Stool incontinence

Stool incontinence results from disorders of the rectum and the functioning of the anal sphincter.

Normal retention of the contents occurs through the musculature. Among the muscles, a special role is played by the external sphincter, which ensures closure, as well as the inner, tonic closing. A specific task is performed by the musculature, which performs the anus of the anus. These muscles increase the work of anal sphincters. Their function is regulated by the innervation centers, which are located in the spinal and brain and distal parts of the thick intestine. If any of them is affected, the incontinence occurs( encopresis).

The main causes of malfunctions of the mucous membrane and muscular tissue of the intestine are traumas, defects in the development of an anorectal zone of an innate nature. Suffably unfavorably affect the condition and various inflammations. These processes can reduce sensitivity in the receptor zone and enhance the motility of the colon. The most popular inflammations include cholera, dysentery, certain types of colitis. In addition, adult stool incontinence can occur as a result of the development of tumors in the pelvic region, with violation of innervation( peripheral or central).

To a separate variety of encopresis it is necessary to carry, so-called, "bear illness".This condition is a consequence of a violent vegetative reaction to the impact of a strongest psychoemotional stimulus. It can have an innate nature and bind to the development of certain ailments( epilepsy, cerebral palsy, etc.).Such incontinence often occurs in children due to psychoemotional shocks. These include the accumulation during a certain period of experience and negative emotions( for example, as a result of being in unfavorable conditions for the psyche), spontaneous stress( severe fright).

Fecal incontinence in a child may be episodic or permanent. In the first case, encopresis is manifested only in the case of predisposing factors.

The first sign of incontinence is night involuntary emptying. Subsequently, encopresis begins to appear in the daytime.

The most common reasons for the development of the condition include:

• weaning from parents;
• too persistent attempts of parents to teach the baby to the pot;
• change of the environment due to a visit to a kindergarten or school, by moving;
• family conflicts;
• loss of a loved one;
• another toilet( at a party, kindergarten or school).

As practice shows, often incontinence occurs in children whose parents use excessive amounts of alcohol.

In addition to the psychological nature of the development of encopresis in a child, the disease can also arise as a result of the organic lesions named above. A great influence on the condition is provided by systematic suppression of the urge to defecate( a situation where the baby should be restrained).There is also the impact of birth injuries. However, the most common cause of involuntary spontaneous bowel movement is prolonged constipation.

Most forms of organic and functional insufficiency of an anal sphincter provoking fecal incontinence are completely eliminated with a properly selected set of therapeutic measures or the condition is greatly improved.

A prognosis for spontaneous bowel movement in patients suffering from mental disorders, oligophrenia, acquired dementia is considered unfavorable.