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Sudden Involuntary facael incontinence in a 78 year old

78 year old Husband on very high dose of painkillers - 8 paracetamol and 8 Dihydrocoedine a day. He also has had constipation for over a year - he is eating a poor diet - mainly Fortisips and a croissant despite help from a very good dietician.

He did not go to the loo yesterday or day before so yesterday took 2 Cosmocol sachets.  This morning he had terrible diahorria - all over dressing gown, bathroom et al. Whilst this is not pleasant he said he had no sensation of wanting or needing to go to the loo - it just happened. Should I be worried? He is 78 and has been complaining of weakness in his legs and ankles and pain around his hip bone. 

He did have kidney problems a year ago - function fell to 9% meaning 7 nights in hospital so that is a worry as i know with older cats bad diahorria can be a sign of late stage kidney failure.

Not sure what to do as maybe it is linked to the Cosmocol? But the fact he was not aware it was happening suggests nerve damange. 

At the moment he is sitting quietly and I am trying to get him to have some mineral water to hydrate him. I was going to call 111 for advice but do not want to panic as pretty sure they will tell me to get him to the GP  

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