What causes occasional fecal incontinence?

Oct 31, 2024 Source: Cainiu Health

Dr. Shen Yonghua

Introduction

Prolonged defecation time may lead to hemorrhoids, which in turn can cause the muscles around the anus to fail to close completely, resulting in occasional fecal incontinence. This condition may also be accompanied by symptoms such as anal itching and pain. It is recommended to use medications such as Ma Ying Long Musk Hemorrhoid Ointment, Gang Tai ointment, or Chlorhexidine Acetate Hemorrhoid Suppositories under the supervision of a physician for treatment.

Under normal circumstances, occasional fecal incontinence may be caused by pregnancy and childbirth, aging, hemorrhoids, ulcerative colitis, rectal prolapse, and other factors. If discomfort occurs, it is recommended to seek medical attention promptly. Specific analysis is as follows:

1. Pregnancy and Childbirth

The physical stress during pregnancy and childbirth may damage the anal sphincter muscles, leading to occasional fecal incontinence. This is often accompanied by symptoms such as pelvic floor pain and discomfort during sexual intercourse. Postpartum pelvic floor muscle rehabilitation exercises, such as pelvic floor physical therapy, are recommended to help restore the function of the anal sphincter.

2. Aging

With advancing age, the function of the anal sphincter muscles may gradually weaken, resulting in reduced bowel control and occasional fecal incontinence. This is commonly associated with changes in bowel frequency and difficulty defecating. Pelvic floor muscle exercises are recommended to strengthen the anal sphincter and improve bowel control.

3. Hemorrhoids

Prolonged straining during bowel movements can lead to hemorrhoids, which may prevent the muscles around the anus from closing completely, causing occasional fecal incontinence. Symptoms may also include anal itching and pain. It is recommended to use medications such as Ma Yinglong Musk Hemorrhoid Ointment, Gangtai Ointment, or Chlorhexidine Acetate Hemorrhoid Suppositories as directed by a physician.

4. Ulcerative Colitis

Intestinal infections may trigger ulcerative colitis. Inflammation impairs the intestine's ability to conduct and regulate bowel movements, leading to decreased bowel control and occasional fecal incontinence. This is usually accompanied by symptoms such as abdominal pain and diarrhea. Treatment under medical guidance may include medications such as Amoxicillin Capsules, Azathioprine Tablets, and Prednisolone Tablets.

5. Rectal Prolapse

Rectal prolapse refers to the downward protrusion of the rectum, which interferes with the normal function of the anal sphincter, resulting in occasional fecal incontinence. It may also be accompanied by bleeding and pain. Surgical treatments such as perineal procedures or rectopexy may be recommended under a doctor’s supervision.

In daily life, appropriate physical exercise is recommended to enhance physical strength and boost immune function.

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What medication is used for children's bedwetting?

The choice of medication mainly depends on the severity and type of urinary incontinence; therefore, it is difficult to generalize a specific drug regimen. For mild urinary incontinence, certain medications can be used to relax the bladder, such as M-receptor antagonists, or medications that tighten the external urethral sphincter. In most cases of childhood bedwetting, there is no direct association with disease; rather, it is often caused by psychological factors or other non-pathological reasons.