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What Causes Fecal Incontinence After Appendectomy And Gall Bladder Removal?
Question: Mild CF.
Hysterectomy, Thyroidectomy, Appendectomy, Gall Bladder removed. I am asking about my mother who I take care of. She is having fecal incontinence. She was told that the surgery to fix the problems would not last if she did not do the keagle exercises. She did not have the surgery. She has bouts of fecal incontinence that last a couple days and then she seems to have a few days she is better. What are the things I can do to help with diet? medications? She takes the following medications and I wondered if any of these could contribute to the problem:
Spironolactone 25 MG per day
Atorvastatin 40 MG per day
Escitalopram 20 MG per day
Losartan 50 MG per day
Risperidone .25 MG per day
Carvedilol 25 MG 2X per day
Levothyrozine .112 MG per day
Furosemide 20 MG per day
I have just started caring for her. I don't believe she takes her medications properly either. I am taking over administering them. Any advice would be most appreciated
Hysterectomy, Thyroidectomy, Appendectomy, Gall Bladder removed. I am asking about my mother who I take care of. She is having fecal incontinence. She was told that the surgery to fix the problems would not last if she did not do the keagle exercises. She did not have the surgery. She has bouts of fecal incontinence that last a couple days and then she seems to have a few days she is better. What are the things I can do to help with diet? medications? She takes the following medications and I wondered if any of these could contribute to the problem:
Spironolactone 25 MG per day
Atorvastatin 40 MG per day
Escitalopram 20 MG per day
Losartan 50 MG per day
Risperidone .25 MG per day
Carvedilol 25 MG 2X per day
Levothyrozine .112 MG per day
Furosemide 20 MG per day
I have just started caring for her. I don't believe she takes her medications properly either. I am taking over administering them. Any advice would be most appreciated
Brief Answer:
None of these medications is a possible cause!
Detailed Answer:
Hi and thank you so much for this query.
I am so sorry to hear about this fecal incontinence that your mother has. I understand how demanding and difficult it is to take care of an elderly with such challenging health conditions.
I have reviewed these medications fully and none of them is a possible cause of fecal incontinence. Fecal incontinence in most elderly is caused by multiple factors that sum up to precipitate this. One of the main contributing factors is a weakened pelvic floor support that could result during childbirth. Kegel exercises can help improve this and this is the reason why it is highly recommended as initial treatment of this condition.
Surgery is not always recommended for fecal incontinence. There is very little that can be improved with surgery.
Diet is mainly to maintain that she has normally formed stools. This is to say that she should neither be having diarrhea or be constipated as these are aggravating factors. How you go about this depends on how her stools are right now. If the stool is normal, then there is no reason to bother but if the stool is not, then modifying her diet to control constipation or diarrhea would be recommended.
I will will also recommend that you use diapers as part of her dressing to avoid her soiling her dresses and maybe embarrassed in public should she have a leak.
Also, try to establish a routine plan for her to g and use the toilet. This will help her establish a rhythm and help keep the rectum always empty to prevent episodes of fecal incontinence.
There are no specific medications that can help with this except controlling for identified aggravating factors. Giving her medications right would help with the other illnesses that she has but would not directly modify her incontinence.
I hope this helps. I wish her well. Courage as you face this challenge. Feel free to ask for more help and clarifications should need be. Thanks for using our services.
Dr. Ditah, MD.
None of these medications is a possible cause!
Detailed Answer:
Hi and thank you so much for this query.
I am so sorry to hear about this fecal incontinence that your mother has. I understand how demanding and difficult it is to take care of an elderly with such challenging health conditions.
I have reviewed these medications fully and none of them is a possible cause of fecal incontinence. Fecal incontinence in most elderly is caused by multiple factors that sum up to precipitate this. One of the main contributing factors is a weakened pelvic floor support that could result during childbirth. Kegel exercises can help improve this and this is the reason why it is highly recommended as initial treatment of this condition.
Surgery is not always recommended for fecal incontinence. There is very little that can be improved with surgery.
Diet is mainly to maintain that she has normally formed stools. This is to say that she should neither be having diarrhea or be constipated as these are aggravating factors. How you go about this depends on how her stools are right now. If the stool is normal, then there is no reason to bother but if the stool is not, then modifying her diet to control constipation or diarrhea would be recommended.
I will will also recommend that you use diapers as part of her dressing to avoid her soiling her dresses and maybe embarrassed in public should she have a leak.
Also, try to establish a routine plan for her to g and use the toilet. This will help her establish a rhythm and help keep the rectum always empty to prevent episodes of fecal incontinence.
There are no specific medications that can help with this except controlling for identified aggravating factors. Giving her medications right would help with the other illnesses that she has but would not directly modify her incontinence.
I hope this helps. I wish her well. Courage as you face this challenge. Feel free to ask for more help and clarifications should need be. Thanks for using our services.
Dr. Ditah, MD.
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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