Study finds fecal incontinence a common problem

Reported by Susan Aldridge, PhD, medical journalist

Women who have had many children or a hysterectomy risk fecal incontinence.
It is rarely discussed but many women, especially those in the older age groups, are prone to fecal incontinence(FI). Researchers at the University of Washington now report on a postal survey of 6,000 woman aged 30 to 90. Of the 64 per cent replying, 7.2 per cent reported fecal incontinence (FI) at least monthly.

Those with the problem were also more likely to suffer from depression - but it is not clear whether depression is a cause of FI or vice-versa. FI can occur after damage to the anal sphincter muscles or scarring to the rectum which may occur with ulcerative colitis, Crohn's disease and other conditions. Childbirth may also damage the nerves that supply the sphincters and this may lead to FI among women who have had many children. Hysterectomy was also a risk factor.

Many women do not discuss FI with the doctor out of embarrassment. Maybe doctors should ask about it, say the researchers. For there are treatments that can help - medications, exercises, changes in diet and biofeedback. Women should not suffer this miserable condition in silence.

Source
American Journal of Preventive Medicine January 2006

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