Faecal incontinence

Czech version

Authors: Š. Malá; M. Pipková; J. Šťovíček; R. Keil; M. Kvapil
Authors‘ workplace: Interní klinika 2. LF UK a FN v Motole, Praha
Published in: Gastroent Hepatol 2013; 67(3): 207-211
Category: Clinical and Experimental Gastroenterology: Review Article

Overview

Faecal incontinence is a serious condition that significantly reduces the quality of life. Up to 15% of the population suffer from this disease. A detailed history and physical examination are essential parts of the diagnostic process. Currently, there are a number of methods such as anorectal manometry and anal endosonography that help reveal the causal mechanism of the faecal incontinence. The therapy is aimed at treating the primary cause. Pelvic floor physiotherapy is safe and effective method of treatment. Patients who suffer from diarrhea with a ruled out organic cause can benefit from antidiarrheal medication. For elderly patients with a history of faecal impaction, proper hygiene, exercise and regular complete bowel emptying are important.

Key words:
faecal incontinence – anorectal manometry – anal endosonography – pelvic floor physiotherapy – antidiarrheal medication

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