Fecal incontinence, or the inability to control bowel movements, can range from occasional leakage to a complete loss of control. Many people experience this issue, particularly as they age or after certain medical conditions.

Causes of fecal incontinence can include muscle or nerve damage, chronic diarrhea or underlying health conditions. At MU Health Care, we understand the impact this can have on your daily life. Our specialists offer personalized, expert care to diagnose the cause of your symptoms and develop an effective treatment plan tailored to your needs.

Fecal Incontinence Symptoms

Symptoms of fecal incontinence can vary in severity and may include:

  • Diarrhea or loose stools: Frequent bowel movements can make incontinence worse.
  • Gas and bloating: Some individuals experience discomfort alongside incontinence.
  • Loss of sensation in the rectum: You may not feel the need to have a bowel movement.
  • Sudden, urgent need to have a bowel movement: Some people experience difficulty reaching a restroom in time.
  • Unexpected stool leakage: Small amounts of stool may leak between bathroom visits.

Causes of Fecal Incontinence

Fecal incontinence can have multiple causes, including:

  • Chronic constipation: Straining and hard stools can weaken rectal muscles over time.
  • Diarrhea: Loose stools are harder to control and can contribute to leakage.
  • Hemorrhoids: Swollen veins in the rectum can prevent the anus from closing completely.
  • Muscle damage: Weakness in the anal sphincter muscles, often due to childbirth or surgery.
  • Nerve damage: Conditions like diabetes, multiple sclerosis, or a spinal cord injury can affect bowel control.
  • Rectal prolapse: The rectum may slip out of place, leading to incontinence.

Fecal Incontinence Diagnosis at MU Health Care

Our team uses advanced diagnostic techniques to determine the cause of incontinence, including:

  • Anorectal manometry: Measuring pressure in the rectum and anal muscles.
  • Colonoscopy: Checking for underlying conditions like inflammation or tumors.
  • Endoanal ultrasound: Imaging to detect muscle damage.
  • Medical history review: Understanding your symptoms, diet, and bowel habits.
  • Physical exam: Assessing muscle strength and nerve function.

With a precise diagnosis, we can create a personalized treatment plan tailored to your needs.

How We Treat Fecal Incontinence at MU Health Care

Treatment depends on the severity and underlying cause of fecal incontinence. Our approach includes:

Lifestyle and Dietary Changes

  • Avoiding foods that trigger diarrhea
  • Establishing a regular bowel routine
  • Increasing fiber intake to regulate stool consistency

Medications

  • Anti-diarrheal medications to firm stool consistency
  • Stool softeners for constipation-related incontinence

Minimally Invasive Procedures

  • Sacral nerve stimulation (SNS): A small device implanted under the skin to stimulate nerves and improve control
  • Injectable bulking agents: Gel-like substances injected into the anal sphincter to improve closure

Pelvic Floor Therapy and Exercises

  • Biofeedback therapy to retrain the nerves and muscles controlling bowel movements
  • Kegel exercises to strengthen anal and pelvic muscles

Surgical Options

At MU Health Care, we prioritize minimally invasive treatments whenever possible, helping patients regain bowel control with minimal recovery time.

  • Colostomy (in severe cases): Redirecting stool to a pouch if other treatments fail
  • Sphincteroplasty: Repairing a damaged anal sphincter