We've all experienced bowel issues from time to time but we usually feel better after a couple of days. However, for some people, this is not the case, and bowel dysfunction remains a chronic and reoccurring issue.
Why does bowel dysfunction occur?
Bowel dysfunction refers to the inability to control bowel movements, including problems with frequency and consistency of bowel movements.
When our bowels function normally, a full rectum triggers nerve signals that are sent to our brain, making us aware that it’s time to find a toilet. When ready, the external sphincter relaxes, and stool is expelled. Normal bowel control depends on the proper function of your pelvic muscles, rectum (the lower end of the large intestine), sphincter muscles (the muscles in the anus), and nervous system. Bowel incontinence is usually caused when one or more of these stop working properly.
The two most common types of bowel problems are chronic constipation and fecal incontinence. You may experience either or both at the same time:
For illustration purposes only. Experience may vary.
Chronic constipation
The time it takes for food to pass through the digestive system is called ‘the transit time’. It changes from person to person, but the average transit time for women is 2.4 days and 1.9 days for men.
Constipation occurs when the stool remains in the large intestine longer than usual. In other words, the stool is passed less frequently than normal. Symptoms vary from person to person, but can include difficulty passing stool (which may involve straining), spending longer on the toilet than normal, and painful defecations when passing hard, dry or large stools.
Fecal incontinence
Incontinence may occur temporarily during an occasional bout of diarrhea. However, for some people, fecal incontinence is a chronic and recurring problem which describes the inability to control bowel movements, causing the stool to leak unexpectedly. There are two types of incontinence:
Urge incontinence:
People with this condition may be unable to stop the urge to defecate, which comes on so suddenly that they don't make it to the toilet in time.
Passive incontinence:
People who have fecal incontinence leak stool without knowing it. Your body may not be able to sense when your rectum is full and needs to be emptied.
Bowel management should be predictable and controlled
No matter what type of fecal incontinence you are experiencing, we understand that it can have a significant impact on your life. However, find comfort in knowing that bowel control problems are manageable and treatable.
Information from Coloplast® Care is for educational purposes only. It is not intended to substitute for professional medical advice and should not be interpreted to contain treatment recommendations. You should rely on the healthcare professional who knows your individual history for personal medical advice and diagnosis. Prior to use refer to product labeling for complete product instructions for use, contraindications, warnings and precautions.
Indication: The Peristeen® Plus Transanal Irrigation System is intended to instill water into the colon through a rectal catheter, which incorporates an inflatable balloon, inserted into the rectum to promote evacuation of the contents of the lower colon. The Peristeen Plus Transanal Irrigation System is indicated for use by children (2 years - <12 years old), adolescent (12 years - < 18 years old), transitional adolescent (18 - <21 years old) and adult patients with neurogenic bowel dysfunction who suffer from fecal incontinence, chronic constipation, and/or time-consuming bowel management procedures.
Contraindications: Peristeen Plus Transanal Irrigation must not be used in the following situations: known anal or colorectal stenosis, colorectal cancer (active/recurrent), radiotherapy to the pelvis, and recent abdomino-perineal surgery, active inflammatory bowel disease, acute diverticulitis, severe diverticulitis, previous diverticulitis and diverticular abscess, chronic symptomatic diverticular disease, within 3 months of abdominal, anal or colorectal surgery, within 4 weeks of endoscopic polypectomy, recent colonic biopsy, recent endoscopic mucosal resection (EMR) and recent endoscopic sub-mucosal dissection (ESD), severe autonomic dysreflexia, ischemic colitis, during Spinal Cord Shock Phase, complex diverticular disease, in patients who are pregnant and have not used the system before*. Since the list is not exhaustive, the healthcare professional should always consider individual patient factors as well. *If the patient is pregnant and has never used transanal irrigation before, they should not start the irrigation procedure during pregnancy.
Warnings: Peristeen Plus Transanal irrigation procedure should always be carried out with caution. Bowel perforation is an extremely rare, but serious and potentially lethal, complication to transanal irrigation and will require immediate admission to a hospital, often requiring surgery. See the device manual for complete user instructions, contraindications, warnings, precautions, and potential complications/adverse events. For further information, call Coloplast Corp at 1-855-605-7594 or consult the company website at www.coloplast.us. Caution: Federal law restricts this device to sale by or on the order of a physician.
