Causes of incontinence in children , adults, elderly


1. Types of incontinence

2. Causes of incontinence

3. Incontinence in children

4. Incontinence in Adults

5. incontinence in the elderly

6. Treatment incontinence

urinary and fecal incontinence in children generally tend, as to a certain age they are not able to control their bowel movements.But if the problem occurs in adults, the reasons for it are more serious than may seem at first glance.This status always involves not only physical, but also psychological discomfort.

incontinence (incontinence) can be of varying severity.Experts distinguish between three levels:

  • incontinence gases;
  • inability to retain gases and liquid stool;
  • inability to keep gas, liquid and solid calories;

When a person is faced with such problems, it is imperative to see a specialist.Incontinence is very important to diagnose and eliminate the main cause of its occurrence.Therefore, a doctor examining patient's history and determine the severity of the disease, should appoint adequ

ate therapy.

Types of incontinence

The disease is distinguished in appearance and etiology.Experts identify these types of incontinence:

  • sustained release of feces without the appropriate urgency;
  • fecal incontinence when the urge to defecate;
  • partial inability to retain feces when sneezing, coughing or physical exertion;
  • age incontinence as a result of degenerative processes in the body.

Causes of incontinence

main causes of fecal incontinence have different origins, so they can be as in congenital problems, and in acquired disorders.For these reasons include:

  • anatomical pathology (malformation of the anal device, defects of the rectum and others.);
  • mental disorders, including hysteria, neurosis, psychosis, persistent panic attacks, schizophrenia, etc .;
  • organic injury, acquired as a result of childbirth or after brain damage;
  • acute infectious diseases that cause diarrhea;
  • traumatic injury closing apparatus of the rectum;
  • neurological damage that occurs due to pelvic injuries, diabetes, cancer of the anus, etc.

Causes of incontinence are sometimes completely different direction and can become the result of some serious diseases:

  • katonicheskogo syndrome;
  • epilepsy;
  • dementia;
  • manic-depressive syndrome;
  • psychological instability.

In some cases, the cause of fecal incontinence can be a woman in childbirth injury.Also, any damage to the anal canal and lead to disruption of the crotch defecation process and discomfort.

Incontinence in children

This disease in children can be caused by various factors.In this case, it is important to eliminate the root cause of the problem.Incontinence in children can be caused by:

  • emotional stress;
  • neurological disorders (lesions of the spinal cord, neuromuscular abnormalities, seizures);
  • Hirschsprung disease (congenital anomaly of the colon);
  • chronic constipation caused by the violation of the internal anal sphincter function;
  • various organic diseases.

In almost all cases, this pathology in children is the result of psychological distress and fear, often arising due to unfavorable atmosphere in the family.

Therefore incontinence treatment recommendations in this age category will consist not only in medical therapy and a balanced diet, but also in the conduct of psychological sessions to strengthen the patient's mind a little, in order to avoid the development of such problems in the future.

Incontinence in Adults

Previously it was thought that the problem is inherent in people of advanced age, it affects people younger today.More often, incontinence affects women, because of their labor, and various lesions in the intestines, the pelvic floor muscles, bladder and vagina.

often fecal incontinence in adults is caused by loss of control over the process of bowel movements due to an abnormality in the external sphincter or anal disease.Besides disease may be due to the presence of disease or nerve reflex, and some chronic diseases affecting the overall condition of the patient.In cases of violation of the innervation of fecal incontinence in adults occurs during shutdown of consciousness (in a dream, with a faint, in stressful situations).

for adult incontinence causes significant psychological distress, because they can not control the process of defecation.incontinence treatment should be comprehensive.If the cause - a psychological disorder, it is very important aspect of therapy is psychological rehabilitation.

Incontinence in the elderly

In elderly incontinence is a common problem that occurs due to disruption of the cortical center of defecation.In contrast, fecal incontinence in children, which is more than congenital disorders, violation of defecation in the elderly - a problem acquired.

Experts often observed receptor fecal incontinence in the elderly with no urge to defecate, which is caused by lesions of the rectum.In the case of lowering the operation rectal sphincter, involuntary emptying can occur up to 5 times a day.Incontinence in the elderly is often associated with central nervous system disorders, mental disorders, and degenerative processes.

Because incontinence reason may lie in the general psychological condition, the treatment of fecal incontinence involves drug therapy, and examined by a psychotherapist.But in some cases, treatment does not always give the desired results, as the disease started.

Treatment incontinence

first step in the treatment of fecal incontinence is an attempt to establish regular bowel movements normal mode with the formation of feces.In this case, it makes a special diet with a small amount of cellulose (plant fiber).If these measures do not bring the desired result, prescribed drugs that suppress defecation (furazolidone, Imodium).

In addition, it is important to exercise the sphincter, which increases its strength and tone, preventing relapse.And with the help of anger management can be trained anal muscles and improve rectal sensitivity to the presence of stool.These classes are effective in 70% of patients.

If these methods do not work, and the problem persists, your doctor may prescribe surgery (when the anatomical defect or damage to the anus).In extreme cases resort to colostomy method which consists in that surgically create communication between the large intestine and abdominal wall.Thus anus is closed, and the patient defecates in the plastic bag attached to the opening in the abdominal wall.

Ikontinentsiya really is a fairly common problem that affects people of all ages.Of course, we should not hesitate to seek medical help for this illness.Timely and proper treatment get rid of it in a rather short period of time and discomfort will cease to be a constant companion of life.


This article is available exclusively in the educational purposes and is not research material or professional medical advice.

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