Constipation and Incontinence in the Elderly

Read, N W; Çelik, Alper; Katsinelos, P

doi:10.1097/00004836-199501000-00016

Cited by 99 publications

(150 citation statements)

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“…Removing the underlying cause and dietary modifications are also very effective (2). In our patient, the attempts to empty the rectum via enema and finger aid were insufficient because of accompanying anal mucosal obstruction.…”

Section: Discussionmentioning

confidence: 75%

“…In literature, it has been reported that fecalomas can lead to complications such as ischemia, bowel perforation, peritonitis, rectal bleeding, hemorrhoid formation, and rectovaginal fistules (2,3). Cases that affect the urinary system can be very rarely observed.…”

Section: Discussionmentioning

confidence: 99%

“…This condition, also known as the terminal reservoir syndrome, is the accumulation of feces in rectum and sigmoid colon, and produces a mass by hardening (1)(2)(3). In particular, in elderly and neurological or traumatic sequelae patients, this condition is explained by mechanisms such as-primarily-movement restriction, decrease in fluid intake, and insufficient fibrous food intake (2,3). Because of the local pressure effect of the occurring fecaloma, serious morbidities and mortalities, such as colon, bladder rupture, and urinary obstruction, can develop.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Giant Fecaloma Leading to Bilateral Ureterohydronephrosis

Güzel¹,

Öztekin²,

Akdemir³

et al. 2015

Erciyes Med J

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Symptomatic compression of the lower urinary tract because of constipation-induced fecal impactions is a rare condition. It is particularly seen in the elderly and in patients with limited mobilization and chronic dehydration caused by inadequate fluid intake. Among the reasons that can cause urinary tract obstruction, fecal impactions mimicking a pelvic mass effect should also be considered. In this study, we presented two cases of giant fecaloma leading to bilateral ureterohydronephrosis.

show abstract

Section: Discussionmentioning

confidence: 75%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Giant Fecaloma Leading to Bilateral Ureterohydronephrosis

Güzel¹,

Öztekin²,

Akdemir³

et al. 2015

Erciyes Med J

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show abstract

“…Fecal impaction is common in the elderly and in patients with psychiatric disorders (2). Prolonged constipation can cause various complications, such as stercoral ulceration with bowel perforation, bowel obstruction (3), rectal bleeding (4), hemorrhoids (5), megacolon (6), lower limb ischemia (7) and rectovaginal fistula (8).…”

Section: Discussionmentioning

confidence: 99%

Obstructive Uropathy Caused by Chronic Constipation

2015

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We herein report a case regarding a 90-year-old woman with a history of recurrent episodes of urinary tract infections presenting with fever. Urinalysis revealed bacteria and white blood cells. Computed tomography showed dilated and fecally loaded rectum and colon with signs of obstructive uropathy. The patient was treated for urinary tract infection and constipation. Her bowel habits were controlled with lubiprostone, and she was discharged in good medical condition. This case highlights the importance of considering fecal impaction as a cause of urinary tract obstruction or infection.

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“…4 The prevalence is less than 10% in the UK general population, 5 about 20% among older people living in the community, 2 and higher still among those living in nursing homes. 6 About half of all patients admitted to specialist palliative care units report constipation, but about 75% of such patients will require laxatives. 7 Laxatives are required by about 87% of terminally ill patients taking strong oral opioids, 74% of those on weak opioids, and 64% of those not receiving opioid analgesia.…”

mentioning

confidence: 99%