Every patient ,who agree on any proctological patient is asking us ,what is about incontinence?Of course we are understand a patient,as a perspective to stay with pampers is disability leading too , and patient of course avoiding a surgery ,even a risk for complication is equal for zero.
As in norm sphincters for anus as obturator muscles are ability to restrains a hard, liquid and gas forming bowel containing and not just in different body positions and in physical loads as cough, sneeze.And weak for anal sphincter lead to destroy ability to restrain till a matching moment a time as for gases and stool processes. As very spreading process in proctologist ,as a complication for other proctological diseases as haemorrhoid, anal cracks, bowel inflammation, anal duct falls out.These are three levels for display a sphincter failure.As first with an individual episodes gases incontinences, in 2 nd as non control gases incontinence till a liquid stool, third level is a not possible to control theirs ,and a most often symptoms are here meteorism, diarrhoea, itch in anal near and perineum.
And reasons for these problems are different, as a most famous is obstetrician injury as injures for muscles and nerves and tensions for pelvis bottom as in long,hard births with a using obstetrician forceps. As surgeries on anal canal, and perineum, or theirs injury are reason for weak anal sphincter,as probably not correct surgery done as for a cutting anal crack,removing haemorrhoid nodules or hard fistulas, and in result muscles are damaging.And different proctologist diseases as chronic hard stool, anal duck falls out, haemorrhoid with falls out nodules, irritable bowel syndrome, tumors as finding lower, with localization in anal duct, non specific ulcer colitis and inborn diseases as causing dysfunction muscles anus and rectum. And sometimes disease displaying with age, when muscle force weak and sphincter failure also having in males, and in women's after 60-70 y.old. As rising risk for incontinence affecting on activity nerve system and leading to destroy nerve ends for anal canal,stroke, diabetes, multiple sclerosis.
As weak sphincter is a not hard diagnosis and finding in doctor investigation as in checking you are finding signs for enduring diseases,surgeries, anomalies for anal duct to rectum, defining sphincter tone and force for muscle shortenings.And for diagnosis putting and finding level a weak for sphincter is doing sphicterometrium ,transal ultrasound, colonoscopy/irrigoscopy as needing for exclusion tumors for thick bowel. And cure beginning with conservative methods as correction diet, with avoiding meal causing diarrheas and using fibers for a enlarging stool masses as this is relieving holding,and in diarrhoea is needing restoring her consistence with anti diarrhoea remedy. As importance training stool rhythm as he will be after meal, by schedulers and even if you not wish.As matching for adults with a hard recognizing poses for stool, or in limiting mobility and not visiting toilet. As they are needing in helping for toilet visiting after meal time and operatively regulates on theirs wish for visit WC , if they are having poses to defecation. And ideal time for toilet visiting since 6 am till 9.00 am, when natural biological rhythms are self helping for human. And to this time we are all needing having,and if you are planning leaving home and not visited toiled,thus use a small 0.5/1 l enema and also helping suppositors glycerin, bisacodil, and sol. mitrolax.

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