Bowel retraining is about having consistent or regular bowel movements. Having regular bowel movements is crucial to obtaining fecal continence and restoring control over your bowels. Continue reading
Everyone has a pelvic floor: it is a hammock of muscles that lies in your pelvis, supporting your internal organs in that area (bowel, bladder, and – in women – the uterus) and keeping them in the correct place. In your pelvic floor are a few muscles that are called “sphincters”. There is an internal and external sphincter surrounding the anus. These anal sphincter muscles naturally contract around the rectum and keep the fecal matter inside your body until you relax the sphincters at a socially-acceptable time (generally when you’re using a toilet). As the urge to defecate increases, you can contract (or squeeze) your sphincters to gain more control. When you cannot control these sphincter muscles, bowel incontinence (also called accidental bowel leakage or fecal incontinence) may happen.
Surgery to implant an artificial sphincter involves placing an inflatable sphincter around the anus. A pump (placed inside the body in the labia or scrotum) is used to deflate the device, allowing fecal matter to pass through at the appropriate time. The device automatically refills after ten minutes, once again closing off the rectum.Continue reading
Bowel incontinence and diarrhea are commonly found in critical care areas of hospitals and long-term care settings. Diarrhea and bowel incontinence are major contamination risks in medical and care facilities. About 10-15% of all hospital patients develop antibiotic associated diarrhea – also called nosocomial diarrhea. This is diarrhea that happens when antibiotic medicine that is being used to stop or prevent an infection in a patient (examples: penicillins, cephalosporins, clindamycin, flouroquinolones) also kills good bacteria in their intestines that usually keeps bad bacteria under control. When the good bacteria is killed, it allows strong, antibiotic-resistant bad bacteria, which the patient may come in contact with in a hospital or long-term care facility, to multiply and grow out of control. This causes antibiotic associated diarrhea. Some antibiotic associated diarrhea is caused by a seriously bad bacteria called Clostridium difficile.Continue reading