Gas Stool Incontinence

Uncontrollable leakage of gas or feces is called Anal Incontinence. Anal Incontinence occurs when you have problems controlling your intestines.

How Does Gas Form?

The body develops gas in the small intestine due to certain enzyme deficiencies. It cannot digest the carbohydrates (sugar, starch and fiber found in many foods). Thus, these undigested foods pass from the small intestine to the large intestine, where harmless and normal bacteria in the large intestine break down the food, producing hydrogen, carbon dioxide and methane in one third of all people. Eventually, these gases come out of the rectum.

The stools of a person who produces methane are in liquid form. The cause of methane produced in some people is not fully known.

The effects of foods may vary from person to person. Foods that cause gas in one person may not cause gas in another person.

Is Gas Accumulation the Same in Everyone?

Some people have more gas than others. The reason for its accumulation is that harmful bacteria destroy the hydrogen produced by other bacteria that are necessary for the body. When the balance between the two types of bacteria in the body is disrupted, people may develop more gas. It has also been determined that people with excessive gas secretion do not contain more gas in their stomach and intestines than other people, but are more sensitive to the symptoms caused by this gas.

Anal Incontinence (Gas-Fecal Incontinence) Symptoms What are they?

The most common gas symptoms are:

• Leaking, (such as leaking in windy weather)

• Abdominal bloating

• Abdominal pain.

However, almost everyone experiences these symptoms. The determining factors are

• How much gas the body produces,

• How many fatty acids the body absorbs,

• It is the person's sensitivity to gas in the large intestine.

What are the Causes of Gas Accumulation in the Stomach and Intestine?

Digestion Gas in the system (i.e. esophagus, stomach, small intestine and large intestine) is caused by two main reasons:

• Some undigested foods are broken down by harmless bacteria normally found in the large intestine (colon).

• Swallowing air: ( Aerophagia) is a common cause of gas in the stomach. Everyone swallows some air while eating and drinking. However, fast eating and drinking, chewing gum, smoking and using loose dentures can cause gas.

In removing gas from the body: Gases (nitrogen, oxygen) that leave the body with yawning. and carbon dioxide). The remaining gas passes into the small intestine where it is partially absorbed. They pass through the large intestine to be released from the rectum

What are the Problems Encountered in Gas Accumulation?

The problems faced by people with flatulence are generally: Belching, flatulence (too much gas). , abdominal bloating, abdominal pain and discomfort

• Burping: Occasional gas during or after meals is normal. However, sometimes a person with chronic low back pain may experience frequent burping, especially those who may have an upper GI disease such as peptic ulcer disease, gastroesophageal reflux disease (GERD), or gastritis.

• Abdominal Bloating: Many people believe that too much gas causes abdominal bloating. However, even though the gas is at a normal level, abdominal bloating may occur. Bloating is often a result of an intestinal motility disorder such as irritable bowel syndrome (IBS). These disorders cause a feeling of bloating due to increased sensitivity. Any disease that causes intestinal obstruction (for example, Crohn's disease or colon cancer) can also create abdominal bloating. In addition, if you have had multiple surgeries, adhesions (scar tissue) may cause swelling. You can also eat large amounts of fatty foods, which can delay stomach emptying and cause bloating. But not every abdominal swelling indicates gas.

• Abdominal pain and discomfort: Gas can cause abdominal pain. However, when gas collects in the left colon side, the pain can be confused with heart disease. When collected on the right side of the colon, gas pain, gallstones, appendix It can be confused with t

 

What are the foods that cause gas accumulation?

Most foods containing carbohydrates causes gas formation. Foods that prevent gas formation and facilitate digestion contain fats and proteins. Foods that cause gas formation are as follows:

Sugars:

Sugar types that cause gas formation: Raffinose, Stachyose, Verbascose, Lactose, Fructose and Sorbitol. are:

• Rafinose, Stachyose, Verbascose: Legumes, especially beans, are foods that contain this type of sugar. Such foods contain indigestible oligosaccharides. Also: cabbage, brussels sprouts, broccoli, asparagus, other vegetables and grains contain small amounts of sugar.

• Lactose: is the natural sugar in milk. It is found in dairy products such as cheese and ice cream, but also in processed foods such as bread, cereal and salad dressing. Especially people of African, American Indian or Asian descent have low levels of lactase, which is necessary to digest lactose. Additionally, enzyme levels decrease as people age. As a result, after consuming foods containing lactose, digestion may not occur and the gas rate increases.

• Fructose is found in onions, artichokes, pears and wheat. It is used as a sweetener in beverages such as soft drinks and fruit juice.

• Sorbitol is found naturally in fruits such as apples, pears, peaches, prunes and some liquid forms. It is a sugar alcohol. It can also cause diarrhea when consumed in excessive amounts. It is also used as an artificial sweetener in many dietetic foods.

Starch

Potatoes, corn, noodles and wheat containing starch. Many foods, including foods, cause gas production and are broken down in the large intestine. The only starch-containing food that does not cause gas is rice.

Fiber

Most foods contain soluble and insoluble fiber. Soluble fiber dissolves easily in water and forms a soft, gel-like tissue in the intestines. Soluble fiber, found in oat bran, beans, peas and many fruits, is not broken down until it reaches the large intestine, where digestion causes gas. B. Insoluble fiber passes through the intestines unchanged and causes gas production. Additionally, wheat bran and some vegetables contain such fibers.

What are the Treatment Methods for Anal Incontinence?

• Pelvic floor exercises - biofeedback:In this method, it is aimed for patients to strengthen their pelvic floor muscles (the muscle group that acts as a hammock between the bladder and the uterus) by seeing and hearing with special devices. In addition, after these exercises are taught correctly to our patients in a few sessions, it is possible for them to continue them.

• Nerve stimulation (Neuromodulation ) It is called PTNS by its medical name. In this method, a needle (similar to an acupuncture needle) or an electrode placed on the inner surface of the ankle and a device that provides electrical stimulation at special frequencies adjusted to them are used. In this way, it can be used in diseases such as overactive bladder disease, urinary incontinence, gas and fecal incontinence, difficulty in defecation and chronic constipation.

How is Neuromodulation Applied?

Following the placement of the electrode or needle, the appropriate program is opened and the electrical dose is increased until the thumb on the applied foot bends downward and inward. Electrical stimulation is given and stopped automatically within the program, intermittently for 30 minutes. This procedure, which is applied to the patient from a seated position, does not cause additional trauma.

How Frequently Is the Neuromodulation Method Applied?

Neuromodulation treatment is applied daily for 30 minutes, every other day and weekly. Generally, 12 sessions are planned for 3 days or once a week. Needle or electrode nerve stimulation can also be applied in office conditions. The duration of these programs (number of sessions - number of weeks) increases or decreases depending on the characteristics of the patient and the disease.

What are the Features of Neuromodulation Therapy?

• In the treatment of gas and fecal incontinence; Long-term improvement was observed in 78% of patients.

• Individuals with chronic constipation have increased defecation frequency and An improvement in intestinal functions was observed.

• Significant decreases in daytime and nighttime urination frequency and gas release were detected.

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