What should I do if I have bowel incontinence?

Lots of options. Colorectal surgeons treat bowel incontinence. We have a lot of really good treatments available now, including both surgical and non-surgical options. You no longer have to limit your lifestyle because of this embarrassing condition. Make an appointment to discuss your options with a colorectal surgeon.
Bowel program. Depends if stools are normal or not. 1) avoid constipation 2) pelvic floor physical therapy, if pelvic muscles don't respond well to pt, then completely emptying the rectum in the am imay be best approach. This involves an enema or suppository each am. If a sphincter tear is present and vaginal birth was recent, then surgical repair can be helpful. Make sure colonoscopy is up to date.

Related Questions

Is bowel incontinence common?

Not rare. Still a topic that people are afraid to talk even to docs about, so real #s are underestimated. Bowel control is complex and can be affected by consipation, diarrhea, any nerve damage to the lower rectum, pelvic muscle tone, diabetes, neuropathy, spinal stenosis, overall activity level, weight and diet can all play a role.
Fecal Incontinence. Fecal incontinence is estimated to occurs in some 5% of the population. The most common cause in the United States is the trauma of vaginal childbirth, particularly if a tear occurred or if a posterior midline episiotomy was performed. It is often not brought by patients and not asked about by doctors. It is treatable and manageable in most cases, with attention to diet, meals, a bowel journal.

What are the causes of bowel incontinence?

Nerve or muscle prob. Liquid or solid? Can you tell it's happening or not? Sometimes caused by effects of pregnancy and/or birth trauma on nerves or muscles. Sometimes caused by nerve damage due to disc disease, injury, tumor, dementia, multiple sclerosis; sometimes caused by brain issues, seizure, stroke, increased pressure, or normal pressure bulging/hydrocephalus- usually causes urinary incontinence). See md.
Many. There are many causes of incontinence, or loss of control of bowel function. Neurologic injury, such as spinal trauma; neurologic disease such as ms; injury to the sphincer muscle by surgery or even childbirth can cause this as well.

How is bowel incontinence typically treated?

Dpends on Cause. Damage the the rectal sphincter in childbirth is a common cause of bowel incontinence. Trauma, diabetes, irritable bowel disease, and inflammatory bowel disease may also be contributing factors. If it's from childbirth, see your OB as a repair of the muscle can be successful if too much time has not passed. If not pregnancy related, see an internal medicine doctor or GI specialist.
Disrupted or weak. Anal sphincter but also diarrhea or ibs unfortunately people wait until the muscle gets to far gone to do much with. Sphincter repair, biofeedback and neuroma dilation r therapies now, but slings are in govt trials right now.

What is the definition or description of: bowel incontinence?

See below. Bowel incontinence is the loss of bowel control, leading to an involuntary passage of stool. This can range from occasionally leaking a small amount of stool and passing gas, to completely losing control of bowel movements. Causes are numerous but include neurological, psychiatric, gynecologic, dietary and traumatic causes. Referral to a colorectal surgeon can determine the cause.
Simple. Inability to control stool or gas until such time that it is socially acceptable is a good definition.

I am embarrassed about my bowel incontinence. What can I do about it?

See a colon surgeon. There are a lot of options these days for bowel incontinence. We have both surgical and non surgical options. Please see a colon and rectal surgeon to discuss your options. These include physical therapy, sacral nerve stimulator, solesta injection, secca procedure, and overlapping sphincteroplasty. You don't have to live with it the way it is.
Bowel leakage. Is upsetting and embarassing. A GI doctor or colorectal surgeon or urogynecologist can help evaluate the problem and suggest treatments.

Can you prevent bowel incontinence?

Perhaps. The causes of fecal incontinence are many and if you suffer from this chronically you should see your doctor for further discussion and evaluation to determine which treatment is appropriate.
Yes. By modifying your diet, training yourself (biofeedback), medications, and sometimes surgery are all methods used to treat incontinence.

What surgical operations are done to treat bowel incontinence?

Depends on cause. For example, incontinence caused by inflammatory bowel disease is often treated medically, with surgery (removal of part or all of the colon) as a last resort. Celiac disease, caused by a gluten allergy, can often be treated by changing diet. Incontinence caused by an anatomic problem such as a disrupted anal sphincter can be treated with physical therapy or surgery.
Several options. In the past, we overlapped the anal sphincter muscle. This had high complication rate and wasn't very effective. Now we have secca, which is an outpatient procedure which stiffens the sphincter muscle. We also have interstim, which is a very effective, low risk outpatient treatment where a nerve stimulator is inserted into the nerve that controls continence. See a colorectal surgeon.

Does long term use of movicol cause dependency or bowel incontinence? Thanks in advance

Maybe... Laxatives should only be used routinely when directed by your physician. If you suffer from chronic constipation, your diet is probably to blame. Increase your intake of fruit and vegetable fiber as well as water. That said, polyethylene glycol is safe.
No dependency. Movicol is polyethylene glycol 3350 (an osmotic laxative) and a small amount of additional electrolytes. Generally not considered to cause dependency or fecal incontinence. If you follow the advice for treating constipation at the following site you may correct your constipation naturally. > http://bit. Ly/1uzOegm add dried apricots/prunes for natural laxative: they both contain sorbitol.
Neither. Movicol does not cause dependency. In a Dutch study in children, bowel incontinence episodes actually decreased after taking the equivalent drug (polyethylene glycol with electrolytes, the generic version of movicol) for 8 weeks.