Fecal incontinence in the elderly patient
Abstract
Fecal incontinence is an underreported problem in the general population; it is especially common in elderly persons (aged >or=65 years) residing in the community or in long-term care settings. It affects more women than men during younger years, but this differential narrows with age. Physiological changes such as sphincter muscle and sensory abnormalities in the anorectal region contribute to this problem, as do factors such as dementia, physical disability, and fecal impaction. Treatment with biofeedback is feasible in many elderly patients. Those with advanced dementia or physical disability may benefit from a bowel habit training program. Selected patients may require surgical sphincter repair. Minimally invasive techniques such as radiofrequency energy application offer promising future treatment options. The purpose of this review is to provide current information on fecal incontinence and its management in the elderly.
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Chronic constipation can lead to fecal impaction, incontinence and delirium.
“Chronic constipation can lead to fecal impaction, incontinence and delirium.”
Chronic constipation may lead to increased frequency of hospitalizations and curtailment of normal activities of daily living.
“It may lead to increased frequency of hospitalizations and curtailment of normal activities of daily living (3, 4).”
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Chan, T.-C., Yu, V. M. W., Luk, J. K. H., Chu, L. W., Yuen, J. K. Y., & Chan, F. H. W. (2022) · The Journal of nutrition, health and aging · doi:10.1007/s12603-022-1747-2 · Cited by 20 · see citing works
- Authors
- Tariq, S. H., Morley, J. E., & Prather, C. M.
- Affiliations
- St. Louis VA Medical Center (US)
- Saint Louis University (US)
- Corresponding author
- Tariq, Syed H
- ORCID
- Morley, John E
- Venue
- The American Journal of Medicine
- Publisher
- Elsevier BV
- Published
- 2003-08
- Volume
- 115
- Issue
- 3
- Pages
- 217-227
- ISSN
- 0002-9343 (ISSN-L)
- OpenAlex
- W1991159920
- Cited by
- 49
- References
- 0
- Citations by year
- 2024: 2 · 2023: 1 · 2022: 2 · 2020: 2 · 2016: 1 · 2015: 3 · 2014: 3 · 2013: 1 · 2012: 1
- FWCI
- 0.64
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The American Journal of Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
- Health Sciences › Medicine › Urology › Urinary Bladder and Prostate Research
- Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
- Keywords
- fecal incontinence, elderly patients, sensory disturbances, dementia, physical disability, fecal impaction, biofeedback, sphincter repair, radiofrequency energy, long-term care
- MeSH terms
- Aged, Aging, Biofeedback, Psychology, Cathartics, Enema, Fecal Incontinence, Habits, Humans, Medical History Taking, Physical Examination, Rectum, Risk Factors, Digestive System Surgical Procedures, Prevalence
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