What causes sudden uncontrollable bowel movements
Embarrassing problem with many causes
Pharmacists should pay attention to whether the patient is taking drugs that may cause diarrhea, such as excessive laxatives. Psychotropic drugs can disrupt the regulation of bowel evacuation.
In addition to questioning the patient, the digital rectal examination is primarily used to make a diagnosis. The doctor can use it to assess the function of the sphincter muscle. A reflection of the rectum or the entire large intestine and imaging procedures such as sonography reveal pathological changes in the intestine, as well as stool congestion. Defecography, i.e. the contrast-enhanced radiological representation of the voiding process, is rarely used.
Regulate bowel movements
The aim of the therapy is to restore continence or to control it so that bowel movements can be planned at a suitable time. Pelvic floor training and bowel movement regulation are basic measures.
It is often possible to improve stool consistency and frequency with an adapted diet and more exercise. For some patients, it helps to give up coffee, soda or beer. Because coffee can stimulate intestinal activity; Carbonated beverages such as soda and beer, as well as flatulent foods, increase the urge to defecate. Whether a lactose or fructose intolerance is behind the stool problem can sometimes be seen if the patient keeps a stool diary.
A balanced intake of fiber and plenty of fluids prevent constipation, as do bran, plantago seeds or psyllium. Apples, bananas and yogurt are also considered cheap.
A causal therapy is possible, for example, in so-called paradoxical diarrhea. In the case of stool, i.e. when solid stool is stuck in the intestine, the intestine tries to clear the blockage by producing more mucus. The patient then believes he is losing thin stool even though he is extremely constipated. Repeated colonic irrigation can help here.
Even severe diarrhea can overwhelm the continence organ. Motility inhibitors like loperamide slow down the intestinal passage and thus increase the absorption of fluid from the intestine. The stool becomes firmer and has to be emptied less often. Chronic inflammatory bowel diseases such as Crohn's disease or ulcerative colitis should be treated specifically to contain the diarrhea.
Control bowel movements
Sometimes simple measures help. If the patient feels the urge to defecate but cannot reach the toilet quickly enough, good lighting on the way to the toilet, easy-to-open clothing such as elastic trousers instead of zippers or buttons, and a toilet chair can help. Toilet training can also be helpful for people with dementia. The aim is to get the patient and his bowels used to going to the toilet at fixed times and emptying the bowels and bladder.
With enema, purgative suppositories and orally given laxatives, bowel movements can be better controlled during the day. In the absence of intestinal contents, unwanted evacuations are then less common; this makes hygiene easier. Colon irrigation is used to empty stool and cleanse the bowel and should have an activating effect on the intestinal wall. Targeted training of the pelvic floor, biofeedback and electrical stimulation can help the patient individually. Operations to improve continence are complex and are only indicated for individual patients.
In any case, incontinent people need good skin care and appropriate supplies of aids. Careful hygiene as well as regular changes of linen and templates prevent skin damage and contribute significantly to better enduring the suffering. /
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