Overview
Faecal incontinence is more common than many people think and can be embarrassing to talk about. Most people can be helped with treatment, so it is worth seeking advice.
Symptoms
- Sudden urges to open the bowels that cannot be held
- Leakage of stool without noticing
- Soiling of underwear
- Difficulty controlling wind
Causes and risk factors
Causes include damage to the anal muscles during childbirth, diarrhoea, long-term constipation with overflow, nerve damage from diabetes, stroke or spinal problems, previous anal surgery and older age.
Diagnosis
A doctor takes a history and examines the anus and rectum. Tests may include anorectal manometry, endoanal ultrasound and colonoscopy.
Treatment
Treatment includes diet and fibre changes, medicines to firm stools, pelvic floor exercises, biofeedback and, in some cases, surgery to repair the muscles.
When to see a doctor
See a doctor if you have bowel leakage. Seek prompt care for sudden incontinence with back pain or numbness, or rectal bleeding.
This information is for general education and does not replace advice from a qualified doctor. For a medical emergency, call +92-51-8446666 or go to the nearest emergency department.
