Epidemiology of Fecal Incontinence

Research output: Chapter in Book/Report/Conference proceedingChapter

3 Scopus citations

Abstract

Fecal incontinence (FI), defined as the involuntary loss of solid or liquid feces can impact daily life and lead to social withdrawal. The prevalence of FI in the community increases with age, and depending on survey methods and definition of FI, varies from 2.2- 15%. Only a minority of women with FI disclose the symptom to a physician. Hence women with diarrhea should be asked about FI. Scales assessing severity of FI should incorporate type, frequency, and amount of leakage, and fecal urgency. FI is associated with increasing age, obesity, diarrhea, multiple chronic illnesses, and obstetric trauma. Obstetric anal sphincter injury can cause FI. However, among unselected women in the community, FI typically begins 2-3 decades after vaginal delivery; in this population, diarrhea and rectal urgency are the strongest independent risk factors and obstetric trauma is not. FI is not an independent risk factor for institutionalization or mortality. This edition first published 2014

Original languageEnglish (US)
Title of host publicationGI Epidemiology: Diseases and Clinical Methodology: Second Edition
PublisherWiley Blackwell
Pages285-295
Number of pages11
ISBN (Electronic)9781118727072
ISBN (Print)9780470672570
DOIs
StatePublished - Jan 13 2014

Keywords

  • Diarrhea
  • Fecal incontinence
  • Nursing home
  • Obesity
  • Quality of life
  • Urgency

ASJC Scopus subject areas

  • Medicine(all)

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  • Cite this

    Bharucha, A. E. (2014). Epidemiology of Fecal Incontinence. In GI Epidemiology: Diseases and Clinical Methodology: Second Edition (pp. 285-295). Wiley Blackwell. https://doi.org/10.1002/9781118727072.ch25