Incontinent

There are essentially two kinds of incontinence

• Fecal Incontinence
• Urinary Incontinence

In fecal incontinence there is partial or complete loss of control for defecation. These patients normally soil their clothes underwear sometime with a simple action such as coughing, sneezing, laughing or holding in urine, but also sometimes without the patient even aware of the defecation.

• Causes of fecal incontinent include
• Spinal Cord Injury
• Constipation
• Diabetes
• Accident to the rectal muscles either through
• Surgery
• Trauma
• Cancer
• Infection
• Procidentia

Treatment Includes

Attempt at bowel control and defecation programs Develop defecation pattern exercise for patient including Kigel exercise Increase fluid and bulk intake

This is the most common incontinent affecting patient and it runs the gamut from stress to surgical incontinent.

Here there is frequent involuntary loss of urine control. It is most frequent in the elderly but can occur at any age. Several diseases state can precipitate incontinent.

In Transient Incontinence seen mostly in the elderly a cause and treatment is required.

Symptomatic urinary track infections in both young and old can cause incontinent if not treated Alcohol medications can precipitate transient incontinent. Also Delirium Tremens associated with alcohol.

Other causes of transient incontinent are

• Psychiatry
• Excessive Fluid Intake
• Restricted Mobility
• Stool Impaction

In Established Incontinence usually seen after other causes has been ruled out we detrusor over activity overactive bladder.