

Alternative Names

Uncontrollable passage of feces; Loss of bowel control; Fecal incontinence; Incontinence - bowel

Considerations

In adults age 65 and older, women tend to have problems with bowel control more often than men.

Children who have problems with leakage due to toilet training problems or constipation may have encopresis.

The rectum, anus, pelvic muscles, and nervous system must work together to control bowel movements. If there is a problem with any of these, it can cause incontinence. You must also be able to recognize and respond to the urge to have a bowel movement.

Many people feel embarrassed about bowel incontinence and may not tell their health care provider. But incontinence can be treated. So you should tell your provider if you are having problems. Proper treatment can help most people gain control of their bowels. Exercises to make the anal and pelvic muscles stronger can help the bowels work properly.

Causes

Reasons people have bowel incontinence include:

Home Care

Often, simple changes may help reduce bowel incontinence. Your health care provider may suggest one or more of these treatments.

Diet. Track the foods you eat to see if any types of foods cause problems. Foods that may lead to incontinence in some people include:

Fiber. Adding bulk to your diet may thicken loose stool. To increase fiber:

Bowel retraining and pelvic floor exercises. These methods can help you control your anal sphincter muscle when you have a bowel movement. Your provider can show you exercises to strengthen the pelvic floor and anal muscles. Bowel retraining involves trying to have a bowel movement at certain times of the day.

Some people can't tell when it's time to have a bowel movement. Or they can't move well enough to safely get to the bathroom on their own. These people need special care. They may become used to not getting to the toilet when it's time to have a bowel movement. To prevent this problem, help them get to the toilet after meals and when they feel the urge. Also, make sure the bathroom is safe and comfortable.

Using special pads or undergarments can help an incontinent person feel safe when they leave home. You can find these products in pharmacies and in many other stores.

SURGERY

If medical treatment does not work, surgery may help correct the problem. There are several types of procedures. The choice of surgery is based on the cause of the incontinence and the person's general health.

Rectal sphincter repair. This surgery may help people whose anal muscle ring (sphincter) isn't working well due to injury or aging. The anal muscles are reattached to tighten the sphincter and help the anus close more completely.

Gracilis muscle transplant. In people who have lost nerve function in the anal sphincter, gracilis muscle transplants may help. The gracilis muscle is taken from the inner thigh. It is put around the sphincter to help tighten the sphincter muscle.

Artificial bowel sphincter. The artificial sphincter consists of three parts: a cuff that fits around the anus, a pressure-regulating balloon, and a pump that inflates the cuff.

During surgery, the artificial sphincter is placed around the rectal sphincter. The cuff stays inflated to maintain continence. You have a bowel movement by deflating the cuff. The cuff will automatically re-inflate in 10 minutes.

Sacral nerve stimulator. A device can be put inside the body to stimulate the nerves that maintain continence.

Fecal diversion. Sometimes this procedure is performed in people who are not helped by other therapies. The large intestine is attached to an opening in the abdominal wall called a colostomy. Stool passes through this opening to a special bag. You will need to use a colostomy bag to collect stool most of the time.

Injection treatment. This procedure injects a thick gel (Solesta) into the anal sphincter to bulk it up.

If treatment does not get rid of bowel incontinence, you can use special fecal collection devices to contain the stool and protect your skin from breakdown. These devices have a drainable pouch attached to an adhesive wafer. The wafer has a hole cut through the center, which fits over the opening to the anus.

When to Contact a Medical Professional

Report any problems with incontinence to your health care provider. Call your provider if:

What to Expect at Your Office Visit

Your health care provider will take your medical history. Be sure to tell your provider about all the prescription and over-the-counter medicines you take. Taking antacids or laxatives can cause bowel incontinence, especially in older people.

Your health care provider will also perform a physical exam, focusing on your stomach area and rectum. Your provider will insert a lubricated finger into your rectum to check sphincter tone and anal reflexes, and to look for any problems.

Diagnostic tests may include:

References

Madoff RD. Diseases of the rectum and anus. In: Goldman L, Schafer AI, eds. Goldman's Cecil Medicine. 24th ed. Philadelphia, PA: Elsevier Saunders; 2011:chap 147.

Rao SSC. Fecal incontinence. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran's Gastrointestinal and Liver Disease. 9th ed. Philadelphia, PA: Elsevier Saunders; 2010:chap 17.



Review Date: 12/3/2014
Reviewed By: Jennifer K. Lehrer, MD, Department of Gastroenterology, Frankford-Torresdale Hospital, Aria Health System, Philadelphia, PA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
adam.com
Site | The Brooklyn Hospital Center
 
Did you mean
team food come

Search results

  1. Medical Service

    Orthopaedic Services

    of the foot, knee, shoulder, hip, hand or other joints. We also treat bone ... advanced reconstructive surgery of the foot, ankle, knee and sho ... er ligament tears Foot and Ankle achilles tendonitis and tears peroneal ten ...

  2. Medical Service

    Podiatry

    The Division of Podiatry offers high-quality, state-of-the-art therapies to treat a wide range of foot and ankle disorders. Conditions Treated at The Brooklyn Hospital Center ingrown toenails ankle sprains ...

  3. Medical Service

    Geriatrics

    and balance problems frequent falls and gait disorders foot ulcers and oth ...

  4. Heart Disease

    tent above is based on Adam Health Content, for  more details related to  ...

  5. Diabetes

    el.   The content above is based on Adam Health Content, for  more details related ...

  6. Patient Portal

    e invitation code provided to you and click “Agree” to the release of inf ...

  7. Simulation Center

    TBHC has developed a multimillion dollar, state-of-the-art Simulation Facility where residents receive training on laparoscopy, intubation, central line placement, code simulations and obstetric deliveries.   ...

  8. Event

    Healthy Back 2 School Fair!

    e blood pressure and foot screenings • Health insurance information • Sch ...

  9. Article

    Saturday in the Park! Annual health fair in Fort Greene Park helps us keep Brooklyn healthy.

    r prostate cancer). Dental and foot screenings, HIV/AIDS education, infant CPR ...

  10. Article

    Saturday In The Park-- TBHC Health Fair Emphasizes Wellness and Prevention

    tal, glucose, blood pressure, cholesterol, postural, foot, PSA, and BMI ...

Pages