Fecal and gas incontinence

Incontinence of feces and gases (anal incontinence) is observed with congenital or acquired anatomical lesions of the sphincter apparatus of the rectum or a violation of its reflex regulation of the central, including psychological, or peripheral nature.

Most experts distinguish between three clinically determined degrees of anal sphincter insufficiency:

  • I degree – gas incontinence;
  • II degree – incontinence of gases and liquid feces;
  • III degree – incontinence of gases, liquid and solid feces.

In older people, fecal incontinence often co-occurs with urinary incontinence. On the other hand, an occasional episode of fecal incontinence caused by some banal cause (stressful urge to stool due to food poisoning, which, due to life circumstances, cannot be immediately satisfied, etc.) can lead to persistent body dysmorphophobia, which must be treated by psychiatrists .

Daily, at the same time of day, a full-fledged (with a feeling of complete emptying) act of defecation is one of the most important indicators of a healthy body. Patience and good relations between the doctor and the patient are necessary in order to accurately identify the frequency of episodes and the nature of incontinence, which, under normal conditions, patients do not like to complain about and therefore it is difficult to reliably determine the true frequency of this syndrome. This is especially important for patients in neurological clinics, where the care of such patients would be much easier if the staff (mainly nurses) were informed by patients or their relatives about the individual characteristics of bowel function in their patients.

A separate difficult problemfecal and gas incontinence in babies. Basically, this is a sign of congenital or acquired anatomical and functional disorders of the integrity of the sphincter apparatus of the rectum, such as fistulous forms of anorectal anomalies, malformations of the anus (imperforated anus and others). As a rule, these severe lesions are combined in children with chronic constipation, because a narrow (fistulous) opening interferes with the emptying of the colon. If, with all this, the anus is located correctly and if the sphincter apparatus is not changed, then we are talking about functional incontinence due to a disorder of the central or peripheral nervous regulation. With all this, it is important to keep in mind the likelihood of psychological disorders, sometimes associated with the wrong upbringing of the baby, who from childhood was not accustomed to timely rhythmic defecation,

Severe incontinence is a weakening of control over the release of dense feces. Cases of incontinence with normal function of the sphincter of the anus can occur in patients with chronic diarrhea, with prolapse of internal hemorrhoids, and also in persons who do not follow the hygiene rules adopted for a civilized person after defecation. Minimal or partial incontinence occurs when the tone of the internal anal sphincter decreases, most often as a result of proctological operations or with complete prolapse of the rectum, as well as with repeated attempts by older people to retain feces.


In all cases, the same problem arises: where to start treatment for this or that form and severity of incontinence?

If incontinence occurs only with diarrhea, then you should start by finding out the causes of diarrhea. If we are talking about individual episodes of diarrhea that are clearly associated with dietary disorders or with drastic changes in the composition of the usual food and water quality (traveler’s diarrhea), then the treatment is obvious.

With signs of a violation of the innervation of the structures of the pelvic floor, the appointment of direct (external) or intraanal electrical stimulation can help. Physiotherapy exercises are very important and, first of all,Biofeedback method. This is the development of new physiological feedbacks, i.e. development of specific forms of behavior in order to develop the ability to control somatic functions through training. Since monitors that dynamically record information about the state of a trained function have entered medical practice, the possibility of “instrumental learning” has appeared. This is fundamentally different from the classic Pavlovian conditioned reflexes, developed on the basis of unconditioned innate reflexes, for example, food, and from specific responses to stimulation (for example, salivation). In contrast, special exercises are, as it were, a reward for training in the form of restoration of a weakened function. This is not the development of a new reflex, but the strengthening or restoration of the former function. In this particular case, the patient

The Biofeedback technique consists in inserting an elastic balloon into the anus to create a certain intra-anal pressure. The patient tries to squeeze this balloon with his muscles, which is recorded on the monitor. In other cases, electrical stimulation of the sphincter muscles is used to “train” and retrain the sphincter to control defecation. Currently, there are portable devices and special anorectal probes for rectal training (device Swan Attika and others). Anal incontinence associated with organic neuromuscular disorders can be satisfactorily corrected by the Biofeedback method. A.GIiaetal. (1998) reported that in 26 patients with severe anal insufficiency, the Biofeedback method led to a rapid improvement, and this improvement was maintained throughout the follow-up (approximately

A special method of auto-training of the rectal sphincter – biofeedback – is necessary for the initial treatment of patients with anal incontinence. The reaction of the sphincter muscles to such training largely determines the success of further conservative treatment and objectifies the indications for surgical treatment.

In the absence of the likelihood of using this method or with less pronounced degrees of anal holding disorders (non-retention of only gases or, occasionally, liquid feces), treatment should begin with general strengthening treatment (light physical education, water procedures) and therapeutic exercises of the sphincter muscles. There are many methods of such special gymnastics, and each proctologist prefers the method that, according to his experience, gives the best result. In principle, this is a volitional contraction and relaxation of the sphincter with a different pace and duration, but no more than 10 minutes and no more than 2 times every day (in the morning and before bedtime). We repeat, it is not often that patients, after one or two random episodes of incontinence, begin to aggravate their suffering. Biofeedback has become very popular in recent years,

Surgical treatment of anal insufficiencyshould be carried out only in proctological hospitals. Indications for one form or another of surgical correction are worked out on the basis of determining the size and nature of the defect in the muscle structures of the anal sphincter. If this defect does not exceed a quarter of the circumference of the sphincter, sphincteroplasty is performed – the defect of the sphincter is exposed, the scars are economically excised and the muscle is sutured with two or three catgut sutures. With large amounts of sphincter defect, which most often occurs with postpartum perineal deformity, anterior sphincterolevatoroplasty is performed: the skin is cut with a transverse incision, the rectovaginal septum is stratified using hydraulic preparation with novocaine, the anterior wall of the rectum is corrugated, thereby forming the anal canal, and the muscles are sutured sphincter and levators. anterior sphincterolevatoroplasty,

With defects in the posterior wall of the anus, a posterior sphincterolevatoroplasty, almost similar in technique, is performed. With more complex cicatricial post-traumatic deformities, accompanied by severe anal insufficiency, various complex reconstructive operations are performed. The choice of plastic surgery for anal incontinence is subjective, and at least three factors are evaluated for selection: the state of the muscle chosen for cutting out the graft, the state of the obturator apparatus existing in the diseased, and the state of the central and peripheral nervous system.

Articles from the forum on the topic ” Incontinence of feces and gases “

Is it true that after sex in the ass, women experience fecal and gas incontinence? did you have that?

Answer #1

and rectal cancer

Answer #2

Misunderstandings like this can happen to anyone. And about anal sex, you were deceived.

Answer #3

over-fuck-drische, under-fuck-drische, at the right time they put it in, you won’t get angry …

Answer #4

True, it can crap in the process))

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