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We offer the following products which are helpful in the treatment and/or management of this condition...

Itouch Sure with anal electrode PR13
Itouch Sure with anal electrode PR13
£60.16
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Anal Electrode
Anal Electrode
£27.99
£33.59 inc VAT
Anal Electrode PR13
Anal Electrode PR13
£27.99
£33.59 inc VAT
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Faecal Incontinence

Faecal Incontinence is defined as any involuntary loss of faeces that is a social or hygienic problem
 
Faecal incontinence is the involuntary loss of solid or liquid stools. Faecal incontinence is likely to affect over half a million adults in the UK and often has very profound negative consequences for the patient. Fear of embarrassment, even at worst public humiliation, can impose major restrictions on the individual and the family.
 
Prevalence

Approximately 2% of the adult population get daily or weekly episodes. Studies of healthy independent adults over 65 years have detected a prevalence of 7%, and one third of elderly in retirement homes or hospital have been found to be suffering from faecal incontinence.

Recent NICE guidance recommends that active but sensitive case finding may be required, particularly in high-risk groups such as:

  • frail older people people with loose stools or diarrhoea from any cause
  • women following childbirth (especially following third and fourth degree obstetric injury)
  • people with neurological or spinal disease/injury (for example, spina bifida, stroke, multiple sclerosis, spinal cord injury)
  • people with severe cognitive impairment people with urinary incontinence people with pelvic organ prolapse and/or rectal prolapse
  • people who have undergone pelvic radiotherapy
  • people with perianal soreness, itching or pain people with learning disabilities.

 Diet

What you eat has an effect on your bowel:

  1. Try and eat a balanced diet, with a variety of different foods. Choose foods that are rich in fibre such as fruit, vegetables and starchy carbohydrates. A moderate amount of lean meat, fish, eggs and protein alternatives are also recommended, along with milk and dairy foods. Aim to eat 5 portions of fruit and vegetables each day and a couple of high fibre foods such as wholemeal bread or cereals per day
  2. Some people find including some live natural yoghurt or a probiotic drink into their diet such as Yakult helps them, which is packed with good bacteria and encourages good digestive health.
  3. Try and match every cup of tea or coffee you drink with a glass of water. It is very important to drink plenty of fluids. Aim to drink about 8 drinks per day – between 3 -4 pints (1.5 – 2 litres) of fluid per 24 hours.
  4. Limit the amount of alcohol you consume. Women should drink no more than 2 - 3 units a day, men 3 - 4 units. A unit is 10ml or 8g of pure alcohol. The number of units in a drink depends on what you are drinking – how strong it is and how much is there. Half a pint of 3.5% beer/lager/cider is one unit; one small glass (125ml) of wine at 9% is one unit.
  5. Control the amount of sugary and fatty foods you eat especially if you are overweight. If you feel hungry and need a snack, try to keep hunger at bay with nuts or a piece of fruit.

Continence Stimulation

 

To exercise these muscles yourself, pretend that you are trying to hold in a bowel movement, or prevent yourself from passing wind. You should feel the muscles around your anus tighten.

You should sit, stand, or lie, in a comfortable position with your legs slightly apart. Now try and squeeze the muscles for as long as you can. Relax in between each squeeze. Try and do this 5 times. Next, squeeze the muscles as hard as you can, then relax. Repeat this 5 times. Finally, squeeze the muscles quickly, then let go, then squeeze them again, then let go, and so on, 5 times. You should try and do each of these sets of exercises 6 times a day. If you find the exercises are too difficult, try fewer repetitions at first and build them up. Similarly, if they get too easy, try doing more repetitions. You can do the exercises without anyone knowing about them, so they should be easy to fit into your daily routine.

 

 

 

Bowel management

 

Encouraging your bowel to open at a certain time of day at a frequency that suits you (once or twice a day, or once every other day). Eating the right diet helps to make your stool the right consistency and techniques such as abdominal massage and gastrocolic reflex can be used to help to get stool through the bowel. Then one or more techniques can be used to encourage your bowel to open such as; a suppository, an enema or digital stimulation. Laxatives are sometimes needed but not always. It is a good idea to work with an appropraite healthcare professional when developing your programme as some trial and error is unavoidable. This approach benefits many individuals with neurological bowel problems.
 

Digital rectal stimulation

Digital rectal stimulation involves using a gloved lubricated finger to prompt the bowel to contract and push the stool out of the rectum. It takes around 30 seconds and then you wait a few minutes while the bowels reflex activity pushes out the stool. This is not a common procedure, it is used by individuals with neurogenic bowel problems.

An anal plug is inserted into the back passage where it will expand to block the exit and prevent leakage. It can be kept in place for up to 12 hours and is removed before you have a bowel movement.

Bowel re-training

Bowel retraining can help. Start by getting to a toilet when you feel the urge – then wait for a minute or so before you open your bowels. Gradually increase the amount of time you wait before having a bowel movement. You should soon find it easier to hold on, even when you are not sitting on the toilet.
 

When you have poor muscle tone or control your continence advisor may recommend a course of muscle stimulation to strengthen the muscle and build control. The itouch Sure is designed to provide the right stimulation and is available with a choice of two probes: The Anuform is more shaped and easier to retain, the PR13 is narrower and longer.

Biofeedback training and exercise

Faecal incontinence can be helped by biofeedback training which should be supervised by a healthcare professional. You will be asked to squeeze your sphincter muscle and the pressure will be measured by sensors. With practice, you should get to know when to squeeze your sphincter muscle to prevent leaks.

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