- Fecal incontinence (FI)
- Faecal incontinence
- 315.4 Coordination disorder (clumsiness, dyspraxia and/or specific motor development disorder)
- 718.45 Contracture of joint; pelvic region and thigh
- 719.70 Difficulty in walking
- 728.2 Muscular wasting and disuse atrophy
- 728.89 Other disorders of muscle, ligament, and fascia
- 729.9 Other disorders of soft tissue
- 780.7 Malaise and fatigue
- 781.2 Abnormality of gait
- 782.3 Edema
- 786.0 Dyspnea and respiratory abnormalities
- 786.05 Shortness of breath
- 787.6 Incontinence of feces
- R15.9 Full incontinence of feces
- As of February 2013, the APTA Guide to Physical Therapist Practice does not include practice patterns for organ systems pathology; therefore, the associated or secondary musculoskeletal, cardiovascular/pulmonary, or potential neuromuscular patterns would be indicated
- Loss of bowel control, complete or occasional
- There is a broad array of GI disorders that may be encountered, though not managed specifically, by physical therapists
- Patients with GI pathology may receive care as a result of secondary problems such as weakness, gait abnormalities, and limited aerobic endurance
- Symptoms may be acute, post-operative, chronic, viral, bacterially related, or congenital/hereditary
- Complaints often include changes in bowel habits: constipation, diarrhea, bowel urgency, incontinence, and cramping
- Pain is frequently referred to the low back
- Must be made by a physician and confirmed by medical diagnostic testing
- Complaints of
- Abdominal pain; constant or intermittent
- Abdominal tenderness
- Diarrhea or constipation; changes in bowel habits
- Possible rectal bleeding
- Rectal/anal irritation
- Acute drops in blood pressure which may result in decreased blood flow to intestines
- Inability to swallow
- Lack of appetite
- Unexplained weight loss
- Abdominal pain upon ingesting food
- Possible joint pains
- Dark stool or bright red blood in stool
- Description by individual
- Recent illness (bacterial, viral)
- Ingestion of spoiled food
- PTs should recognize the possibility of GI pathology in differential diagnosis, especially when findings are not consistent with conditions commonly treated: musculoskeletal, neuromuscular, integumentary, cardiopulmonary, functional and mobility dysfunction secondary to medical pathology
- As GI symptoms are frequently referred to the back and shoulders, patients may be inappropriately referred to PT
- Diagnosis for more occult problems may take time and require intensive medical diagnostic testing
- GI disorders occur throughout the lifespan (birth through geriatric)
- May result in secondary problems indicating the need for physical therapy intervention: impairment of aerobic capacity and muscle endurance, sarcopenia, weakness, impaired muscle performance, musculoskeletal problems, neuromuscular problems, weight loss or weight gain
- Symptoms may include chronic diarrhea, episodic diarrhea, loss of bowel control (incontinence or urgency), blood in stool
- Because GI disorders frequently refer pain to other body areas, individuals may be referred to PT inappropriately
- GI problems may be commonly related to stress, constipation, more serious problems such as autoimmune conditions (Crohn’s disease), or acute pain from appendicitis
- In adults females, GI complaints may be indicative of cancer or tumors in the reproductive organs, or gynecological problems such ...
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