{"id":1173,"date":"2019-04-08T01:52:38","date_gmt":"2019-04-08T01:52:38","guid":{"rendered":"https:\/\/blog.womenshealthpractice.com\/?p=1173"},"modified":"2019-04-08T01:52:38","modified_gmt":"2019-04-08T01:52:38","slug":"leaking-poop-difficult-to-discuss-and-more-difficult-to-address","status":"publish","type":"post","link":"https:\/\/blog.womenshealthpractice.com\/?p=1173","title":{"rendered":"Leaking Poop, Difficult to Discuss and More Difficult to Address"},"content":{"rendered":"\n<p>ACOG has just issued states about incontinence of BM<\/p>\n\n\n\n<p>About 1\/10 women gets a bit of leak of poop, sometimes it\u2019s\nsolid, mostly it\u2019s not. Physicians are struggling with what to do about this\nBased on the newest evidence, evaluating what to recommend for our patients is even\nmore difficult, as there has been so little research, and so few successful\ntrials the newest policies say there are NO \u2018A level\u2019 recommendations; which\nmeans there are \u2018no recommendations on good or consistent scientific evidence. <\/p>\n\n\n\n<p>We do have strategies to recommend for women with fecal incontinence\nbased on limited or inconsistent data; or \u2018B level\u2019 guidance. <\/p>\n\n\n\n<p>We do not recommend exhaustive testing, some tests however,\ncan be useful. <\/p>\n\n\n\n<p>Based on what we know so far we can recommend fibroid,\nanti-diarrheal agents and even laxatives in some settings. <\/p>\n\n\n\n<p>Pelvic floor exercises are important for this condition. <\/p>\n\n\n\n<p>Surgical treatments are only used as a last resort, unless\nthere are the medical conditions of a fistula or rectal prolapse. <\/p>\n\n\n\n<p>Scheduling your bowel movements, manipulating your diet, and\nadding fiber to the diet are all good solutions to attempt to correct the\nproblem. <\/p>\n\n\n\n<p>Specialized bulking agents can be injected into the anal\nsphincter, but they seem to only help in the very short term. <\/p>\n\n\n\n<p>The use of energy based therapies such as MonaLisa Touch or\nThermiVa did not make it into the recommendation conclusions as most of the\ntreatments in the rectal area have only been described in case reports.\nHowever, some patients have reported some success with this, and if treating urinary\nincontinence with these therapies, it\u2019s worth trying to correct fecal problems\nas well. <\/p>\n","protected":false},"excerpt":{"rendered":"<p>ACOG has just issued states about incontinence of BM About 1\/10 women gets a bit of leak of poop, sometimes<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"colormag_page_container_layout":"default_layout","colormag_page_sidebar_layout":"default_layout","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[14],"tags":[],"class_list":["post-1173","post","type-post","status-publish","format-standard","hentry","category-our-gyno-health"],"_links":{"self":[{"href":"https:\/\/blog.womenshealthpractice.com\/index.php?rest_route=\/wp\/v2\/posts\/1173","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blog.womenshealthpractice.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blog.womenshealthpractice.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blog.womenshealthpractice.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/blog.womenshealthpractice.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1173"}],"version-history":[{"count":1,"href":"https:\/\/blog.womenshealthpractice.com\/index.php?rest_route=\/wp\/v2\/posts\/1173\/revisions"}],"predecessor-version":[{"id":1174,"href":"https:\/\/blog.womenshealthpractice.com\/index.php?rest_route=\/wp\/v2\/posts\/1173\/revisions\/1174"}],"wp:attachment":[{"href":"https:\/\/blog.womenshealthpractice.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1173"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.womenshealthpractice.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1173"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.womenshealthpractice.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1173"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}