Stool Incontinence - Differential Diagnosis Algorithm

Affected Pelvic Floor 

 - Trauma/Surgery

   • Surgery: Anorectal, Prostate, Bowel

   • Pelvic Fracture

   • Pelvic Inflammation

 - Congenital Anorectal Malformation

 - Nerve/Sphincter Damage

   • Vaginal Delivery

   • Rectal Prolapse

   • Severe Hemorrhoid

Intact Pelvic Floor 

 - Chronic Constipation

   • Stool Impaction with overflow

   • Encopresis

 - Neurological Conditions

   • Age-Related (e.g. Dementia, Strokes)

   • Neuropathy (e.g. Diabetes, Congenital Megacolon, Hirschsprung's Disease)

   • Multiple Sclerosis

   • Tumors/Trauma (e.g. Brain, Spinal Cord, Cauda Equina)

 - Stress and Emotional Problems

 - Diarrheal Conditions

   • Inflammatory Bowel Disease

   • Irritable Bowel Syndrome

   • Chronic Laxative Use



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