Fecal Incontinence Causes & Treatments St Louis

Fecal incontinence is also known as bowel incontinence, accidental bowel leakage, or having loose bowels. Almost everyone will experience an “accident” in having stool leak while passing gas, a bout with diarrhea, or being forced to hold in a bowel movement because of lack of bathroom facilities nearby. However, chronic or ongoing bowel leakage is cause to seek help.

Don’t feel embarrassed. There are many reasons why you can find yourself having this issue.

The body is a marvelous system of cells, nerves and muscles that function without having to think about it. Cell regeneration, digestion and waste elimination all take place as a result of sophisticated, automated processes.

Bowel leakage happens as a result of a breakdown in communication within the complicated nerve and muscle system of the anus and rectum. If the nerves or muscles have been damaged, this will cause problems.

Causes of Fecal Incontinence:

• Childbirth through Vaginal Delivery
• Anal or Rectal Surgery
• Constipation
• Muscle or Nerve Damage, Stroke, Spinal Injury
• Aging
• Diseases (e.g. diabetes, Alzheimer’s, dementia, Crohn’s disease and ulcerative colitis)
• Chronic Diarrhea

West County Colon Rectal Care Center specializes in treating all forms of bowel incontinence, mild and severe. Dr. Robert West is a highly trained Board Certified Proctologist who specializes in diseases of the colon, rectum and anus. Along with our highly trained staff, that is all we do. We understand the sensitive nature of health issues affecting the colon, rectum and anus. At West County Colon Rectal Care Center, you can be assured that you will receive expert care.

Fecal incontinence, if not treated, will affect your quality of life, self-esteem and well-being.

We have found the following tests to be the most helpful in determining the best treatment options to treat your fecal incontinence.

Rectal Exam

On the initial appointment, it’s important to understand what symptoms and causes may be involved with the fecal incontinence.

Answers to the following questions will help:

• How often are you experiencing problems?
• Are you experiencing abdominal pain or rectal pain?
• What are your symptoms?
• How long have you had these symptoms?
• What is the most distressing symptom?
• What medications are you taking (over the counter and prescriptions)?
• What is your lifestyle (diet, sedentary or active)?
• What other health issues, if any, do you have?
• A rectal exam will help visually check for any issues that can be seen immediately. This would include the presence of hemorrhoids, fissures, or evidence of previous surgeries.

Colonoscopy

Colonoscopy has mostly been thought of as screening for colon cancer. However, a colonoscopy is very helpful in diagnosing causes of fecal incontinence.

A colonoscopy is an examination that uses an endoscope to view the entire large bowel or colon. The doctor can view obstructions, polyps, bleeding, ulcers, tumors or other causes of inflammation.

A colonoscopy will be recommended if there is unexplained rectal bleeding, blood in the stool, sudden weight loss, sudden constipation, sudden fecal incontinence, or a suspected blockage.

Why Are These Tests Important?

Anal Manometry, anal sphincter EMG and the balloon test all help a doctor to treat patients with severe constipation or fecal incontinence. The anal sphincter muscles are very important, specialized muscles that regulate the proper passage of bowel movements.

If the muscles are weak, or if the muscles don’t contract in a timely fashion, stool will leak, which translates to incontinence. A poor sensation in the rectum can also contribute to fecal incontinence. These tests can help a doctor determine what kinds of treatments are necessary.

If muscles don’t relax properly when bearing down or pushing to have a bowel movement, this can cause an obstruction and constipation. While there are many causes for fecal incontinence, an anal manometry test can help doctors and patients identify the problem and offer effective treatments.

Measuring how the muscles respond will determine what action the doctor and patient can take to improve and correct these issues

We look forward to helping you feel confident and healthy again.