Medical history (history of illness) represents an important component in the diagnosis of fecal incontinence.
Family history
- What is the general health of your family members?
- Are there any diseases in your family that are common?
- Are there any hereditary diseases in your family?
Social history
- What is your profession?
Current medical history/systemic history (somatic and psychological complaints).
Revised Faecal Incontinence Scale (RFIS) (mod. according to).
- How long have you suffered from fecal incontinence, i.e., involuntary discharge of liquid or solid stool?
- Since when do you suffer from anal incontinence ie involuntary discharge of gas with or without stool?
- Do you lose stool, have incontinence incidents or lose solid stool?
- Never
- Rarely (< 1/last 4 weeks)
- Sometimes (< 1/last week, ≥ 1/last 4 weeks).
- Often (< 1/day, ≥ 1/week 3
- Always (≥ 1/day, with every bowel movement)
- Do you lose stool, have incontinence incidents, or lose liquid stool?
- Never
- Rarely (< 1/last 4 weeks)
- Sometimes (< 1/last week, ≥ 1/last 4 weeks).
- Often (< 1/day, ≥ 1/week
- Always (≥ 1/day, with every bowel movement)
- Do you leak stool when you can’t find a toilet in time?
- Never
- Rarely (< 1/last 4 weeks)
- Sometimes (< 1/last week, ≥ 1/last 4 weeks).
- Often (< 1/day, ≥ 1/week
- Always (≥ 1/day, with every bowel movement)
- Do you leak stool so that you need to change your underwear?
- Never
- Rarely (< 1/last 4 weeks)
- Sometimes (< 1/last week, ≥ 1/last 4 weeks).
- Often (< 1/day, ≥ 1/week
- Always (≥ 1/day, with every bowel movement)
- Does involuntary bowel movement bother your life circumstances (lifestyle)?
- Never
- Rarely (< 1/last 4 weeks)
- Sometimes (< 1/last week, ≥ 1/last 4 weeks).
- Often (< 1/day, ≥ 1/week
- Always (≥ 1/day, with every bowel movement)
Vegetative history including nutritional history.
- How often do you have a bowel movement during the day?
- What is the nature of the stool?
- Do you have problems urinating?
- Attachment of a stool or food diary.
Self anamnesis incl. medication anamnesis
- Pre-existing conditions (chronic diseases; inflammatory bowel disease; food intolerances (eg, lactose / lactose, fructose / fructose, sorbitol intolerance); nervous disorders)).
- Operations (operations in the pelvic area, intestine, anus).
- Radiotherapy in the pelvic area
- Allergies
- Pregnancies – especially type and circumstance of births due to trauma (eg perineal tear).
Medication history