Faecal urgency occurs when the arrival of faeces in the rectum causes strong contractions and unexpected anal relaxation.
It is particularly common in patients with ‘irritable’ bowels, because the rectum is more sensitive to distension. If the sphincter is weak, this may cause Faecal incontinence.
Symptoms of Faecal Urgency
If you suffer from ongoing: Loose stools or diarrhoea, and uncontrolled bowel contractions that cause leakage or uncontrolled relaxation of the anal sphincter you are probably are suffering what is called Faecal Urgency or Faecal Incontinence.
Treatment for Faecal Urgency
There are a range of treatments available depending on the severity of the problem, its nature and frequency.
Minor cases can be treated with behavioural modifications and dietary change. Pharmaceutical remedies are also an option. Pelvic Floor exercises with a trained physiotherapist to develop the specific muscles can also restore muscle tone and pelvic strength.
Another therapy is percutaneous tibial nerve stimulation (PTNS - a type of neuromodulation) may be recommended.
When there is clear damage to the anal sphincter muscle and a wide gap in the muscle, your surgeon may recommend an anal sphincter repair in the first instance.
Urgent PC system is a low-risk, treatment for faecal incontinence.
It delivers percutaneous tibial nerve stimulation via the use of a small slim needle electrode temporarily, inserted near the ankle, that is connected to a battery-operated stimulator.
This treatment is usually well-tolerated by patients, is less time-consuming than rectal irrigation, and may be combined with other therapies.
Urgent PC treatments initially consists of 12 treatments, scheduled a week apart and if you respond, once a month to maintain improvements.
Your Next Step
If you are experiencing any of the loss of bowel control or the symptoms above, your underlying problem may require further investigation.
Dr Gailani can offer advice on a possible diagnosis, further investigations and suitable treatment.
For patients suffering from loss of bowel control, we would advise that you see your general practitioner and possibly obtain a referral to see Dr Gailani at omargailani.com.au