March 19, 2023

Solutions for Fecal Incontinence

Dr. Allen
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♪ [music] ♪

Fecal incontinence is where a person
will lose control over their bowels.

It's obviously embarrassing
and can be socially isolating.

And so we try and help people who are
experiencing that problem. It is treatable.

So first, we typically start with
diet modification and adding fiber.

Sometimes for people who have long-term diarrhea,
we'll start adding, like, a over-the-counter Imodium,

and then if those things don't work, then
we move on to physical therapy to help

strengthen the muscles.

Then if that is not enough, there are
nerve modulators which go into our low back

which stimulate the nerve, that's
the S3 nerve, it controls our bowels,

and it helps give that nerve extra electricity,
and it helps us get better control,

gives us more time to make it to
the bathroom and less accidents.

Our goal is to get people at least
50% less accidents and leakage.

And most patients have a significant higher percentage.

It doesn't sound like a lot, but when you're
leaking and you're leaking 50% less and

you can go out to dinner without, you
know, fearing that you...you know,

without looking for every bathroom around every
corner, it's a lot of...it's more independence,

it gets people back into society because we've
already experienced how lonely it can be with COVID.

We don't want people having to
stay home because of leakage.

♪ [music] ♪

Nechol Allen, MD:
Fecal incontinence is where a person will lose control over their bowels. It's obviously embarrassing and can be socially isolating. We try [to] help people who are experiencing that problem. It is treatable. First, we typically start with diet modification and adding fiber. Sometimes for people who have long-term diarrhea, we'll start adding an over-the-counter Imodium®. If those things don't work, then we move on to physical therapy to help strengthen the muscles. If that is not enough, there are nerve modulators which go into our low back, which stimulate the S3 nerve. It controls our bowels and it helps give the nerve extra electricity. It helps us get better control, gives us more time to make it to the bathroom and [fewer] accidents.

Our goal is to get people at least 50% [fewer] accidents and leakage. Most patients have a significant higher percentage. It doesn't sound like a lot, but when you're leaking and you're leaking 50% less, you can go out to dinner without fearing, without looking for every bathroom around every corner. It's a lot more independence. It gets people back into society. We've already experienced how lonely it can be with COVID-19. We don't want people having to stay home because of leakage.

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