News Video | Policy | GPs | Hospitals | Medical | Mental Health | Welfare | Search

 

Incontinence Is Now Reason To Die Of Embarrassment

MEDIA RELEASE: 1 DECEMBER 06

Incontinence Is Now Reason To Die Of Embarrassment

When people lose control of the ways their bodies can eliminate food wastes they join a large percentage of the population with continence problems.

At least one in three adult New Zealanders have some degree of incontinence, although experts say it is widely under-reported and studies suggest that under-reporting may be as high as 60%.

This week (26 Nov – 1 Dec) 1500 delegates from 50 countries representing healthcare disciplines such as urology, obstetrics and gynaecology, geriatrics, neurology, nursing, research sciences and physics have been discussing these basic issues at the International Continence Society’s 36th annual meeting in Christchurch.

Christine Norton, Professor of Gastro-intestinal nursing at St Mark’s Hospital in London, gave a keynote speech about managing faecal incontinence in adults. She was the first continence nurse specialist in the UK and founder member for the Association for Continence Advice.

She said that it’s not surprising there is such a high incidence of faecal incontinence when our diets are based largely on refined processed foods. It is a common problem, but inadequately understood condition, with a lack of accepted standardised terminology, no good random control tests to support treatments and little published evidence for good practical management.

The causes are often a complex interaction of many things – constipating drugs, poor diet, not enough water intake, metabolic disorders, poor dental care, confusion, dementia, depression, and bowel cancer.

“It’s a common condition in the frail elderly and in rest homes where more than half the residents suffer from it to some degree. Maintaining good bowel function is the cause of much anxiety in older people, and taking up residence in such an establishment has been shown to increase the rate of faecal incontinence by 20% in patients after 10 months of arrival.”

Prof Norton said one UK study found a huge range, from 95% of patients in one establishment to as low as 20% in another. “The level of care is important including the choice of diet, mobility and being toileted frequently.”

Prof Norton said people often felt uncomfortable discussing symptoms. A recent UK campaign was based on the slogan “Don’t die of embarrassment”. She said a major message is to ask about any bleeding, and not to assume bleeding is caused by piles.

‘It’s possible to have too much fibre in the diet as well as too little. And there’s no need to drink large amounts of water because the kidneys regulate the fluid balance and just excrete more as a response to increased water intake. There is a lot of nonsense talked about water intake. It doesn’t cause a patient to open their bowels any more often; it just makes them urinate more. Caffeine and alcohol act as bowel stimulants.”

Bowel malignancies are the second most common cancer in most western populations and increase with age.

Ends

© Scoop Media

 
 
 
Culture Headlines | Health Headlines | Education Headlines

 

Howard Davis: The Phoenix Foundation Friend Ship Tour Docks In Wellington

A sense of local pride was certainly running high at the Opera House on Saturday night, as the lads ran through a tasty little set drawn mostly from their latest album Friend Ship (splash out for Xmas on the shocking pink extra-thick vinyl edition). More>>


Howard Davis: Avantdale Bowling Club

Auckland rapper and MC Tom Scott brought his stunning jazz-infused Taite Music Prize-winning project Avantdale Bowling Club to the Opera House headlining Wellington's 2020 Jazz Festival. More>>

Howard Davis: Kevin Field Quintet

With the hardest pews in town and an icon of Ruth Bader Ginsburg adorning the walls, St Peter's Church added a distinctly spiritual element to the debut of three new pieces by Kiwi jazz pianist and composer Kevin Field that celebrated our common humanity. More>>


Howard Davis: Three New Art Books for Xmas

Massey University and Te Papa Presses have published three new art books just in time for Xmas: Dick Frizzell's Me, According to the History of Art, Railways Studios, celebrating unique examples of government-sponsored advertising and design, and Nature - Stilled, Jane Ussher's extraordinary photographs of flora and fauna from the museum's natural history collections.
More>>

Howard Davis: Troy Kingi Rules The San Fran

The award-winning Northland musician performed songs from his new record The Ghost of Freddie Cesar, the fourth installment in his 10/10/10 series - ten albums in ten years in ten genres. More>>

Stage: Wellington’s Theatre Awards To Go Ahead

The Wellington Theatre Awards will go ahead despite a devastating year for New Zealand’s creative sector. Wellington Theatre Awards Trust Chair Tom Broadmore said, “the creative sector, and Wellington’s vibrant theatre sector has been gutted by the ... More>>

 
 
 
 
 
 

LATEST HEADLINES

  • CULTURE
  • HEALTH
  • EDUCATION
 
 
  • Wellington
  • Christchurch
  • Auckland