In general it is difficult to talk about it with family, friends and even doctors. But according to the National Institute of Health, more than 21 million adults in the US are affected by fecal incontinence (FI).
This condition is very common in conditions that can affect the nerves, such as diabetes, stroke or advanced age. As well as from injury from pregnancy or childbirth.
Do the following sound familiar?
Here are some common symptoms of Fecal Incontinence.
- Frequent bowel accidents
- Monitoring what and how much you eat
- Using pads or protective garments
- Planning activities around the bathroom
- Inability to feel when you need to go
- Inability to resist the urge to go
Fecal Incontinence (FI) is a treatable condition. It’s not a normal part of aging. And you shouldn’t have to deal with it on your own.
What is the Process?
Step 1 diagnosis
Step 2 lifestyle changes
- Dietary modification: Changes may include adjusting fiber intake or eliminating troublesome foods.
- Bowel retraining: Also called biofeedback, this aims to improve bowel sensation, coordination, and strength.
- Medication: Anti-diarrheal medication may provide some relief.
Step 3 advanced therapies
First will be a simple nerve test in our office (1 week trial)
If there is a less than 50% improvement then we can do a permanent neuromodulator implant (10-15 years). Using the Medtronic bowel control therapy interstim system, this therapy targets nerves that control your bowel so that it can function normally again.
If there is greater than 50% improvement then we can do surgical repair (sphincteroplasty) Several other surgical options are available.
- Anal sphincter repair
- Artificial sphincter
- Antegrade colonic enema (ACE)