Fecal Incontinence Essay Example | Topics and Well Written Essays - 4500 words

Fecal Incontinence - Essay ExampleThey travel ho affairbound and prefer to pass the day very close to the toilet to avoid losing feces. The exact incidence of FI is uncertain because of patients hesitation to seek help from their physicians. Women seem to be at higher risk, mostly collect to obstetric damage to the anal sphincters however, during the last decade, an increasing interest has been dedicated to those forms of FI related to nontraumatic factors, which reach a relevant incidence (Bharucha, 2003). Older subjects argon at very high risk, especi every last(predicate)y those with disabilities and those who are institutionalized. Moreover, preadolescent people are often affected. These factors create a meaningful economic impact for society, not altogether due to direct and indirect costs, but also due to intangible costs. FI may result from a variety of pathophysiological situations, and various risk factors can cause a wide range of inability to see to it feces passage . Therefore, an accurate diagnostic workup of each patient is fundamental. Although not fully agreed upon by all physicians, a multimodal diagnosis, using a multiparametric evaluation, seems to allow the most thorough understanding of FI pathophysiology and to indicate optimal treatment. These are really the most important and challenging aspects of FI management. Indeed, a wide range of therapeutic options is available, including conservative, rehabilitative, and surgical procedures. passing variable rates of defecatory dysfunction and faecal incontinence have been reported, which most likely reflects the heterogeneity of the populations studied, the use of non-standardized questionnaires, a variety of definitions in terms of frequency of defecation or fecal loss, and patient hesitation to disclose these potentially embarrassing problems. Aging has been consistently identified as a major risk factor for the development of fecal incontinence, and the prevalence has been reported to approach 50% in nursing office residents (Cook and Mortensen 2002). A recent study of more than 3,000 community-dwelling women found a population-adjusted prevalence of 7.7% when fecal incontinence was delineate as loss of liquid or solid stool at least monthly. The prevalence of fecal incontinence increased linearly with age (Melville et al., 2005). Many patients are reluctant to seek medical management for bowel disorders because of embarrassment and social stigma. Primary disquiet providers, including obstetricians and gynecologists, are therefore integral to the successful revelation of such problems by routinely inquiring about bowel function during periodic health care visits.The Research ProblemThe problem with fecal incontinence is that it often goes undiagnosed and untreated in older patients mainly due to the social stigma attached to it. Not only are the patients reluctant to withstand the problem, the physicians often fail to ask about the problem due to simila r embarrassment that the patients feel or due to the fact that they think the problem to be insignificant. In the older age groups this is particularly significant since it is common in them. Large population surveys have revealed that above age 65, the prevalence is 3% to 7%. Many elderly people are forced to get admitted into nursing homes due to this problem so much so that the prevalence is as high as 50% (Perry et al., 2002). As highlighted by Bharucha et al. (2005), the pecuniary