Non-retentive fecal incontinence (NRFI) is an uncommon condition. Those with NRFI often endure considerable social and emotional challenges - such as low self-esteem, embarrassment, and social isolation - that significantly impact their quality of life.

Fecal incontinence (FI) poses a significant clinical and economic challenge in the U.S. intensive care units (ICUs), affecting 9-40% of patients and contributing to billions of dollars in healthcare costs mainly towards complications such as incontinence-associated dermatitis (IAD), hospital-acquired pressure injuries (HAPI), and Clostridioides difficile infection (CDI). This review traces the evolution of FI management from rudimentary containment methods to the newest innovative Qoramatic Automated Stool Management (ASM) system with no balloon and zero radial pressure. We compared Qoramatic ASM to traditional absorbent pads and indwelling balloon catheters (IBCs) across four patients' subgroups Results demonstrate that Qoramatic ASM reduces per-patient care costs by 80-94.5% ($242-$1,344 vs. $1,215-$24,615 for pads/IBCs), decreases nursing time 91-96% (6-14 vs. 66-348 min/day), and nearly eliminates leakage and device-related injuries. ASM also reduces HAPI and CDI incidence, shortening hospital stays by up to 30%. Qoramatic's improved clinical outcomes, enhanced patient dignity, and reduced staff burden positioning it is a transformative solution for FI management in ICUs, warranting broader global adoption.

Myxedema psychosis or "myxedema madness" is a rare, treatable, but potentially fatal neuropsychiatric manifestation of severe hypothyroidism. This case report presents a 46-year-old, unemployed, childless woman with progressive deterioration of her health over the last six months, including progressive lethargy, social withdrawal, poor intake, irritability, sound sensitivity, auditory hallucinations, urine and fecal incontinence, and complete neglect of personal hygiene. She had undergone total thyroidectomy and parathyroidectomy for which she was on levothyroxine, which she had discontinued. On physical examination, she was disoriented, having disorganized thinking, false belief of having cancer, fecal soiling, non-pitting edema of the lower limbs, and rigidity of the upper and lower limbs. Laboratory investigations showed hypoglycemia, hypokalemia, hypophosphatemia, severe hypothyroidism, and low morning cortisol. The CT scan of the brain revealed symmetrical calcification of bilateral basal ganglia, thalami, right corona radiata, and bifrontal subcortical white matter. She was started on levothyroxine, hydrocortisone, and aripiprazole. On day 16, she developed catatonic features, for which she was treated with lorazepam and aripiprazole, resulting in gradual improvement.

This review explores the impact of multiple sclerosis (MS) on pelvic organ function. Beyond the classical symptoms, MS might lead to voiding dysfunctions, faecal incontinence, and/or constipation, and/or sexual dysfunctions for both men and women. Pelvic organ dysfunction is stigmatising and often considered taboo. Therefore, it is crucial to address these issues through comprehensive medical history taking and examinations. Effective treatments are available for all dysfunctions, and a multidisciplinary approach is recommended to enhance the quality of life for patients.

Women are at increased risk of fecal incontinence (FI) due to pelvic floor dysfunction. Running, may further contribute to FI symptoms. The main aim of this study was to gain insight into the experiences of Dutch female recreational runners with FI during running. We conducted a qualitative study using semi-structured interviews. Participants, recruited through Facebook and running groups, were eligible if they had experienced FI symptoms during running for at least 3 months without FI in daily life. Interviews focused on personal experiences with FI related to running. Data were analyzed using thematic content analysis. Twenty-one participants, aged 31-72 years participated. Two themes emerged: Firstly, feelings and beliefs about FI described emotional responses, while some women expressed acceptance, others reported sadness. Barriers to seeking medical care included a lack of knowledge about treatment options, feelings of shame, and fear of not being taken seriously. Secondly, coping and adaptation strategies describe practical measures such as toilet mapping, carrying toilet paper or clean clothing, and wearing dark clothing. This study highlights the complex experiences of female runners dealing with FI and emphasizes the need for greater awareness, education, and support within the running community to effectively address this issue.

This case report describes the clinical, diagnostic imaging, and histopathologic findings of spinal cord hypoplasia in a 13-week-old, intact male Labrador Retriever. The dog was first presented at 6 weeks of age with chronic and progressive gait abnormalities and fecal and urinary incontinence. On clinical examination, the puppy was bright, alert, and responsive but smaller than its siblings and showed poor muscle mass. No abnormalities were found in the general examination. Neurologic examination revealed mild kyphosis of the lumbar spine, ambulatory spastic paraparesis, proprioceptive pelvic limb ataxia, and a "bunny-hopping" gait. Orthopedic examination did not show any additional abnormalities. Bloodwork for infectious and metabolic etiologies was within normal limits. Magnetic resonance imaging (MRI) of the vertebral column revealed thinning of the thoracolumbar spinal cord with a compensatory increase in subarachnoid space volume, suggestive of spinal cord hypoplasia. In consultation with the owner, euthanasia was elected, given the poor expected quality of life. Postmortem examination showed moderate lumbar kyphosis and mild thoracolumbar scoliosis. Macroscopically, the thoracolumbar spinal cord was multifocally thinned with a markedly irregular dorsolateral surface. Histological examination demonstrated markedly thinned segments with bilateral and symmetric dorsolateral white and grey matter hypoplasia, with the remnant white matter displaying an abnormal conformation with prominent edematous changes. Segmental spinal cord hypoplasia is described as a rare disorder in humans and a few animal species. To the authors' knowledge, this is the first reported case of segmental spinal cord hypoplasia in a dog.