Hi.
Thanks for your query.
Noted the history and understood the concerns.
This is a serious problem,
heart disease going into stroke and cerebral problems and now 20-25 loose motions per day unable to hold.
I would advise you the following in such a situation:
Get the stool tests done to see whether there is any intestinal infection or so.
Ultrasonography of abdomen.
Per-rectal digital examination and ano-proctoscopy as
colonoscopy will not be possible at this stage.
If there is an intestinal infection, a course of an antibiotic,
metronidazole can help to solve the problem partially at least.
Also watch for the foods and beverages that instigated the problems and stop these altogether, this can be milk and milk related products, the supplements and so on.
Can give lomotil to stop
diarrhea.
The neurologica progress can only decide about the possible control of anal sphincters.
Local cleaning and hygiene is very important to keep the skin around anus normal. Use bid sanitary pads.