Can incontinence be cured?

Incontinence is also a common disease nowadays. It is very harmful and may cause unnecessary troubles if you are not careful. Therefore, patients with incontinence should take good care of their bodies and choose appropriate methods to slowly regulate their condition. Incontinence may be related to enteritis, inflammation of body organs, and previous impacts. As long as the cause is found, it can be well regulated and treated.

Etiology The etiology is caused by mechanical or neurogenic lesions. Common reasons are as follows

Obstructions and injuries: Anorectal diseases such as rectal prolapse, hemorrhoids, chronic diarrhea, and prolapsed polyps cause muscle relaxation and decreased tension; aging or certain diseases cause anal sphincter atrophy or weak contraction; surgical cutting or removal of the anal sphincter due to anal or rectal diseases, as well as damage to the anal sphincter due to childbirth, anal trauma, burns, scalds, etc.

Neurological disorders , coma, mental retardation and other central nervous system diseases, paraplegia caused by spinal cord injury or damage to the nerves that control the anal sphincter, sudden fright, etc.

Congenital diseases: congenital absence of anal sphincter or sphincter dysplasia

The clinical manifestations include inability to control the excretion of feces and gas, resulting in frequent moisture in the perineum and feces staining clothes. In complete incontinence, feces can flow out of the anus at any time; feces and mucus often flow out of the anus when coughing, walking, squatting or sleeping. In case of incomplete incontinence, although dry stools can be controlled, loose stools cannot be controlled. Only by concentrating on controlling the anus can the stool be prevented from flowing out.

It should be noted that fecal incontinence is mainly distinguished from the occasional fecal incontinence in patients with diarrhea such as acute bacillary dysentery and acute enteritis. However, the bowel movements of these patients can be controlled at will in most cases, and most patients have abdominal pain and bloody or watery stools. After symptomatic treatment, the occasional fecal incontinence disappears as the diarrhea symptoms ease and the stool becomes formed. Fecal incontinence mainly involves differentiating between causes, including neurological disorders and injuries, muscle dysfunction and damage, congenital diseases, etc.

Fecal incontinence can easily cause a variety of complications, the most common of which are perineum, sacrum and coccyx skin inflammation and pressure ulcers (pressure sores). The incidence of fecal incontinence in the elderly, critically ill patients, and paralyzed bedridden patients is as high as 46.0% to 54.4% [1]. Due to the stimulation of feces, the perineum skin is often in a state of moisture and erosion by metabolic products, which makes the skin red, swollen and ulcerated. The infection of skin ulcers can penetrate deep into the muscle layer or extend to the scrotum, labia, groin, etc.; contamination of the urethral orifice and vaginal orifice causes retrograde infection, which not only aggravates the patient's pain, but also brings difficulties to clinical nursing work. Since the perineum is often stimulated by feces, erosion, itching, ulcers and pain may occur on the perianal skin. A small number of patients control their diet to reduce bowel movements, become emaciated and lose weight.

Fecal incontinence in children ① Primary: continued from early childhood;

② Secondary or degenerative: The person has defecated in the toilet before, but does not defecate again. Gender: The male-to-female ratio is 2.5-6.0:1; Age frequency: 4 years old accounted for 2.8%, 5 years old accounted for 2.2%, 6 years old accounted for 1.9%, 7-8 years old accounted for 1.5%, 10-11 years old accounted for 1.6%.

The treatment of fecal incontinence in children is very difficult and requires tacit cooperation among the child, family members and doctors.

Children with neurogenic fecal incontinence are unable to control their bowel movements and flatulence. When incontinence is complete, feces will flow out naturally and stain the underwear. Feces will be discharged during sleep and stain the bedding. The anus and perineum are often moist, and the perianal skin is eroded, painful, itchy, and has eczematous changes. In the case of incomplete incontinence, there is no incontinence when the stool is dry, but it cannot be controlled when the stool is loose or there is diarrhea. Generally, most people defecate in their underwear, and as a result, feces sometimes end up in corners of houses, kindergartens, school corridors, parks and other places. Most bowel movements occur when children are standing, especially when exercising, walking, playing, or even bathing, causing feces to float in the bathtub.