Encopresis, (Fecal Incontinence) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

By Kenneth Kee

This book describes Encopresis (Fecal Incontinence), Diagnosis and Treatment and Related Diseases

They seek it here, they seek it there
The Feces seek the potty or loo everywhere
Is it in heaven or in purgatory
That elusive lavatory

Fecal incontinence

Fecal incontinence is the inability to control bowel movements
Fecal incontinence can often be eliminated by proper treatment
First there must be mental ability to respond to the urge to have a bowel movement
The doctor should begin by identifying the cause of the incontinence.

Fecal incontinence can be upsetting and embarrassing,
Passing stool into one’s underwear without being aware of it happening
Fecal incontinence may be due to constipation.
Take fiber and fluid to prevent further fecal impaction

Changing the diet may reduce the occurrence of fecal incontinence
Kegel Exercises can help the person move abnormal bowel function
Bowel training involves trying to have bowel movements
The body becomes used to a bowel movement consistence

Medications such as loperamide (Imodium) may be used to control the diarrhea
Sacral nerve stimulation can be done under local anesthesia
Some patients may be treated with an artificial bowel sphincter
Exercise the anal sphincter sitting in a few inches of warm water

-An original poem by Kenneth Kee

Encopresis is the voluntary or involuntary passage of feces outside of toilet trained situations in children who are 4 years or older and after a natural cause has been excluded.

Encopresis may be the repeated passing of feces into places other than the toilet, such as in underwear or on the floor.

This behavior is (voluntary encopresis) or is not (involuntary encopresis) done on purpose.

Encopresis is also termed "soiling" or "fecal incontinence."

Encopresis in adults in not infrequent, although the incident of this disorder is more prevalent in children who are not toilet trained.

The causative factors in adults and children may differ.

Involuntary encopresis is a disorder of soiling the underwear with loose stool in a constipated person.

Adults suffering from chronic constipation may occasionally develop this annoying disorder.

When a patient is constipated, a large mass of feces forms, which stretches the rectum.

This stretching numbs the nerve endings in the rectum, and the patient may not feel the need to go to the bathroom or know that the feces are coming out.

The mass of feces also can become impacted too large or too hard to pass without pain.

Ultimately, the muscles that keep stool in the rectum can no longer keep it back.

While the large, hard mass of feces cannot pass, loose or liquid stool may leak around the impacted mass and go on to the patient’s clothing.

There are 2 main types of encopresis with different causes.

With involuntary encopresis, a person has no control over removal of feces from the bowel.

The feces are semi-soft to almost liquid, and it leaks into clothing without the person making any effort to force it out.

Leakage normally happens during the day when the person is active and varies from rare to frequent.

Involuntary soiling normally happens from constipation.

A person with voluntary encopresis has control over when and where bowel movements happen and opts to have them in inappropriate places.

Constipation is not a factor, and the feces are usually a normal consistency.

Voluntary encopresis is not true fecal incontinence.

Often feces are smeared in an obvious place or hidden around the house.

The purpose of encopresis treatment is to avoid constipation and encourage good bowel habits.

The next step is to attempt to keep the patient’s bowel movements soft and easy to pass.

TABLE OF CONTENT
Introduction
Chapter 1 Encopresis (Fecal Incontinence)
Chapter 2 Cau

• Language: English
• Publisher: Kenneth Kee
• Release date: Mar 7, 2021
• ISBN: 9781005919092

Kenneth Kee

Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

Book preview

Encopresis,

(Fecal Incontinence)

A

Simple

Guide

To

The Condition,

Diagnosis,

Treatment

And

Related Conditions

By

Dr Kenneth Kee

M.B.,B.S. (Singapore)

Ph.D (Healthcare Administration)

Copyright Kenneth Kee 2021 Smashwords Edition

Published by Kenneth Kee at Smashwords.com

Dedication

This book is dedicated

To my wife Dorothy

And my children

Carolyn, Grace

And Kelvin

This book describes Encopresis (Fecal Incontinence), Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

(What You Need to Treat Encopresis)

This e-Book is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

Thank you for respecting the hard work of this author.

Introduction

I have been writing medical articles for my blog: http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.

My purpose in writing these simple guides was for the health education of my patients.

Health Education was also my dissertation for my Ph.D (Healthcare Administration).

I then wrote an autobiography account of my journey as a medical student to family doctor on my other blog: http://afamilydoctorstale.blogspot.com.

This autobiography account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Disorders into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

From which many free articles from the blog was taken and put together into 800 eBooks.

Some people have complained that the simple guides are too simple.

For their information they are made simple in order to educate the patients.

The later books go into more details of medical disorders.

The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

Since 2013, I have tried to improve my spelling and writing.

As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

My diagnosis and treatment capability has improved tremendously from my continued education.

Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

I apologize if these repetitions are irritating to some readers.

Chapter 1

Encopresis (Fecal incontinence)

They seek it here, they seek it there

The Feces seek the potty or loo everywhere

Is it in heaven or in purgatory

That elusive lavatory

Fecal incontinence

Fecal incontinence is the inability to control bowel movements

Fecal incontinence can often be eliminated by proper treatment

First there must be mental ability to respond to the urge to have a bowel movement

The doctor should begin by identifying the cause of the incontinence.

Fecal incontinence can be upsetting and embarrassing,

Passing stool into one’s underwear without being aware of it happening

Fecal incontinence may be due to constipation.

Take fiber and fluid to prevent further fecal impaction

Changing the diet may reduce the occurrence of fecal incontinence

Kegel Exercises can help the person move abnormal bowel function

Bowel training involves trying to have bowel movements

The body becomes used to a bowel movement consistence

Medications such as loperamide (Imodium) may be used to control the diarrhea

Sacral nerve stimulation can be done under local anesthesia

Some patients may be treated with an artificial bowel sphincter

Exercise the anal sphincter sitting in a few inches of warm water

An original poem by Kenneth Kee

Encopresis (Fecal incontinence) is the voluntary or involuntary passage of feces outside of toilet trained situations in children who are 4 years or older and after a natural cause has been excluded.

Encopresis may be the repeated passing of feces into places other than the toilet, such as in underwear or on the floor.

This behavior is (voluntary encopresis) or is not (involuntary encopresis) if done on purpose.

Encopresis is also termed soiling or fecal incontinence.

Encopresis in adults in not infrequent, although the incident of this disorder is more prevalent in children who are not toilet trained.

The causative factors in adults and children may differ.

Encopresis is a disorder of soiling the underwear with loose stool in a constipated person.

Adults suffering from chronic constipation may occasionally develop this annoying disorder.

In chronic constipation the stool may be extremely hard like pebbles and stone.

Newly formed stool in colon which is more liquid-like flows down through the hard stool and leaks out of the anus involuntarily soiling the clothes.

Several factors such as iron supplements, gall stone, laxative abuse can produce encopresis in adults, essentially due to constipation.

Most patients feel better once the underlying cause is treated.

Diet and lifestyle modifications also play a very important part in treating the disorder.

Fecal incontinence is the inability to regulate bowel movements leading to an involuntary passage of stool.

This can differ from occasionally leaking a small quantity of stool and passing gas to a complete loss of control of bowel movements.

This is more frequent among 11–15% in people over age 4 to 65.

Most studies find that females develop fecal incontinence more often than males.

1 to 3 out of every 1,000 females documents a loss of bowel control at least once per month.

To keep back the stool and maintain continence, the rectum, anus, pelvic muscles, and nervous system must function normally.

The patient must also have the physical and mental ability to identify and react to the urge to have a bowel movement.

What are the Causes of Encopresis?

Causes

The most frequent cause of encopresis is chronic or long-term constipation, the inability to pass stools from the bowel.

This may happen for several reasons, such as:

1. Stress,

2. Not drinking enough water (which makes the stools hard and difficult to pass), and

3. Pain caused by a sore in or near the anus.

When a patient is constipated, a large mass of feces forms, which stretches the rectum.

This stretching numbs the nerve endings in the rectum, and the patient may not feel the need to go to the bathroom or know that the feces are coming out.

The mass of feces also can become impacted too large or too hard to pass without pain.

Ultimately, the muscles that keep stool in the rectum can no longer keep it back.

While the large, hard mass of feces cannot pass, loose or liquid stool may leak around the impacted mass and go on to the patient’s clothing.

Factors that may add to constipation are:

1. A diet low in fiber

2. Lack of exercise

3. Fear or reluctance to use unfamiliar bathrooms, such as public restrooms

4. Not taking the time to use the bathroom

5. Alterations in bathroom routines; scheduled bathroom breaks at school or camp

Another possible cause of encopresis is a physical disorder related to the intestine's ability to move stool.

The patient also may develop encopresis due to fear or frustration related to toilet training.

Stressful incidents in the patient’s life, such as a family illness or the arrival of a new sibling, may add to the disorder.

In some instances, the patient simply refuses to use the toilet.

There are 2 main types of encopresis with different causes.

Involuntary encopresis

With involuntary encopresis, a person has no control over removal of feces from the bowel.

The feces are semi-soft to almost liquid, and it leaks into clothing without the person making any effort to force it out.

Leakage normally happens during the day when the person is active, and varies from infrequent or almost continuous.

Involuntary soiling or fecal incontinence normally happens from constipation.

A hard mass of feces forms in the large intestine and is not totally expelled during