Fecal incontinence treatment options in
Bangladesh
Fecal incontinence treatment options in Bangladesh depend on the cause, severity, and
overall health of the patient. Treatment may include dietary changes, medication, bowel training,
pelvic-floor exercises, biofeedback, or surgery when a structural problem is identified.
Dietary changes
A food and bowel diary may help identify foods that trigger diarrhoea or urgency. Treatment may
involve adjusting fibre intake, drinking suitable amounts of water, eating regularly and avoiding
known trigger foods.
Medication
Medicine may be prescribed to control diarrhoea, soften hard stool, relieve constipation or treat an
underlying bowel condition. Patients should not use laxatives or anti-diarrhoeal medicines for long
periods without medical advice.
Bowel training
Bowel training helps establish a regular toilet routine. Patients may be advised to use the toilet
after meals and avoid delaying bowel movements.
Pelvic-floor exercises
Special exercises may improve the strength and coordination of the pelvic-floor and anal muscles.
Biofeedback therapy may also help selected patients understand how to correctly contract and relax
these muscles.
Skin care
Repeated leakage can cause soreness and skin irritation. Gentle cleaning, keeping the area dry, using
a suitable barrier cream and wearing breathable underwear may reduce discomfort.
Treatment of underlying conditions
Symptoms may improve when related conditions such as constipation, diarrhoea, rectal prolapse,
inflammatory bowel disease, fistula or an old perineal tear are properly treated.
Surgical treatment
Surgery is not required for every patient. It may be considered when a structural problem is
identified or non-surgical treatment does not provide enough improvement.
Surgical options may include: