Fecal Incontinence Treatment

Dr. Sandeep JhaDNB (Surgical gastroenterology, MS( General Surgery), MBBS, Fellowship in Minimal Access Surgery, Diploma in Minimal Access Surgery, Fellow of International College of Robotic SurgeonsSurgical Gastroenterologist

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Yes these may be the side effects of these surgery . However anal dilatation is not recommended these days 

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Dr. Nikhilesh BorkarMBBS, M.S. General Surgery, M.R.C.S. England, M.Ch. Surgical Oncology, DNB Surgical Oncology, FEBS Surgical Oncology, DNB General Surgery, MNAMS, FMAS, FIAGES, FAIS, FICS, FEBS Breast Surgery, FACS, Fellowship IFHNOS & MSKCC USA, Fellowship in breast and oncplastic SurgeryOncologist

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Anal fingering is unlikely to cause cancer. Sexual transmission e.g. HPV is possible due to sexual contact with some other person. Doctors do a pet rectal examination of patients with bleeding, obstruction etc, but they use gloves with Local Anasthetist Jelly for the same. But try to avoid avoid anal fingering as trauma from the nails can cause tears in the anal mucosa which can lead to fissure or infection. Anal cancer can present as a growth, bleeding, inguinal lump due to nodes or fecal incontinence. If you have further queries, feel free to directly contact me. 

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Bnchy Wellness MedispaBachelor of Naturopathy & Yogic Sciences (BNYS), M.sc in yoga and naturopathy, Bachelor of Ayurveda, Medicine and Surgery (BAMS), Bachelor of PhysiotherapyAyurveda

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Hello Lybrate user, It is unusual for adults to have white stool. If you have been passing white or pale stool, then you need to see your doctor immediately. The typical causes of white stool in adults include the following: 1.Side effects of medication 2.Gallstones 3.Inflammatory disease 4.Liver disease – A white stool is one of the clinical manifestations of chronic liver disease. It could increase the possibility of having liver cancer. Any changes in the stool should be addressed the soonest time possible. 5.Digestive disorders – Any problems in the digestive system can significantly affect the color of the stool. Examples are dysentery, fecal incontinence, Whipple disease, and esophageal achalasia. 6.Obstruction of the bile duct – What is bile? It is a fluid used to digest fats. It is released by the liver, stored in the gallbladder temporarily, and passed through the bile ducts. It is the bile that is responsible in giving the stool its normal color. If the bile duct is obstructed, the bile will build up in the liver, which gives stool a pale or white color. The treatment approach for white stool primarily depends on the factor that causes it. If it is caused by malabsorption of fat, the best remedy is diet modification. The patient is also put on a fat-soluble vitamin. If it is caused by a liver-related disease, and then the treatment approach is focused on treating the liver and improving general health. As well change your daily lifestyle and eating habits. Wake up at 5 am daily. Do some exercise (running, walking, Pranayama asana) Avoid eating fried, spicy, and oily food. Eat fresh fruits and drink fresh juice. Increase your water level intake 2-3 liters in a day. 

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Dr. Himani NegiBHMSHomeopath

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Rectal discharge is intermittent or continuous expression of liquid from the anus (per rectum). Normal rectal mucus is needed for proper excretion of waste. Otherwise, this is closely related to types of fecal incontinence (e.g. fecal leakage) but the term rectal discharge does not necessarily imply degrees of incontinence. Types of fecal incontinence that produce a liquid leakage could be thought of as a type of rectal discharge. Today Homoeopathy is the most popular holistic systems of medicine providing cure in natural way without any side effects You can easily take an online consultation for further treatment guidance 

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Dr. Jitendra AgrawalMS - General SurgeryGeneral Surgeon

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surgery is the treatment of this, but you may avoid straining during defecation, exercise of pelvic floor. 

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Dr. Aryan SinghMBBSGeneral Physician

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Foul smell is due to piles. It is suggested to have sitz bath. It is a warm, shallow bath where you sit in to relieve discomfort in your perineal region. Soak your anal area in warm water as it relaxes your anal sphincter. This increases blood flow through your anal tissues and gives you relief from pain. Do it for 15-20 minutes twice a day. Wash the anal area with mild soap gently and apply some cream suggested by your doctor. 

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Dr. Surbhi AgrawalPDDM, MHA, MBBSGeneral Physician

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There are many potential causes of fecal incontinence, including: diarrhea (possibly due to an infection or ibs) impacted stool (due to severe constipation, often seen in people of your age group) inflammatory bowel disease (crohn's disease or ulcerative colitis) nerve damage (due to diabetes or spinal cord injury) more than one cause for fecal incontinence is a strong possibility. Alot of cases of bowel incontinence, occur without a clear cause. First things first is to figure out the cause, if at all possible. This is a process, no single simple test will be able to figure it out. You will need to see a gastroenterologist and discuss your entire medical history. During a physical examination, a the gi may check the strength of the anal sphincter muscle using a gloved finger inserted into the rectum. Some of the tests that may be needed for figuring this out are: stool testing endoscopy anorectal manometry. A pressure monitor is inserted into the anus and rectum. This allows measurement of the strength of the sphincter muscles. Endosonography. An ultrasound probe is inserted into the anus. This produces images that can help identify problems in the anal and rectal walls. Nerve tests. These tests measure the responsiveness of the nerves controlling the sphincter muscles. They can detect nerve damage that can cause bowel incontinence. Let me try and give you an overview of what kind of treatment options you have. Recommended treatments vary according to the cause of course. Often, more than one treatment method may be required to control symptoms. Diet changes may be helpful: eat 20 to 30 grams of fiber per day. This can make stool more bulky and easier to control. Avoid caffeine. This may help prevent diarrhea. Drink several glasses of water each day. This can prevent constipation. Medications. Try these medicines to reduce the number of bowel movements and the urge to move the bowels: imodium lomotil hyoscyamine methylcellulose can help make liquid stool more solid and easier to control. For people with a specific cause of diarrhea, such as inflammatory bowel syndrome, other medications may also help. Exercises. Begin a program of regularly contracting the muscles used to control urinary flow (kegel exercises). This builds strength in the pelvic muscles and may help reduce bowel incontinence. Bowel training. Schedule bowel movements at the same times each day. This can help prevent accidents in between. Surgery may be recommended for people whose bowel incontinence is not helped by noninvasive treatments. There are many different surgeries that can be done. But I don; t want to get into this unless we know its really necessary. I strongly suggest you look into instituting the dietary changes mentioned above, after that medication may be needed. But above all, you need to be in touch with a good gi. I hope this helps. Feel free to follow-up and I will do my best to talk you through all this. 

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