ANEMGI-ONLUS  Associazione per la NeUroGastroenterologia e la Motilità Gastrointestinale 
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Fecal Incontinence Print E-mail

  

Causes of fecal incontinence

  • All psychoneurological disorders can cause constipation and thus fecal overflow incontinence for rectal impaction.
  • Neurological disorders affecting at or below the sacral parasympathetic outflow, extrinsic and intrinsic innervation of the recto-ano-pelvic area.

Diagnosis of fecal incontinence

    In all patients

  • Exclude structural recto-ano-pelvic alterations and fecal impaction.
  • Evaluate the presence of liquid stools.
  • Anorectal Manometry
  • Neurophysiologic investigations of the pelvic floor
  • In specific patients

  • Autonomic tests
  • Psychiatric assessment

Management of fecal incontinence

    Fecal impaction (see constipation)

    Liquid stools (see diarrhea)

    Recto-Ano-Pelvic dysfunction with only partial or no denervation

    • *Toilet training
    • *Manometry-controlled biofeedback
    • *Physiotherapy
    • *Electrostimulation
    • *Loperamide

    Recto-Ano-Pelvic dysfunction with total denervation

  • *Trigger defecatory reflex with physical maneuvers + glycerin, stimulant laxative suppository *Electrostimulation of S2-S3 roots.
  • *Malone anterograde enema
  • *Colostomy
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