Symptoms of fecal incontinence, fecal incontinence symptoms is

Incontinence What are the performance and how to diagnose?

the diagnosis by history analysis, including symptoms and clinical analysis of primary disease, can be set up initially, depending on patient examination showed the anus with the original surgery or trauma, scar deformity, there is fecal contamination phenomenon, see anal rectal examination relaxation, or sphincter control and poor systolic function, clinical diagnosis can be established, the primary disease of the nervous system and colon, through the nervous system barium enema examination and endoscopy to establish, in recent years, some of anorectal function tests new developments, including electromyography can see muscle tone abnormalities, anal reflex latency lengthened, the anus and rectum expansion of normal skin reflex reflex, etc., anorectal manometry intraluminal balloon pressure tracings can be seen in Figure abnormal defecation X-ray contrast can see the disappearance of the anorectal angle, these checks can help distinguish between the disease, the cause and develop an appropriate treatment.

1. history asked whether congenital anal deformity, surgery, trauma history, female patients with or without history of birth trauma, whether the nervous system and urinary system diseases, treated with radiation; the current severity of incontinence, defecation and fecal nature, whether it is intended flu.

2. physical examination by digital rectal examination, endoscopy, defecography, EMG measurement, etc., to achieve three objectives: ① determine whether the incontinence, such as defects in anus, anal sphincter does not close tight, anal weeks of eczema and other skin can provide a basis for incontinence, ② determine the degree of incontinence: incontinence can be seen as complete anal opening was round, hand pull to open the hips, showing rectal cavity; digital rectal examination, anal sphincter and anorectal ring contraction was completely obvious particularly serious disappeared, see the complete anal incontinence is not closed tight, palpable rectal sphincter contraction weakened, ③ to determine the cause of incontinence: as traumatic incontinence, rectal palpable scar tissue; free muscle injury, pelvic floor EMG abnormalities.