Faecal incontinence is one of those topics that many people find difficult to discuss. It’s important to talk about the problem, though, because help is available.
The issue is relatively common among older adults; nearly one in five has trouble controlling their bowels. Fecal incontinence is one of the major reasons older people are admitted to nursing homes. The problem can be caused by severe constipation, diabetes mellitus, inflammatory bowel disease or nerve damage from conditions such as spinal stenosis. Other causes are more localized — weakness in muscles around the anus, poor blood flow to the rectum, surgery or radiation to the rectum or rectal prolapse.
One key aspect says physician John Morley, Director of Geriatrics at St. Louis University, U.S.A. “I tell patients that the first step in treating the problem is to institute habit training, which means setting a regular time to go to the bathroom. The ideal time is immediately after breakfast because people have a reflex that promotes going to the toilet when there is food in the stomach. Those who suffer from fecal incontinence should use a particular position — leaning forward when they are on the toilet, resting their forearms on their thighs and using a foot stool to lift up their legs. Tightening their abdominal muscles will also help, as can biofeedback and pelvic muscle exercises.”
Those who have severe constipation might find relief from the medications but these should always be discussed with their G.P. as these can impact onto other conditions or interact with other medications.
Patients who have minor leakage can use absorbent incontinence pads, though these have to be disposable pads or pants and these need to be changed after any faecal episode as the absorbent materials are only able to absorb liquids, not solid matter. Washable pants aren’t suitable for use with faecal incontinence. Wet wipes, wash creams and lotions are important to maintain skin health to prevent sores from developing.
The country is facing a dementia time-bomb with many cases going undiagnosed.
Alzheimer’s charities are saying that many people living with dementia don’t have a diagnosis and so aren’t receiving the support, benefits and the medical treatments that are often available.
Although everyone is a little bit forgetful now and again, but when memory loss starts to interfere with your daily life it is important to get it checked out as soon as possible. The sooner people are diagnosed, the sooner they can get support and start planning for the future.
Studies have shown that an early diagnosis can save the thousands of pounds, because it can delay the need for sufferers to receive care outside of their own home.
The Alzheimer’s Society recommends that anyone concerned about memory problems should speak to their GP. Symptoms include struggling to remember recent events, despite being able to recall things that happened in the past, and finding it difficult to follow conversations or programmes on TV. Other warning signs include regularly forgeting the names of friends or everyday objects, being unable to recall things you’ve heard, seen or read, having difficulty in making decisions, repeating conversations or losing the thread in speech, and having problems thinking and reasoning.
Feeling anxious, depressed or angry about your forgetfulness or finding that other people are commenting on your forgetfulness are other signs.
People who are worried about their memory or that of someone they know can also contact Alzheimer’s Society National Dementia Helpline on 0845 300 0336.
The correct incontinence products can help the many people who experience continence issues alongside their Alzheimers, for example pull-up pants reduce the risk of the pad being removed by the wearer. For more hints and tips for those Caring for someone with incontinence our Carer’s leaflet can be downloaded from our website.
We wrote last week mentioning the launch of new Tena Slip Stretch XXL, a new disposable pad (Slip style All in One) from Tena. This joins the Prevail XXL in our range of range of Disposable Bariatric Pads. The Prevail Pads fit up to a 240cm waist.
In addition we also now offer a range of washable incontinence pants in Bariatric sizes. This includes Men’s Y Fronts, Ladies Pants, Pouch Pants and also the more absorbent Unisex Pants. These washable incontinence pants are all available in sizes fitting up to a 58 inch (153cm) waist.
TENA have now launched their first product specifically designed for Bariatric customers in the UK, and this is available from Allanda, Incontinence Experts.
TENA Slip Stretch XXL offers a new definition of comfort and complete leakage security for individuals with hip sizes of up to 178cms (70 inches). TENA Slip Stretch XXL features a soft textile back-sheet and easy to use wide, reclosable fixation hooks enabling multiple re-adjustments making it simple for caregivers to achieve the perfect fit. The Breathable Stretch Side panels provide a comfortable fit and gently stretch to follow the body’s movements.
These pads also feature TENA’s FeelDry™ technology to quickly draw liquid away from skin to keep skin healthy.
For customers requiring a larger bariatric product we also offer the Prevail XXL All in One pads, which fit waist sizes up to 240cm (94 inches).
“Pouch” pants are one of the older styles of incontinence products and yet they are still very popular with many people as they combine the economy of washable incontinence pants with the convenience and hygiene benefits of disposable incontinence pads.
These washable briefs feature a waterproof pouch on the inside designed to hold a disposable rectangular incontinence pad (otherwise known as an”insert pad” so that the wearer has a choice of absorption levels. The pouch features a special lining which will let liquid through into the incontinence pad and also a waterproof lining underneath the pad to prevent any leaks. A disposable pad is inserted into this pouch and can be quickly and simply changed when necessary.
In addition our Pouch Pants benefit from being made in the United Kingdom from 100% Cotton for extra comfort.
For more information on these items and our full range of washable and disposable incontinence pads and pants visit our website at www.allaboutincontinence.co.uk
Overweight women with diabetes may be able to cut their risk of urine leakage if they shed some pounds, a new study suggests.
Extra pounds, especially in the belly, are considered a risk factor for urinary incontinence. And some studies have found that when overweight women drop even a modest amount of weight, they can curb their risk of incontinence.
Type 2 diabetes, which often goes hand-in-hand with obesity, is also a risk factor for incontinence, regardless of weight. So weight loss could be especially helpful for heavy women with diabetes, however studies hadn’t looked at the question until now.
In the new study, researchers found that overweight diabetic women who took up diet and exercise changes lost an average of 17 pounds over a year. And with the weight loss came a lower risk of developing incontinence.
Over a year, 10.5% of women in the diet-and-exercise group developed new problems with urine leakage. That compared with 14% of women who had not made lifestyle changes.
“Overweight and obese women with type 2 diabetes should consider weight loss as a way to reduce their risk of developing urinary incontinence,” said lead researcher Suzanne Phelan, of California Polytechnic State University.
The findings, reported in the Journal of Urology, are based on 2,739 middle-aged and older women who were part of a larger diabetes study.
For every two pounds a woman lost, the odds of developing incontinence dipped by three percent.
On the other hand, weight loss did not seem to help women who already had urine leakage problems at the study’s start. “We aren’t sure why weight loss appeared to impact prevention but not resolution of urinary incontinence,” Phelan said.
It’s possible, she said, that weight loss is more effective at preventing, rather than treating, urine leakage. Or there may simply have been too few women with existing urinary incontinence to detect an effect of weight loss, Phelan added.
It’s also unclear how to account for the drop in incontinence risk — it might be related to the exercise or the blood sugar reduction, for instance.
Urinary incontinence is very common among women – mainly because vaginal childbirth is a major risk factor.
One recent study of U.S. adults found that about 53% of women older over 20 yrs old said they’d had problems with urine leakage in the past year. That was up from less than 50% of women surveyed several years earlier. Researchers commented that the increase was partly explained by rising rates of diabetes and obesity.
SOURCE: Journal of Urology, online January 19, 2012.
TENA Lady is the country’s most popular range of incontinence products due to continued development which makes these great protects for people experiencing lighter incontinence. Specially designed for light to moderate incontinence and bladder weakness, these soft, comfortable towels offer fast and efficient absorbency so wearers feel protected at all times.
Product Features of the TENA Lady range include:
- Absorption Zone designed to quickly absorb liquid.
- Dry Fast Core to whisk away moisture so that you feel instantly dry.
- Fresh Odour Control™ that neutralizes odours to keep you fresh and confident throughout your day.
- Silky soft surface against the skin for an improved feeling of comfort.
- Body shaped to fit the body perfectly.
The TENA Comfort Mini range also offers similar products but in higher pack counts.
The full range of TENA Lady and TENA Comfort Mini products offered by Allanda can be found here on our website.
Our full range of TENA Lady products are Lights by TENA Liners, Mini, Normal, Extra, Extra Plus, MAXI Night and Super absorbencies. In addition we also offer TENA Comfort Mini in Comfort Mini Plus, Comfort Mini Extra or Comfort Mini Super absorbencies
We now offer not just disposable incontinence products in bariatric sizes, but also Washable incontinence products in bariatric sizes as well.
All these are made in the U.K from 100% cotton and are designed to look and feel like normal underwear. All are machine washable as well and available in a wide range of sizes.
As with all washable incontinence products, these items are only suitable for urinary incontinence and not for faecal incontinence.
The new bariatric sizes for washable incontinence pants are 3XL (50-52″/127-134cm), 4XL (54-56″/137-143cm) and 5XL (56-58″/148-153cm). Our full range of size for washable incontinence pants are:
|X Small||28″ – 30″||71cm – 76cm|
|Small||30″ – 32″||76cm – 81cm|
|Medium||34″ – 36″||86cm – 91cm|
|Large||38″ – 40″||96cm – 102cm|
|Extra Large||42″ – 44″||107cm – 112cm|
|XX Large||46″ – 48″||117cm – 122cm|
|3XL||50″ – 52″||127cm – 134cm|
|4XL||54″ – 56″||137cm – 143cm|
|5XL||56″ – 58″||148cm – 153cm|
Convenient and hygienic, the bags are impregnated with a delicate floral fragrance that effectively masks any unpleasant odours and have a subtle lilac colouring to disguise the contents. Tie close handles ensure Pop-Ins™ are securely closed after use and the attractive dispensing pack, containing 50 bags, is suitable for use in the bathroom, bedroom or when travelling.
• Convenient and hygienic disposal of incontinence pads and pants
• Delicate fragrance to mask any unpleasant odours
• Easy-tie handles to retain contents securely
• Discreet, compact and attractive, value for money pack
• Bag size – 16 x 17cm approx, excluding handles
After the earlier article regarding which Incontinence Pants to use, we have had a number of enquiries regarding the fitting of these products.
Unlike All in One Incontinence pads they are simple to fit and pull up just like normal underwear.