The initial title of this post was too boring: “Documenting the Detrimental Effects of Fecal Incontinence on Quality of Life”
In perhaps one of the least surprising conclusions, the authors of a recent study (Kovacic K, et al. J Pediatr 2015; 166: 1482-7) have shown that “fecal incontinence significantly decreases quality of life compared with functional constipation alone in children.” This multicenter prospective study surveyed families of 410 children (2-18 years).
Despite the obvious findings, I still think that the burden of fecal incontinence is underestimated by families and practitioners. Here is an excerpt from this article’s discussion:
“Fecal incontinence impairs general functioning for children and their families…[it] is an insidious burden with substantial economic impact and adverse effects on quality of life…this effect increases as children approach adolescence…The devastating effect of fecal incontinence on quality of life and social functioning make it imperative that health professionals address defecation disorders proactively. When aggressive and appropriate medical therapies are unable to provide a satisfactory outcome, then a multidisciplinary approach or a surgical option (e.g. cecostomy tube for antegrade enema) may be justified.”
Bottomline: Soiling stinks! We need to keep working on this problem even if aggressive interventions are needed.
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