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A Literary Review of Anal Incontinence with its Management

Chaturbhuja Bhuyan, Former Professor and Head, Surgery, Institute For Post Graduate Teaching and Research in Ayurveda, IPGTRA, Jamnagar, Gujarat - 361008. , Chaturbhuja Bhuyan

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Indian Journal of Ancient Medicine and Yoga 10(2):p 9-14, April - June 2017. | DOI: https://dx.doi.org/10.21088/ijamy.0974.6986.10217.2

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Abstract

 Anal Incontinence (AI) is known as fecal incontinence, bowel incontinence or accidental bowel leakage (AI). It refers to involuntary passage of fecal matters and flatus due to lack of control over defecation leading to involuntary loss of bowel contents including flatus, liquid stool elements, mucus or solid feces. It can be identified as the recurrent inability to voluntary control of the passage of bowel contents through the anal canal and expel out it in time, at a socially acceptable location. It can be termed as Aniyantrita Guda (AG) in Ayurveda. It has been observed that the suffering patients may be feeling of too embarrassed situation to seek medical help and attempt to self manage the conditions in secrecy from others. This type of incontinence may be common and often produces debilitating condition in elderly patients. The various 7-D etiological factors are responsible for anal incontinence i.e. decent, destruction, debility, deficiency, damage, de-nervation, and dementia; but geriatric, traumatic and obstetric and mostly anal surgical procedures are responsible to damage of the sphincter mechanism. The clinical features are presented as the patients use to wear pad, requiring frequent changes throughout the day. They prefer to remain alone and stay at home in order to avoid embarrassment and avoid ancillary problems. The diagnosis is made by clinical factors with sphincter muscle test. Three types of treatment like Medical, Surgical and Para surgical are conducted. The management consists of conservative measures include diet, exercise, yoga, social behaviors, pharmacological agents and surgical approach. The innovative Para surgical PCA therapeutic treatments including intake of Rasayana and practice of Yoga with exercise provide good result. Under this therapy clinically successful result oriented Kshara or non Kshara content medicines as per need of cases are used which are having no adverse result. About 84 cases has been treated in the Center for Care of Ano Rectum Research by Indian System of Medicine and Allied (CCARRISMA) at Puri and Bhubaneswar. This clinical review aims to encourage and support the distressed patients and focus to lead a healthy life.

Keywords: Incontinence; Aniyantrita Guda; Sphincter; PCA; Kshara; Rasayana; Yoga; Exercise.

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DOI: https://dx.doi.org/10.21088/ijamy.0974.6986.10217.2

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