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Dr Josh
Dr Josh, Doctor
Category: Medical
Satisfied Customers: 3830
Experience:  Medicine doctor, PGCSD(dermatology)
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I am suffering from anal incontinence Any suggestions, Yes

Customer Question

I am suffering from anal incontinence Any suggestions
JA: Have you seen a doctor about this yet? What medications are you taking?
Customer: Yes saw doctor for sacral sphincter ...but this dr not doing
JA: Anything else in your medical history you think the doctor should know?
Customer: no
Submitted: 3 months ago.
Category: Medical
Expert:  Dr Josh replied 3 months ago.

Hello,

Myself Dr Josh. and I’m happy to help with your question today.

Please provide me the following information so that I can address your concern regarding anal incontinence:

What is your age & gender?

Since how long you have these symptoms?

Are you diagnosed with any other medical condition?

Waiting for your reply…

Thank you.

Kind Regards

Dr.Josh

Customer: replied 3 months ago.
age 76 female have had off and on for 3 years...severe for 3 months
Customer: replied 3 months ago.
no other medical problems
Expert:  Dr Josh replied 3 months ago.

Dear customer

Thank you for the quick reply.

The most common causes of anal incontinence you are having on & off since last 3 years and now having severe since last 3 months are:Severe diarrhea,stress,damage to the nerves that control the anal muscle, reduction in the elasticity of the rectum, Inflammatory bowel disease(IBD).It is more common in elderly age as the there is reduction in the elasticity of the rectum.History of constipation is another common cause.It causes the muscles of the anus and intestines to stretch and weaken.Irritable bowel syndrome(IBS) is the other common cause.

Any underlying disease needs to be diagnosed & treated accordingly.

You need to anal manometry,proctography,anal electromyography tests for nerve damage and see your doctor for the clinical examination.

Treatment of anal incontinence includes:

  • If the anal muscles are weak, injections of ‘bulking agents' into the wall of the anus may help.
  • Anti-diarrheal drugs such as loperamide hydrochloride (Imodium) and Lomotil can be prescribed.
  • Bowel retraining and pelvic floor exercises
  • Treatment varies from medications ,dietary changes,bowel training to the last option of surgery according to the cause.Surgery may be recommended for people whose bowel incontinence is not helped by noninvasive treatments.

Surgery is usually the last resort to treat anal incontinence.Surgical option are:

  • Sphincteroplasty(stitching the anal muscles tightly)
  • Sacral nerve stimulation
  • Radiofrequency remodeling

So my best advise for you is to first get the prescription of above described medications & make the dietary changes & this usually helps a lot.Surgery is last option & is less commonly required.

Thank you.

Hope this helped.

If there is anything else that you would like to know.I am happy to address your follow-up questions. Please use the REPLY BUTTON to reply back to me

Kind Regards

Dr.Josh