Intended for healthcare professionals

Rapid response to:

Practice NICE guidelines

Management of faecal incontinence in adults: summary of NICE guidance

BMJ 2007; 334 doi: (Published 28 June 2007) Cite this as: BMJ 2007;334:1370

Rapid Response:

Faecal incontinence - the practicalities

The biggest problem with faecal incontinence, not often mentioned, is
not knowing what will come out of the anus. Consequently, passing wind is
only safe if sitting on the toilet - it might be wind, but it could be
explosive diarrhoea. This means spending alot of time in the bathroom.

Mobility also affects gut activity, and prophylactic immodium before
walking any distance (or even an extended trip to the shops) is a great

Finally, RADAR keys are available for people with bowel problems.
Easier access to public or shop toilets makes a big difference.

Competing interests:
None declared

Competing interests: No competing interests

03 July 2007
Helen M Johnson
locum GP