Fecal Incontinence: A Woman's View

Hawes, Sara K.; Ahmad, Asyia S.

doi:10.1111/j.1572-0241.2006.00968.x

Cited by 12 publications

(7 citation statements)

References 66 publications

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“…In turn, an external weighing scheme is employed for analysis. In addition, the validated FISI and FIQL questionnaires are easy to use, concise, reliable, and validated [2, 19]. …”

Section: Methodsmentioning

confidence: 99%

Fecal Incontinence: Prevalence, Severity, and Quality of Life Data from an Outpatient Gastroenterology Practice

Alsheik

Coyne

Hawes

et al. 2012

Gastroenterology Research and Practice

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Background. The prevalence of fecal incontinence varies tremendously as a result of inadequate data collection methods. Few office-based studies have assessed the prevalence of fecal incontinence and none have looked at modifiable risk factors or effect on quality of life. Design, Settings, Patients, and Main Outcome Measures. Five hundred patients who visited our inner city, university-based gastroenterology practice, were asked about symptoms of fecal incontinence. We also retrospectively reviewed 500 charts to identify the frequency of patient-physician reporting of fecal incontinence. Results. Of the 500 patients that were directly questioned, 58 (12%, 43 women, 15 men) admitted to fecal incontinence compared to 12 (2.4%) in the retrospective arm. Patients with fecal incontinence and loose/watery stool reported the lowest quality of life scores. While the average severity score was similar between men and women, women had a significantly lower average quality of life score (3.04 versus 2.51; P < 0.03). Conclusions. The identification of fecal incontinence increases when patients are directly questioned. Identifying and treating patients with loose stool is a potential strategy to improve quality of life in this patient population. In men and women with similar severity of fecal incontinence, women have a significantly lower quality of life.

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“…In turn, an external weighing scheme is employed for analysis. In addition, the validated FISI and FIQL questionnaires are easy to use, concise, reliable, and validated [2, 19]. …”

Section: Methodsmentioning

confidence: 99%

Fecal Incontinence: Prevalence, Severity, and Quality of Life Data from an Outpatient Gastroenterology Practice

Alsheik

Coyne

Hawes

et al. 2012

Gastroenterology Research and Practice

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“…Overview of the intestinal comorbidities of the IBS. especially diarrhea-predominant IBS (IBS-D), is considered as a promoting factor in the genesis of fecal incontinence, especially in female patients with predisposing factors such as former surgical/gynecological interventions, childbirth, multiple sclerosis, Parkinson's disease, scleroderma, and diabetes [18]. It was found that, after delivery, 64% of female IBS patients suffered from anal incontinence, compared to 10% of women without IBS [20].…”

Section: Anal Incontinencementioning

confidence: 97%

“…Fecal incontinence has a prevalence of 2-7% in the general community [17,18], particularly in women, who account for 63% of the affected patients [19]. IBS, Fig.…”

Section: Anal Incontinencementioning

confidence: 99%

Somatic comorbidities of irritable bowel syndrome: A systematic analysis

Riedl

Schmidtmann

Stengel

et al. 2008

Journal of Psychosomatic Research

238

193

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“…When FI is frequent or associated with larger amounts of stool loss, it can have a profound negative impact on quality of life, and often leads to embarrassment, isolation, reduced scope of life activities such as travel or social events, and psychological distress. Moreover, only a minority of individuals with FI discuss this problem with their physician, leaving the problem unaddressed and untreated for many of those who suffer substantial adverse consequences …”

Section: Introductionmentioning

confidence: 99%

“…Moreover, only a minority of individuals with FI discuss this problem with their physician, leaving the problem unaddressed and untreated for many of those who suffer substantial adverse consequences. [21][22][23] In population-based studies IBS has been found to be a risk factor for FI. 14,15 However, despite the fact that these two prevalent conditions constitute a substantial burden of the workload for gastroenterologists and GI surgeons, and lead to high costs for society, 1,2,13,24,25 surprisingly few studies have assessed the overlap between IBS and FI.…”

mentioning

confidence: 99%

Fecal incontinence in irritable bowel syndrome: Prevalence and associated factors in Swedish and American patients

Simrén

Palsson

Heymen

et al. 2016

Neurogastroenterology Motil

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Background Fecal incontinence (FI) is a prevalent but poorly recognized problem in the general population with profound negative effects on daily life. The prevalence of FI in IBS and its association with clinical, demographic and pathophysiological factors are largely unknown. Methods One US (n=304) and one Swedish (n=168) patient cohort fulfilling Rome III criteria for IBS completed Rome III diagnostic questions on FI and IBS symptoms, and questionnaires on IBS symptom severity, quality of life, anxiety and depression, and work productivity impairment. The patients also underwent assessments of colorectal sensitivity and motility. Key Results FI ≥ one day per month was reported by 19.7% (USA) and 13.7% (Sweden) of IBS patients. These proportions rose to 43.4% and 29.8% if patients with less frequent FI were included. FI prevalence was higher in older age groups, with a clear increase above age 40. IBS patients with FI reported greater overall IBS symptom severity, more frequent and loose stools, and greater urgency. Negative effects of FI on quality of life, psychological distress, and work productivity were demonstrated. No associations were found between colorectal physiology and FI. Conclusions & Inferences FI is common in IBS patients, and similar to previous general population reports, the major risk factors for FI in IBS are older age, rectal urgency, and loose, frequent stools. When IBS patients have comorbid FI, the impact on quality of life, psychological symptoms, and work impairment appears greater.

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Fecal Incontinence: A Woman's View

Cited by 12 publications

References 66 publications

Fecal Incontinence: Prevalence, Severity, and Quality of Life Data from an Outpatient Gastroenterology Practice

Fecal Incontinence: Prevalence, Severity, and Quality of Life Data from an Outpatient Gastroenterology Practice

Somatic comorbidities of irritable bowel syndrome: A systematic analysis

Fecal incontinence in irritable bowel syndrome: Prevalence and associated factors in Swedish and American patients

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