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Discussion Starter · #1 ·
Hi everyone, I finally had my appointment with the specialist today. I told her about the D and the LG. I didn't call it LG, I just said that without warning odour seeps out of me sometimes. I asked her if she had ever heard of that before. She very casually said yes. She said it is a form of incontinence. She asked me if I also had fecal incontinence and I said no. She said it was possible for gas to leak out (Flux) without also having feces leak out as well. I asked if meant I had something wrong with my sphincter muscles and she said the sphincter can become weaker as we age (I am 50). I asked if hemmeroids have anything to do with it and she said no.She asked me what I ate in a typical day and determined I was not eating enough fibre. She recommended I start eating more fibre. She said this will help regulate bowel movements and keep everything moving through. The problem with not moving food through is it sits too long in the colon and that is when the gas problem develops. Then combine that with a more relaxed or weaker sphincter you will get leaky gas.I am going to give the increased fibre a try and also keep drinking lots of water and see what happens. I have a follow up appointment for 2 months to see if that has helped.Also, she recommended kiegel exercises daily to help strengthen the sphincter.I hope this helps...
 

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I think i will buy oat bran.Someone's dooctor recommanded it here.I think it is not the same as oat meal.
 

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Oat bran is part of the oatmeal, but just the bran part of the whole grain oats.One thing about oat bran if it helps you is it is easy to slip into baked goods. You can usually substitute up to about 1/4 of the flour in something with oat bran without causing to much problems.K.
 

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quote:She very casually said yes. She said it is a form of incontinence. She asked me if I also had fecal incontinence and I said no. She said it was possible for gas to leak out (Flux) without also having feces leak out as well.
I'm not in her head, but it sounds suspicious for her to casually say yes to something that world-class GI doctors aren't familiar with and to state it is possible given everything medical science knows about physiology and physics says it's not. Unfortunately, you didn't have the opportunity to ask her to explain how this sleight of physics could occur.
quote:The problem with not moving food through is it sits too long in the colon and that is when the gas problem develops.
So far as we know, this is not how it works. You eat, then you get gas. After that, gas volume would fall off until you eat again.
quote:Then combine that with a more relaxed or weaker sphincter you will get leaky gas
..and fecal incontinence.
 

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Hi blb7,Thanks for the update on your appointment. Very interesting. I am in my 30s and was really surprised to hear that the sphincter can get weaker as we age. I was never really into exercise. Maybe that's why my muscles got weak. I always have a regular BM now but LG is still around. As far as I know, nothing is sitting in my colon. Hey Flux, I politely disagree with your last statement indicating that LG is fecal incontinence. It's not because I do have LG but NO fecal incontinence. Do you have LG?
 

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quote:I politely disagree with your last statement indicating that LG is fecal incontinence.
Right now, we have no formal evidence that anyone has LG.
 

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I have LG and do not have fecal incontinence. Just because the medical community doesn't recognize it, doesn't mean we don't have it. The proof is with those family members, friends, strangers who detect out LG. Some GI's now just call it a part of functional bowel since it doesn't meet the criteria for IBS and they've been called on it. Regarding fiber, it didn't help me at all. When I was first diagnosed, I was told to increase fiber gradually, up to 2TBS of Metamucil. Didn't help. The next Doctor recommended Citrucel cause its supposed to be more easily tolerated and does not produce gas.I tolerated both Metatmucil and Citracel and took both for about 90 days each. Still never felt gassy, still had the same sputtering, thumping and occasional rumbling and I'm pretty sure I got even more comments while I was on it and still never felt any gas passing. Actually, increasing fiber used to be the recommended treatment for IBS until they decided that increasing fiber, or any other treatment recommended really didn't help. Did your GI say how many grams of fiber is optimal. I had read that we should have about 30 grams per day but that would be impossible for me. One of my doctors felt that at least 12g per day would be adequate. I think that's about 5 vegs/fruits/per day for an average.
 

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quote:The proof is with those family members, friends, strangers who detect out LG.
Until someone gets to see a qualified specialist and that person detects it, there isn't any proof.
quote:Some GI's now just call it a part of functional bowel
Right now, nobody is calling anything.
 

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Discussion Starter · #10 ·
Flux, I can't believe we are back to stating there is no such thing as LG. If there isn't, then what is the sewer/fecal/flatulence smell that seeps out of my butt with no warning. Come on, I can smell mine for gods sake. Don't tell me I don't have LG.And how do you know the doctor I saw is NOT a world class doctor?The fact that she knew about LG was very promising. I don't know whether I believe it is as simple as increasing fibre however.I still believe there is some sort of malfunction.
 

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quote:If there isn't, then what is the sewer/fecal/flatulence smell that seeps out of my butt with no warning.
How do you know that's the source?
quote:And how do you know the doctor I saw is NOT a world class doctor?
No world class doctor would summarily accept the existence of a condition not only unknown to no other world class doctor but one that defies what is generally known about how the body works. There would have to proof and lot of it.
quote:don't know whether I believe it is as simple as increasing fibre however.
Even if there were some way to have such condition, it makes no sense how this could impact it.
 

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FYI"IFFGD About IncontinenceMany otherwise healthy, active individuals suffer from incontinence. Fecal incontinence (also called bowel incontinence or anal incontinence) affects people of all ages. It may be defined as the involuntary loss of solid or liquid stool sufficient enough to result in impaired quality of life for the individual. "It's difficult to imagine the devastating impact bowel incontinence can have on a person's life without experiencing it directly. This is a disorder that people feel they must hide from others and talk about only in whispers." Frequent or involuntary passage of gas (flatus) without loss of fecal material, while not clinically defined as incontinence, may also impair a person's quality of life and warrant treatment.Incontinence is a distressing and isolating condition. Many people fail to report it, even to their own physician.Incontinence significantly impacts on social and work related aspects of an individual's life.There are numerous causes for incontinence. Most importantly, there are ways to treat and manage the condition.http://www.aboutincontinence.org/
 

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Discussion Starter · #13 ·
Thanks Eric, that is an interesting post.Flux - I KNOW that is the source because I have a burning sensation when it happens and I can detect the area from which it is coming.
 

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quote:Frequent or involuntary passage of gas (flatus) without loss of fecal material, while not clinically defined as incontinence, may also impair a person's quality of life and warrant treatment.
Bizarre.
Eric, can you please find out who wrote that?
 
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