James Bullen
speaker
1,082 appearances
27 recordings
1 series
first heard Nov 2017
last heard Feb 2020
James Bullen’s voice in public audio — every appearance, attributed to the second.
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Appearances
Well, that's the name she wanted to go by.
She oscillated between not needing to go at all and really, really needing to go.
Therese visited her GP who referred her on to a physiotherapist.
The exercises she's been learning have helped manage her symptoms.
There have been a few surprises along the way though.
The stigma and shame surrounding the condition can stop people from getting treatment.
The pathway to diagnosing the underlying cause or causes of faecal incontinence can vary.
Colorectal surgeon Dr. Naseem Mirbagheri.
The symptoms of bowel cancer can look similar to faecal incontinence, so that's something doctors are always on alert for.
If physical causes are ruled out, there are still many patients for whom the doctor won't be able to find an explanation.
Therese's physical symptoms are relatively mild, so she's been undertaking these conservative first steps with the help of specialists.
A lot of it's to do with healthy toilet habits, which sounds simple, but it can make a big difference.
When these conservative treatments don't work, people might look to more drastic action, like surgery.
Sometimes that could be relatively straightforward, correcting a physical issue, like a prolapse or haemorrhoids.
But in cases where the condition is neurogenic, in other words, a breakdown in the connection between the brain and the bowel, things are more complex.
The idea of sacral nerve stimulation was raised to Dulcy after she reached a dead end with other doctors.
Dr Mir Bagheri was her surgeon.
This zapping of nerves is meant to encourage something called neuromodulation, but we still don't fully understand how it works.
Dolce decided to have the device implanted.
It's been a couple of months since the surgery and so far it's been helpful.
Showing 61–80 of 1,082 · page 4 of 55
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