Fecal incontinence therapy for children to explore.docVIP

 PAGE \* MERGEFORMAT 8 Fecal incontinence therapy for children to explore First, the diagnosis of fecal incontinence Fecal incontinence (encopresis) is four years later there are still ways abnormal fecal excretion of functional digestive diseases. Fecal incontinence is defined as four years later, in the absence of organic disease cases, is still a place other than the toilet bowel. There are two kinds of fecal incontinence: ① primary (prim ary): carried over from early childhood; ② secondary (secondary) or degenerative (regressive): row over who will be in the toilet, but not after row. Sex: Male: Female 2.5 ~ 6.0:1; the frequency of age: 4 years old accounted for 2.8%, 5 years old accounted for 2.2%, 6-year-old accounted for 1.9%, 7 ~ 8 years old accounted for 1.5%, 10 ~ 11 years old accounted for 1.6% eyes a speech. The treatment of this disease is very difficult, requiring children, families, physicians with the tacit understanding in three areas. Neurogenic faecal incontinence in children who can not arbitrarily control the performance of defecation and exhaust. Complete incontinence, the feces of natural flow, pollution, underwear, sleep feces, contaminated bedding. The anus, perineum often wet, perianal skin erosion, pain, itching, eczema-like changes; not completely incontinence, the feces dry without incontinence, stool, and diarrhea are rare control. In general the majority of defecation in their underwear, with the result, and sometimes fall fecal corner, kindergarten and school corridors, parks and other places. Most of defecation occurs in children when standing, especially in sports, walking, playing, and sometimes even taking a bath stool, causing fecal floating in the bathtub. Second, the reasons for fecal incontinence Of normal bowel function require a full reflection mechanisms, including the environment the central nervous system conditions, the Ministry of the feeling of anorectal reflex, anal canal tension and sphincter (muscular tub