Your Next New Clinic Patient Is Noted to Have “Fecal Incontinence.” What Questions Do You Want to Ask so that You Can Diagnose the Cause and Plan Treatment
摘要
First of all, never believe what clinic sheets or medical assistant’s notes say about the diagnosis of your next patient (see Church [1]). Fecal incontinence is a subjective symptom and covers a range of complaints from leakage of gas to a slight anal wetness, to inability to control liquid stool, and finally frank incontinence of solid feces. Taking an accurate history is important in the evaluation of the patient, determining the cause of the incontinence, planning investigations, and recommending management. This chapter describes taking the history of a woman presenting with the symptom of “incontinence”.