Tuesday 2 February 2016

Fecal incontinence Cause | PGIMER Frequently Asked Medical PG topics


Fecal incontinence is due involvement of: 

a. External anal sphincter 
b. Internal anal sphincter 
c. Ischiococcygeus 
d. spina bifida
e. All of above


Ans (E) All
* Common causes of fecal incontinence are
·         structural anorectal abnormalities (sphincter trauma, sphincter degeneration, perianal fistula, rectal prolapse)
·         Neurological disorders (multiple sclerosis, spinal cord injury, spina bifida, stroke, etc.)
·         constipation/fecal loading (presence of a large amount of feces in the rectum with stool of any consistency)
·         cognitive and/or behavioral dysfunction (dementia, learning disabilies)
·         diarrhea, inflammatory bowel diseases (e.g. ulcerative colitis, Crohn's disease)
·         irritable bowel syndrome
·         disability related (people who are frail, acutely unwell, or have chronic/acute disabilities)

·         idiopathic (of unknown cause).