Miller et al developed a fecal incontinence scoring system for patients with fecal incontinence. This can be used for initial patient evaluation and to monitor the patient's response to interventions over time. The authors are from Bristol Royal Infirmary in England.
Fecal type when incontinent:
(1) flatus (gas)
(2) liquid stool
(3) solid stool
Frequency of Incontinence
Grade
less often than once a month
I
from once a week to once a month
II
more than once a week
III
where:
• One modification would be to add a Grade IV for daily and Grade V for constant.
Grade
Fecal Type
Score
Grade I
flatus
1
liquid
2
solid
3
Grade II
flatus
4
liquid
5
solid
6
Grade III
flatus
7
liquid
8
solid
9
The final incontinence score is the maximum score.
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