Rudolph and Galandiuk, Mar 2002, A practical guide to the diagnosis and management of fecal incontinence
Reference
Rudolph, W. and
Galandiuk, S.
A practical guide to the diagnosis and management of fecal incontinence. Mayo Clin.Proc., 77(3): 271-275. (2002).
Abstract
Many physicians are unaware that fecal incontinence is often correctable. With appropriate and relevant diagnostic tests, medical treatment and/or surgical correction often leads to good functional results. General guidelines for diagnosis, evaluation, and management of fecal incontinence are provided. There are many causes of fecal incontinence, with obstetrical trauma being one of the most frequent. A detailed history, documentation of sphincter injury, and thorough physical examination will identify the cause of the problem in most patients. Management involves the use of antidiarrheal medication and fiber products, biofeedback, or enemas. A qualified surgeon should be consulted during the course of the patient's evaluation, particularly when medical therapy is unsuccessful. Knowledge of the appropriate diagnosis, evaluation, and management of fecal incontinence may result in more patients seeking medical attention and thus improving their quality of lifeKeywords
- 59
- administration & dosage
- Antidiarrheals
- Barium Sulfate
- Biofeedback (Psychology)
- colonoscopy
- Colostomy
- Contrast Media
- course
- Defecography
- diagnosis
- diagnostic use
- Dietary Fiber
- Electromyography
- Enema
- epidemiology
- etiology
- evaluation
- Fecal Incontinence
- functional
- guide
- guidelines
- history
- human
- injuries
- INJURY
- knowledge
- LA
- life
- Louisville
- management
- Manometry
- ME
- medical
- Medical History Taking
- Patient Acceptance of Health Care
- Patients
- physical
- Physical Examination
- Physicians
- practical
- product
- psychology
- quality
- Quality of Life
- results
- review
- Risk Factors
- state
- surgery
- test
- tests
- therapeutic use
- therapy
- trauma
- United States
- UNITED-STATES
- university
