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Bowel Incontinence

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How is Bowel Incontinence Diagnosed?

Doctors understand the feelings associated with bowel incontinence, so you can talk freely with your doctor. The doctor will ask some health-related questions, do a physical exam, and possibly run some medical tests. Your doctor may refer you to a specialist, such as a gastroenterologist, proctologist, or colorectal surgeon.

The doctor or specialist may conduct one or more tests:

  • Anal manometry checks the tightness of the anal sphincter and its ability to respond to signals, as well as the sensitivity and function of the rectum. Magnetic resonance imaging (MRI) is sometimes used to evaluate the sphincter.
  • Anorectal ultrasonography evaluates the structure of the anal sphincters.
  • Proctography, also known as defecography, shows how much stool the rectum can hold, how well the rectum holds it, and how well the rectum can evacuate it.
  • Proctosigmoidoscopy allows doctors to look inside the rectum and lower colon for signs of disease or other problems that can cause bowel incontinence, such as inflammation, tumors, or scar tissue.
  • Anal electromyography tests for nerve damage, which is often associated with injury during childbirth.

Anatomy of the rectum and anus


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References:
National Digestive Diseases Information Clearinghouse (NDDIC)
July 2007
digestive.niddk.nih.gov

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