- Understand the subtypes of fecal incontinence experienced (i.e., passive fecal incontinence, urge fecal incontinence or functional fecal incontinence).
- Identify a list of risk factors for fecal incontinence
- Obtain history on the following
- Daily bowel habits—including frequency and stool consistency, as well as the onset, duration and severity of symptoms—to understand the type of fecal incontinence.
- Information regarding the timing of fecal incontinence (e.g., post-defecation or during the night) to evaluate if fecal incontinence is associated with a bowel movement.
- Dietary history, to rule out possible underlying causes.
- Medications, to evaluate the effect on fecal incontinence.
- Co-morbid conditions, to determine possible underlying causes.
- Obstetric history, to rule out fecal incontinence associated with the use of forceps, birth weight greater than 4 kg or a fourth-degree tear. 52
- Previous surgeries (e.g., anal fissure surgery or fistula surgery), pelvic radiation or other pelvic floor problems (e.g., urinary incontinence or pelvic organ prolapse) that may contribute to fecal incontinence.
- Impact of fecal incontinence on quality of life
To view practice notes from expert panel click here
A Proactive Approach to Bowel & Bladder Management in Adults
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