Fecal Incontinence and Constipation Questionnaire

Original Editor - Ajay Upadhyay

Top Contributors - Simisola Ajeyalemi, Nicole Hills and Ajay Upadhyay  

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Background

Fecal incontinence is defined as the involuntary loss of solid or liquid feces or mucus[1]. Fecal constipation is a decreased frequency of bowel actions (<1 every 3 days) that also may be associated with excessive straining during the passage of stool.[2] Faecal incontinence (FI) and functional constipation are relatively common symptoms in the community, particularly in the elderly[3] affecting approximately 2.2–11.3% and 15% an of the population respectively.[4][5]. Several scales measure the severity of fecal incontinence (FI), but the best measure is unknown. The Fecal Incontinence and Constipation Questionnaire was developed to access the prevalence of constipation and fecal incontinence in the community; assess the risk factors for fecal incontinence; and characterize the severity of fecal incontinence all of which were a shortfall of the previoulsy validated fecal incontinence questionnaire.

Objective

The Fecal Incontinence and constipation questionnaire aims to evaluate how bowel dysfunction affects patient-perceived functional status related to pelvic floor dysfunction.[6]

Intended Population

Patients above 18 years with Pelvic-floor dysfunction.

Method of Use

The FICQ is a self-report questionnaire that consists of 20 items: 15 items related to bowel leakage problems and 5 items related to constipation problems.

Evidence

Resources

The Self-Report Fecal Incontinence and Constipation Questionnaire in Patients With Pelvic-Floor Dysfunction Seeking Outpatient Rehabilitation

References

  1. Markland AD, Goode PS, Burgio KL, et al. Incidence and risk factors for fecal incontinence in black and white older adults: a population-based study. J Am Geriatr Soc.2010;58:1341–1346.
  2. Brady CM. Constipation and fecal incontinence. In: Munsat TL, ed. Neurologic Bladder, Bowel and Sexual Dysfunction.Vol 1. Oxfordshire, United Kingdom: Elsevier Science Ltd; 2001:27–37.
  3. Bharucha A. Fecal Incontinence Gastroenterology 2003; 124: 1672–85.
  4. Drossman DA, Li Z, Andruzzi E, et al.US householder survey of functional gastrointestinal disorders. Prevalence, sociodemography, and health impact. Dig Dis Sci 1993; 38: 1569–80.
  5. Nelson R, Norton N, Cautley E, Furner S. Community‐based prevalence of anal incontinence. JAMA 1995; 274: 559–61.
  6. Wang YC, Hart DL, Deutscher D, et al..Psychometric properties and practicability of the self-report Urinary Incontinence Questionnaire in patients with pelvic-floor dysfunction seeking outpatient rehabilitation. Phys Ther. 2013;93:1116–1129.