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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Urinary And Bowel Incontinence Along With Severe Coughing?

My brother in law is 51. Has already had a heart attack a few years back. recently had one of his arteries repaired because it was 95% blocked. Has a history of high cholesterol and had developed COPD. He has smoked for 40 years now. He said sometimes he coughs until he passes out, when this happens he loses control of his bowel and his bladder. have you heard of someone coughing until they pass out? Why does he lose control of his bladder and bowel when this happens?
Thu, 23 May 2019
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General Surgeon,  's  Response
Hello,

From what I can understand, I guess you have written leakage of stools with gas. So my answer is based on that if I got you wrong you may please revert back.

Leakage of stool can be suggestive of fecal incontinence. Fecal incontinence causes stool and other fecal matter to leak from your rectal canal.

It can range from occasional leakage while passing gas to a complete loss of bowel control.

So initially I would suggest you go for a digital rectal examination by a surgeon. Most commonly at your age nerve damage is an important cause of fecal incontinence.

For the time being, Anti-diarrheal drugs such as loperamide (Imodium) and diphenoxylate and atropine sulfate (Lomotil) along with bulk-forming agents like Metamucil can be taken to provide symptomatic relief however they may cause constipation which can further worsen the problem of hemorrhoid.

So initially would suggest you visit a general surgeon and get your rectal canal investigated.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Ivan R. Rommstein, General Surgeon
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What Causes Urinary And Bowel Incontinence Along With Severe Coughing?

Hello, From what I can understand, I guess you have written leakage of stools with gas. So my answer is based on that if I got you wrong you may please revert back. Leakage of stool can be suggestive of fecal incontinence. Fecal incontinence causes stool and other fecal matter to leak from your rectal canal. It can range from occasional leakage while passing gas to a complete loss of bowel control. So initially I would suggest you go for a digital rectal examination by a surgeon. Most commonly at your age nerve damage is an important cause of fecal incontinence. For the time being, Anti-diarrheal drugs such as loperamide (Imodium) and diphenoxylate and atropine sulfate (Lomotil) along with bulk-forming agents like Metamucil can be taken to provide symptomatic relief however they may cause constipation which can further worsen the problem of hemorrhoid. So initially would suggest you visit a general surgeon and get your rectal canal investigated. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ivan R. Rommstein, General Surgeon