A 29-year-old woman, 6 weeks postpartum, reports to the GP that she has been experiencing involuntary loss of flatus since delivery. She had an uncomp...

Question

A 29-year-old woman, 6 weeks postpartum, reports to the GP that she has been experiencing involuntary loss of flatus since delivery. She had an uncomplicated vaginal delivery with a documented second-degree tear. She has no faecal incontinence. Which is the single most appropriate initial management?

Accepted Answer

Pelvic floor muscle exercises - most cases of mild flatal incontinence postpartum improve with pelvic floor rehabilitation over 3-6 months

Answer

Refer urgently for sphincter repair surgery

Answer

No treatment is available for flatal incontinence

Answer

Prescribe loperamide

Answer

Arrange endoanal ultrasound immediately

uk-drcog MCQ (SBA): Postpartum Flatal Incontinence - PFMT