الأحد، 6 مايو 2018

Fecal incontinence
A study published in the Journal of (Nursing Research) recently, that eating dietary fiber supplements containing the extract of plants Bselim or chewing gum Arab, may help control the smoothness of the faeces suffered by 1% of the elderly.
The researchers explained that incontinence is an involuntary leakage of intestinal content from the stool. The risk of this condition increases with age, lifestyles, reduced mental abilities or certain diseases, noting that the use of dietary fiber as an effective and safe treatment does not cause progressive effects. It is also inexpensive, especially for older people living on limited financial budgets.
The researchers found that after 42 follow-up patients with weekly fecal incontinence, they ate seven grams a day of basil extract or 25 grams daily of gum extract, gum arabic or regular medicine for one month, mixed with fruit juice with morning and evening meals and bowel movements They have found that those who took fiber supplements from Pseilem and Arabic chewing gum experienced a marked reduction in the severity of the condition, compared with those who took regular medication, as patients were tolerated for these supplements.
Nutrition experts explained that dietary fiber is the food components that do not break in the stomach or intestines and therefore can not be absorbed by the body, which improves the condition of the bowel and have positive effects on the health of the digestive system in general.
Studies have shown that ingestion of 7-10 grams per day of Bessel may help relieve constipation, while other studies suggest that these supplements help reduce blood sugar levels in diabetics.
The researchers pointed out that the consumption of sufficient amounts of fiber prevents the infection of digestive ulcers and obstructive disease in the colon, and helps to reduce the levels of total cholesterol and bad cholesterol (LDL), stressing the need to drink plenty of water when eating fiber to prevent intestinal adhesion.
Source: Al Jazeera Net
Fecal incontinence in children .. Social repercussions hindering married life in the future
Dr.. Yasin Fayez Al - Alait
Fecal incontinence is the lack of control on the removal of feces from the anus and this loss of control is temporal or spatial, and there must be several important points in the human until the faecal control is complete and correct, including:
1 - the presence of the anus in the natural place accurately.
2 - the presence of muscles of the press about the anal nature in form and function.
3 - the presence of natural nerve center up to the colon and around the anus.
4 - a proper nerve center to receive the sense and control.
5. Harmonization of all of the above.
the reasons
The most important reasons leading to non-control of faeces are:
1 - chronic constipation: It leads to the storage of stool in the colon and rectum and the gradual expansion of the colon, which comes out daily in the hard stool collected in the rectum and out of the stool without feeling the patient or without control and this is the fecal incontinence in addition to (excess stool passes) Constipation.
2 - Congenital anomalies: such as the presence of the anus migrating to the front or anal fistula where the anus is located in an abnormal place of natural and this also leads to constipation and local infections and lead to the obstruction of intercourse later in marriage and must be treated and the condition and anorectically surgically to its normal place.
The consequences of operations or surgical trauma on the anal area, where the muscles of the anal cavity weaken and there is a leakage of faeces. This leakage during the effort may be called a physical incontinence. Some of these cases improve with time automatically or a special surgical procedure is required to restore the analgesic muscles to an appropriate place around Anal to be able to do the correct shutdown mechanism at the effort ..
4 - atrophy or lack of growth of the muscles around the anus or nerve atrophy around the anus does not pass the nerve signal in the anus to the nerve center completely and be weak or absent does not lead to the alert and required pressure and muscle pressure around the anus to close it occurs a degree of muscle paralysis and there is a type of radiography The simple one gives a very good idea of ​​the degree of fecal control in children even if the child is only days old and has not yet reached the stage of control of faeces, which is easy and accurate.
5 - nerve disorder within the colon and rectum or absence, which leads to constipation and usually must be treated and the removal of the affected part of the colon and the descent of the natural part of the colon to the normal location of the anus.
6 - There are also parts in the rectum help to distinguish between gas and fecal material in the rectum even before the exit and when the weakness of the sense of these neurological inflammation weakens or the error occurs in the distinction of the human and the faucets of the non-discriminatory.
7 - psychological fecal incontinence: The lack of control and the emergence of involuntary when there is a psychological disorder in the child and cured this type of psychological treatment and training and education and adequate attention by the mother to the child.
Methods of Treatment
First, the cause of the incision should be revealed by means of careful medical examination, using microscopic radiographs, microscopic radiographs, during the defecation process, and intra-anal pressure measurement with a special device. After determining the cause,
1 - Special diet advice rich in natural cellulose fiber and a special system to empty the colon daily and at the same time. As the colon and its nerves are identical to the work of the alarm clock, and according to the usual full daily emptiness and at a certain time the patient to get rid of constipation (regular daily emptying regular at the same time to the colon) and the results are good to very good according to the degree of proper application of these tips.
2 - surgical procedure and procedures for repair of the place of the anus or size of the colon and rectum or correct the imbalance in the nerves by removing the nerve-free part.
3 - a surgical procedure and transplantation of the head muscles and muscles from the thigh to the area around the anus to strengthen the evil sphincter muscle

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