ANAL INCONTINENCE

Causes

A thorough examination of the patient with digital rectal examination are critical for identifying the cause of anal incontinence. The following have been associated with anal incontinence:

  • Congenital abnormalities.
  • Trauma to the sphincters and anorectal ring, injuring them (obstetric, operative, abuse and accidental).
  • Neurological abnormalities (due to spinal cord disease).
  • Anorectal disease (rectal prolapse, third degree haemorrhoids and anorectal cancer).

Investigations

  • Thoroughly examine the patient locally.
  • Do a rectal examination using a proctoscope.

Management

  • Is that of predisposing condition?
  • Management as per the primary cause.