Fecal incontinence, also known as bowel incontinence, is the inability to control bowel movements, leading to unintentional leakage of stool. It can range from occasional leakage to a complete loss of bowel control. This condition can significantly affect quality of life, causing embarrassment, stress, and social withdrawal, but effective treatments are available.

Causes

Fecal incontinence may occur due to:

• Muscle damage – injury to the anal sphincter (often from childbirth or surgery).
• Nerve damage – conditions like diabetes, multiple sclerosis, or spinal cord injury.
• Chronic constipation – stretching of the rectum and weakening of rectal muscles.
• Diarrhea – loose stools that are harder to control.
• Rectal prolapse or hemorrhoids – structural changes interfering with bowel control.

Symptoms

Common signs and symptoms include:

• Accidental leakage of stool, mucus, or gas.
• Inability to control sudden bowel urges.
• Constipation alternating with leakage.
• Skin irritation or infections around the anal area.

Diagnosis

At DHS, our specialists use a combination of tests to determine the cause, including:

• Physical examination of the anal muscles.
• Anorectal manometry to measure strength and sensation.
• Endoscopic exams (colonoscopy or sigmoidoscopy).
• Imaging tests like MRI or ultrasound to detect muscle or nerve damage.

Treatment Options

Treatment depends on the severity and cause, and may include:

• Dietary changes – increasing fiber intake to regulate stools.
• Medications – anti-diarrheal drugs or stool softeners.
• Pelvic floor exercises & biofeedback therapy – to strengthen muscles and improve control.
• Surgical procedures – sphincter repair, nerve stimulation, or in severe cases, colostomy.

When to See a Doctor

If you experience persistent leakage, frequent accidents, or difficulty controlling bowel movements, consult a digestive health specialist. Early diagnosis and treatment can help restore control and confidence.

Expert Care at DHS

At DHS, our gastroenterology team provides compassionate, personalized care for patients dealing with fecal incontinence. We focus on restoring bowel function, improving comfort, and helping you regain confidence in daily life.