Bowel retraining: MedlinePlus Medical Encyclopedia

Problems that may benefit from intestine retraining include :

  • Fecal incontinence, which is the loss of bowel control, causing you to pass stool unexpectedly. This can range from sometimes leaking a small amount of stool and passing gas, to not being able to control bowel movements.
  • Severe constipation.

These problems may be caused by :

  • Brain and nerve problems (such as from multiple sclerosis)
  • Emotional problems
  • Spinal cord damage
  • Previous surgery
  • Childbirth
  • Overuse of laxatives

The intestine platform includes several steps to help you have regular intestine movements. Most people are able to have regular intestine movements within a few weeks. Some people will need to use laxatives along with intestine retraining. Your health care supplier can tell you if you need to take these medicines and which ones are dependable for you. You will need a physical examination before you start a intestine aim program. This will allow your provider to find the cause of the faecal dissoluteness. Disorders that can be corrected such as faecal impingement or infectious diarrhea can be treated at that fourth dimension. The provider will use your history of intestine habits and life style as a scout for setting new intestine movement patterns.

diet Making the follow changes to your diet will help you have regular, delicate, bulky stools :

  • Eat high-fiber foods such as whole-wheat grains, fresh vegetables, and beans.
  • Use products containing psyllium, such as Metamucil, to add bulk to the stools.
  • Try to drink 2 to 3 liters of fluid a day (unless you have a medical condition that requires you to restrict your fluid intake).

BOWEL coach You can use digital stimulation to trigger a intestine bowel movement :

  • Insert a lubricated finger into the anus. Move it in a circle until the sphincter muscle relaxes. This may take a few minutes.
  • After you have done the stimulation, sit in a normal position for a bowel movement. If you are able to walk, sit on the toilet or bedside commode. If you are confined to the bed, use a bedpan. Get into as close to a sitting position as possible. If you are unable to sit, lie on your left side.
  • Try to get as much privacy as you can. Some people find that reading while sitting on the toilet helps them relax.
  • If you do not have a bowel movement within 20 minutes, repeat the process.
  • Try to contract the muscles of the abdomen and bear down while releasing the stool. You may find it helpful to bend forward while bearing down. This increases the pressure within the abdomen and helps empty the bowel.
  • Perform stimulation with your finger every day until you start to have a regular pattern of bowel movements.
  • You can also stimulate bowel movements by using a suppository (glycerin or bisacodyl) or a small enema. Some people find it helpful to drink warm prune juice or fruit nectar.

Keeping to a unconstipated convention is very significant for a intestine retraining program to succeed. Set a regular meter for daily intestine movements. Choose a time that is commodious for you. Keep in mind your daily agenda. The best time for a intestine movement is 20 to 40 minutes after a meal, because eating stimulates intestine bodily process.

Most people are able to establish a regular act of intestine movements within a few weeks. KEGEL EXERCISES Exercises to strengthen the rectal muscles may help with intestine master in people who have an bungling rectal sphincter. Kegel exercises that tone pelvic and rectal muscle timbre can be used for this. These exercises were first developed to control dissoluteness in women after childbirth. To be successful with Kegel exercises, use the proper proficiency and cling to a regular exercise plan. Talk with your supplier for instructions about how to do these exercises. BIOFEEDBACK

Biofeedback gives you sound or ocular feedback about a bodily function. In people with faecal incontinence, biofeedback is used to strengthen the rectal sphincter. A rectal plug is used to detect the forte of the rectal muscles. A monitoring electrode is placed on the abdomen. The rectal fireplug is then attached to a computer monitor. A graph displaying rectal muscle contractions and abdominal contractions will show up on the screen. To use this method, you will be teach how to squeeze the rectal muscle around the rectal plug. The computer display guides you to make sure you are doing it correctly. Your symptoms should begin to improve after 3 sessions .

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