{"id":1583,"date":"2017-06-27T15:04:55","date_gmt":"2017-06-27T13:04:55","guid":{"rendered":"http:\/\/www.modernmedia.co.za\/modernmedicine\/?p=1583"},"modified":"2017-06-27T15:04:55","modified_gmt":"2017-06-27T13:04:55","slug":"faecal-incontinence-under-reported-under-diagnosed","status":"publish","type":"post","link":"http:\/\/www.modernmedia.co.za\/modernmedicine\/?p=1583","title":{"rendered":"Faecal Incontinence: Under-reported, Under-diagnosed"},"content":{"rendered":"<p><a href=\"http:\/\/www.modernmedia.co.za\/modernmedicine\/DigitalEditions\/mm1706-june-2017\/html5\/index.html\">Faecal Incontinence: Under-reported, Under-diagnosed &#8211; MM1706<\/a><\/p>\n<p>Faecal incontinence is common and under-reported. It impacts<br \/>\nsignificantly on a patient\u2019s quality of life and may result in social<br \/>\nisolation. Faecal incontinence may occur as a result of neurological<br \/>\nconditions, anorectal trauma and conditions such as inflammatory<br \/>\nbowel disease, constipation and diabetes. Obesity, smoking,<br \/>\ncholecystectomy and immobility are risk factors. Investigations<br \/>\ninclude endoscopy, manometry and imaging with CT or MRI if indicated.<br \/>\nPelvic floor exercises, biofeedback and newer treatments such as<br \/>\nsacral nerve stimulation and injection of biocompatible materials<br \/>\ninto the anal sphincter complex may lead to symptomatic improvement.<br \/>\nSurgery, including colostomy, may need to be considered in severe<br \/>\nrefractory cases.<\/p>\n<p><em>Modern Medicine \u2013 June 2017<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Faecal Incontinence: Under-reported, Under-diagnosed &#8211; MM1706 Faecal incontinence is common and under-reported. It impacts significantly on a patient\u2019s quality of life and may result in social&#46;&#46;&#46;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false},"version":2},"beyondwords_generate_audio":"","beyondwords_project_id":"","beyondwords_content_id":"","beyondwords_preview_token":"","beyondwords_player_content":"","beyondwords_player_style":"","beyondwords_language_code":"","beyondwords_language_id":"","beyondwords_title_voice_id":"","beyondwords_body_voice_id":"","beyondwords_summary_voice_id":"","beyondwords_error_message":"","beyondwords_disabled":"","beyondwords_delete_content":"","beyondwords_podcast_id":"","beyondwords_hash":"","publish_post_to_speechkit":"","speechkit_hash":"","speechkit_generate_audio":"","speechkit_project_id":"","speechkit_podcast_id":"","speechkit_error_message":"","speechkit_disabled":"","speechkit_access_key":"","speechkit_error":"","speechkit_info":"","speechkit_response":"","speechkit_retries":"","speechkit_status":"","speechkit_updated_at":"","_speechkit_link":"","_speechkit_text":""},"categories":[1],"tags":[],"class_list":["post-1583","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p5REYo-px","_links":{"self":[{"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=\/wp\/v2\/posts\/1583","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1583"}],"version-history":[{"count":1,"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=\/wp\/v2\/posts\/1583\/revisions"}],"predecessor-version":[{"id":1584,"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=\/wp\/v2\/posts\/1583\/revisions\/1584"}],"wp:attachment":[{"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1583"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1583"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1583"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}