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FECAL
INCONTINENCE
- The inability
to control bowel movements; both physiologic and psychological conditions
can be contributing factors. Called also bowel incontinence. Physiologic
causes include neurologic sensory and motor defects such as those
occurring in stroke and spinal cord injury; pathologic conditions
that impair the integrity of the sphincters, such as tumors, lacerations,
fistulas, and loss of sensory innervation; altered levels of consciousness;
and severe diarrhea. Psychological factors include anxiety, confusion,
disorientation, depression, and despair.
- There is potential
for physical and psychological harm when a person is unable to control
his or her bowel movements. Damage to the integrity of the skin and
its breakdown into pressure ulcers is always a possibility no matter
how hard caregivers might try to keep the patient clean and dry. Psychologically
the person is likely to suffer from loss of self-esteem and is certain
to experience some alteration in self-image. From the time of toilet
training a person is expected to be able to handle the tasks of bowel
elimination. An adult who for some reason is no longer able to do
this is embarrassed by and ashamed of the inability to perform this
most basic of self-care activities.
- Dietary changes
may help the patient who has a stoma leading from the intestine. In
cases of neurologic or neuromuscular deficit, retraining for bowel
elimination is a major part of rehabilitation of the patient. Frequently,
it is possible to help a patient achieve control by means of a well-planned
and executed "bowel training".
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FDA-
Cleared
 BIOFEEDBACK:
PMTx:
Pelvic Muscle Therapy Program
Identifies,
isolates
and trains the
Pubococcygeal
muscles correctly.
The
PMTx program
also includes a step
by step training video,
and an instructional manual
that is designed to increase your
knowledge about your body, motivate you
towards a lifestyle change, and help keep weekly progress reports.
Click
here
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