Incontinence, faecal

Inability to retain faeces in the rectum until a movement appropriate to expel them. A common cause is faecal impaction, which often results from long-standing constipation. The rectum becomes overfull causing faecal fluid and small pieces of faeces to be passed involuntarily around the impacted mass of faeces. Temporary loss of continence may also occur in severe diarrhoea. Other causes include injury to the anal muscles (as may occur during childbirth), paraplegia, and dementia. If the underlying cause of faecal impaction is constipation, recurrence may be prevented by a high-fibre diet. Suppositories containing glycerol or laxative drugs may be recommended. Faecal incontinence in people with dementia or a nerve disorder may be avoided by regular use of enemas or suppositories to empty the rectum.

 

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