Fecal incontinence in elderly patients: common, treatable, yet often undiagnosed

It is important for primary care physicians to take fecal incontinence seriously and not dismiss it as a normal part of aging. Elderly patients may be reluctant to admit fecal incontinence, so clinicians need to ask about it. Two of the most common causes are fecal impaction (especially in nursing h...

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Veröffentlicht in:	Cleveland Clinic journal of medicine 2003-05, Vol.70 (5), p.441-448
Hauptverfasser:	Stevens, Tyler K, Soffer, Edy E, Palmer, Robert M
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Aged, 80 and over Anal Canal - physiology Biofeedback, Psychology Cathartics - therapeutic use Defecation - physiology Diarrhea - complications Diarrhea - physiopathology Enema Fecal Impaction - complications Fecal Impaction - physiopathology Fecal Incontinence - etiology Fecal Incontinence - physiopathology Fecal Incontinence - therapy Female Humans Male Manometry
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Beschreibung
Zusammenfassung:	It is important for primary care physicians to take fecal incontinence seriously and not dismiss it as a normal part of aging. Elderly patients may be reluctant to admit fecal incontinence, so clinicians need to ask about it. Two of the most common causes are fecal impaction (especially in nursing home patients) and rectosphincter dysfunction in people with diabetes.
ISSN:	0891-1150 1939-2869
DOI:	10.3949/ccjm.70.5.441