title: The physiology of continence: idiopathic fecal constipation and soiling.
abstract: The anatomic and functional elements contributing to fecal continence and defecation are explored. The high incidence and importance of chronic idiopathic constipation as an entity in itself and a contributing factor to fecal incontinence are emphasized, and its management is discussed. The importance of a proper clinical history and examination is highlighted, and investigative modalities including radiology, transit studies, and anorectal manometry are described and placed in the context of practical clinical management.
authors.affiliation: Wessex Regional Centre for Paediatric Surgery, Southampton University Hospitals NHS Trust, England.
authors.forename: D M
authors.initials: DM
authors.lastname: Griffiths
mesh_terms: D001003:Anal Canal / Q000502:physiology; D001676:Biofeedback, Psychology / Q000379:methods; D002648:Child; D002675:Child, Preschool; D003248:Constipation / Q000175:diagnosis / Q000628:therapy; D003672:Defecation / Q000502:physiology; D004688:Encopresis / Q000175:diagnosis / Q000628:therapy; D004733:Enema / Q000379:methods; D005242:Fecal Incontinence / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D015994:Incidence; D011092:Polyethylene Glycols / Q000008:administration & dosage; D012007:Rectum / Q000502:physiology*; D013501:Surface-Active Agents / Q000008:administration & dosage
chemical_list: D013501:Surface-Active Agents; D011092:Polyethylene Glycols