If you want to have a bowel movement but can’t hold it in, you may have fecal incontinence, which is usually related to proctitis, rectal prolapse, spinal cord injury and other factors, and needs to be treated with general treatment, medication or surgery in conjunction with the causative factors.
1. Proctitis: Some patients with proctitis have rectal edema, congestion and other conditions that may cause them to have the urge to pass stools and not be able to hold them in. Treatment of the disease needs to be anti-inflammatory as soon as possible, clinically available cefixime, cefaclor. If there is acute diarrhea, then combined with antidiarrheal drug treatment, such as montelukast; if necessary, oral aluminum sulfate to protect the gastrointestinal mucosa.
2. Rectal prolapse: it is mainly due to the downward movement of the mucous membrane layer of the rectal wall, when the abdominal pressure increases, there may be the urge to have a bowel movement, can’t hold the stool and so on. If the rectal prolapse is mild, it can be reset by manipulation. For more serious rectal prolapse, it is generally recommended to have surgery as soon as possible, such as rectal suspension and fixation, and sigmoidectomy can be combined if necessary.
3. Spinal cord injury: When the spinal cord is injured, it will cause abnormal bowel movements and the inability to hold in the urge to pass stool. Rehabilitation physiotherapy is needed for this disease, and decompression of the vertebral plate can be performed if necessary.
If you can’t hold in your bowel movements, it is recommended that you consult a doctor in a timely manner to understand the cause of the disease under the guidance of a specialized physician and then carry out standardized treatment.