Niekontrolowane wypróżnianie
Objawy

Inkontynencja kałowa to utrata kontroli nad wypróżnieniami, obejmująca zarówno inkontynencję z nagłym parciem (urge incontinence), jak i inkontynencję bierną (passive incontinence). Objawy mogą wahać się od niewielkiego wycieku stolca podczas oddawania gazów do całkowitej utraty kontroli nad wypróżnieniami. Często współwystępują objawy towarzyszące, takie jak biegunka, zaparcia, ból brzucha czy podrażnienie skóry okolicy odbytu. Inkontynencja kałowa znacząco obniża jakość życia pacjentów, powodując stres, lęk, izolację społeczną oraz obniżenie samooceny. Występuje częściej u osób starszych (około 10% populacji powyżej 65 roku życia) oraz u kobiet po porodzie, zwłaszcza przy czynnikach ryzyka takich jak duże dziecko, użycie kleszczy czy episiotomia. U dzieci najczęstszą przyczyną jest przewlekłe zaparcie prowadzące do enkoprezy.

Podstawowe objawy niekontrolowanego wypróżniania

Niekontrolowane wypróżnianie (inkontynencja kałowa) to utrata kontroli nad wypróżnieniami, prowadząca do mimowolnego wydalania stolca lub gazów. Zaburzenie to może objawiać się w różnym nasileniu – od niewielkiego wycieku płynnego stolca podczas oddawania gazów, aż po całkowitą utratę kontroli nad wypróżnieniami.12

Głównym objawem niekontrolowanego wypróżniania jest niemożność kontrolowania oddawania stolca. Może to wystąpić podczas krótkotrwałej choroby powodującej biegunkę lub może być przewlekłym stanem. Inkontynencja kałowa znacząco wpływa na wszystkie aspekty życia pacjenta, powodując pogorszenie zdrowia fizycznego i psychicznego oraz zaburzając funkcjonowanie osobiste, społeczne i zawodowe.12

Rodzaje niekontrolowanego wypróżniania

Wyróżnia się dwa główne typy inkontynencji kałowej:12

  • Inkontynencja z nagłym parciem (urge incontinence) – pacjent odczuwa nagłą potrzebę wypróżnienia, ale nie jest w stanie kontrolować tego parcia. Potrzeba defekacji pojawia się tak nagle, że nie ma możliwości dotarcia do toalety na czas. Jest to związane z niewydolnością mięśni miednicy, które są zbyt słabe, aby utrzymać stolec.12
  • Inkontynencja bierna (passive incontinence) – pacjent nie odczuwa potrzeby wypróżnienia i nieświadomie wydala stolec. Nie jest w stanie wyczuć, że odbytnica jest wypełniona kałem. Dochodzi do wycieku stolca bez sygnałów ostrzegawczych ze strony organizmu.12

Specyficzne objawy kliniczne

Objawy niekontrolowanego wypróżniania mogą się różnić w zależności od osoby i mogą obejmować:12

  • Wyciek stolca podczas oddawania gazów
  • Wyciek stolca podczas aktywności fizycznej
  • Poczucie potrzeby wypróżnienia, ale niemożność dotarcia do toalety na czas
  • Znajdowanie śladów stolca w bieliźnie po regularnym wypróżnieniu
  • Całkowita utrata kontroli nad wypróżnieniami
  • Wycieki brązowego płynu i plamienie bielizny
  • Niemożność kontrolowania oddawania gazów

Niektórzy eksperci medyczni włączają także zabrudzenia lub plamy stolca czy śluzu na bieliźnie jako objaw inkontynencji kałowej.12

Objawy towarzyszące

Niekontrolowanemu wypróżnianiu mogą towarzyszyć także inne objawy, takie jak:12

  • Biegunka
  • Zaparcia
  • Wzdęcia i gazy
  • Ból brzucha
  • Podrażnienie skóry wokół odbytu
  • Dyskomfort lub skurcze w jamie brzusznej związane z wypróżnieniami

U pacjentów z niekontrolowanym wypróżnianiem często występują również problemy z oddawaniem moczu (inkontynencja moczowa). Według danych, nawet 20% kobiet z nietrzymaniem moczu cierpi również na inkontynencję kałową.12

Psychologiczne i społeczne następstwa

Niekontrolowane wypróżnianie może mieć znaczący wpływ na samopoczucie psychiczne i jakość życia pacjenta. Symptomy emocjonalne często obejmują:12

  • Stres, lęk, wyczerpanie
  • Strach przed publicznym upokorzeniem
  • Poczucie bycia brudnym
  • Obniżoną samoocenę
  • Zmniejszone libido
  • Gniew, upokorzenie, depresję
  • Izolację społeczną
  • Frustrację i zakłopotanie

Badania wykazały, że ponad 50% hospitalizowanych poważnie chorych pacjentów oceniło nietrzymanie moczu lub stolca jako „gorsze niż śmierć”. Inkontynencja kałowa często prowadzi do wycofania z życia społecznego i zawodowego, gdyż pacjenci obawiają się wystąpienia epizodu niekontrolowanego wypróżnienia w miejscu publicznym.12

Chorzy często unikają rozmów na temat swojego problemu z powodu wstydu i zażenowania, co opóźnia diagnozę i leczenie. Niechęć do zgłaszania problemu lekarzowi sprawia, że rzeczywista częstość występowania tego zaburzenia jest prawdopodobnie znacznie wyższa niż wskazują na to oficjalne statystyki.12

Powikłania fizyczne

Oprócz skutków psychologicznych, niekontrolowane wypróżnianie może prowadzić do fizycznych powikłań, takich jak:12

  • Podrażnienie skóry wokół odbytu
  • Ból i dyskomfort
  • Infekcje skórne
  • Nieprzyjemny zapach
  • Niedożywienie (gdy pacjenci ograniczają jedzenie, aby zapobiec epizodowi)

Istnieje też zwiększone ryzyko uszkodzenia skóry wokół odbytu i rozwoju miejscowych infekcji skórnych. Objawia się to zwiększonym bólem podczas wypróżniania lub nawet podczas siedzenia, a nieleczone może prowadzić do gorączki.1

Progresja choroby

Przebieg niekontrolowanego wypróżniania jest zróżnicowany i zależy od przyczyny i skuteczności leczenia. Objawy mogą nasilać się z czasem, szczególnie jeśli nie zostanie wdrożone odpowiednie leczenie.12

Dla niektórych pacjentów inkontynencja kałowa jest stanem przejściowym, związanym z ostrą chorobą powodującą biegunkę, i ustępuje po wyleczeniu choroby podstawowej. Dla innych jest to problem przewlekły, który może utrzymywać się przez lata i wymagać długoterminowego zarządzania objawami.12

Częstotliwość epizodów

Częstotliwość epizodów niekontrolowanego wypróżniania może się znacznie różnić:12

  • Niektórzy pacjenci doświadczają epizodów codziennie
  • Inni mają problemy tylko sporadycznie
  • Epizody mogą występować w odstępach dziennych, tygodniowych lub miesięcznych
  • Nasilenie może być zmienne – od minimalnego wycieku przy oddawaniu gazów do całkowitej utraty kontroli nad wypróżnieniem

Częstotliwość i nasilenie objawów może ulec zwiększeniu podczas zaostrzenia choroby podstawowej (np. choroby zapalnej jelit) lub w wyniku czynników zaostrzających, takich jak biegunka czy zaparcia.12

Czynniki wpływające na progresję

Na progresję niekontrolowanego wypróżniania mogą wpływać różne czynniki:123

  • Wiek – objawy często nasilają się z wiekiem, gdy mięśnie zwieracza odbytu słabną, a struktury wspierające w miednicy stają się luźniejsze
  • Konsystencja stolca – biegunka i luźne stolce są trudniejsze do kontrolowania, co nasila objawy inkontynencji
  • Choroby współistniejące – schorzenia takie jak cukrzyca czy stwardnienie rozsiane, które mogą powodować uszkodzenia nerwów, przyczyniają się do pogorszenia objawów
  • Poród i ciąża – uszkodzenia mięśni podczas porodu mogą początkowo powodować łagodne problemy, które z czasem się nasilają
  • Przeciągające się zaparcia – duże, twarde stolce mogą powodować rozciągnięcie mięśni odbytnicy, co z czasem prowadzi do ich osłabienia

U niektórych pacjentów objawy mogą nie wystąpić bezpośrednio po zdarzeniu wywołującym (np. porodzie), ale mogą pojawić się dopiero po latach, szczególnie po menopauzie, gdy poziom hormonów zaczyna spadać.12

Rokowanie i odpowiedź na leczenie

Rokowanie w przypadku niekontrolowanego wypróżniania zależy od przyczyny podstawowej, nasilenia objawów oraz zastosowanego leczenia.12

W wielu przypadkach, przy odpowiednim leczeniu, pacjent może utrzymać prawidłowe funkcjonowanie jelit przez całe życie. Badania pokazują, że objawy poprawiają się u ponad połowy pacjentów po sfinkteroplastyce lub stymulacji nerwu krzyżowego. Jednak z czasem objawy mogą stopniowo powrócić u niektórych pacjentów.12

Między 70% a 80% osób z tym problemem uzyskuje przynajmniej częściową poprawę dzięki leczeniu. W około jednym na pięć przypadków inkontynencja kałowa ustępuje po samych zmianach stylu życia, bez konieczności stosowania inwazyjnych metod leczenia.12

Prognoza długookresowa

Długoterminowe rokowanie zależy od wielu czynników:12

  • Czynniki pozytywne dla kontroli jelit:
    • Prawidłowa budowa kości krzyżowej
    • Dobrze funkcjonujące mięśnie zwieracza
    • Prawidłowy wzorzec wypróżnień (1-2 dobrze uformowane stolce dziennie)
    • Zachowane czucie podczas oddawania stolca
  • Czynniki negatywne dla kontroli jelit:
    • Nieprawidłowa budowa kości krzyżowej
    • Osłabione mięśnie zwieracza
    • Ciągłe wydalanie stolca
    • Brak czucia (brak parcia)
    • Nietrzymanie moczu

Nawet w przypadkach, gdy rokowanie dotyczące kontroli jelit jest dobre, większość pacjentów po zabiegach chirurgicznych związanych z wadami odbytu czy chorobą Hirschsprunga będzie potrzebować pewnych form interwencji dietetycznej lub medycznej, aby zapobiec zaparciom lub inkontynencji kałowej.1

Dla pacjentów z ciężką inkontynencją kałową, którzy nie odpowiadają na leczenie, jakość życia może być znacznie ograniczona, a stan może prowadzić do izolacji społecznej i depresji. Jednak w większości przypadków, przy odpowiednim podejściu terapeutycznym, możliwe jest przynajmniej częściowe złagodzenie objawów.12

Specyficzne grupy pacjentów

Niekontrolowane wypróżnianie u kobiet po porodzie

Inkontynencja kałowa jest częstym powikłaniem związanym z porodem. Uszkodzenia mięśni zwieracza odbytu lub nerwów miednicy podczas porodu mogą prowadzić do problemów z kontrolą wypróżnień.12

Czynniki zwiększające ryzyko inkontynencji kałowej po porodzie obejmują:12

  • Duży rozmiar dziecka
  • Użycie kleszczy podczas porodu
  • Pęknięcie krocza
  • Wykonanie episiotomii (nacięcia krocza)

U niektórych kobiet problemy z kontrolą jelit mogą pojawić się bezpośrednio po porodzie i poprawić się w ciągu kilku dni lub tygodni. U innych problemy mogą pojawić się dopiero po latach, często po menopauzie.12

Niekontrolowane wypróżnianie u osób starszych

Częstość występowania inkontynencji kałowej wzrasta z wiekiem. Jest to spowodowane osłabieniem mięśni zwieracza odbytu i dna miednicy oraz zmianami neurologicznymi związanymi z procesem starzenia.12

Szacuje się, że problem ten dotyka około 1 na 10 osób powyżej 65 roku życia mieszkających w społeczności, a nawet 45% osób przebywających w domach opieki. Jest to najczęstsza przyczyna instytucjonalizacji osób starszych.12

U osób starszych częściej występuje inkontynencja z przepełnienia związana z zaparciami. W przypadkach ciężkich zaparć, duży, twardy stolec może utknąć w odbytnicy (impakcja kałowa). Stolec następnie zaczyna rozciągać mięśnie odbytnicy, osłabiając je. Wodnisty stolec może wyciekać wokół zbitego stolca i wydostawać się z odbytu, powodując inkontynencję z przepełnienia.1

Niekontrolowane wypróżnianie u dzieci

U dzieci powyżej 4 roku życia najczęstszą przyczyną inkontynencji kałowej są zaparcia z dużą ilością stolca w odbytnicy. Może to prowadzić do enkoprezy – mimowolnego oddawania stolca, często z powodu przepełnienia i wycieku płynnego stolca wokół zbitej masy kałowej.12

Wady wrodzone odbytu, odbytnicy lub okrężnicy, takie jak choroba Hirschsprunga, mogą również powodować inkontynencję kałową u dzieci. W takich przypadkach często konieczne jest leczenie operacyjne, a następnie program zarządzania wypróżnieniami.12

U dzieci można wyróżnić dwa typy inkontynencji kałowej:1

  • Prawdziwa inkontynencja kałowa – występuje u dzieci, które nie mają normalnych mechanizmów kontroli wypróżnień, zwykle z powodu wad wrodzonych lub problemów neurologicznych
  • Pseudoinkontynencja (enkopreza) – występuje u dzieci, które mają zdolność do kontroli wypróżnień, ale rozwinęły się u nich ciężkie, przewlekłe zaparcia prowadzące do przepełnienia i wycieku stolca

Rola czynników zaostrzających i łagodzących

Czynniki zaostrzające

Pewne czynniki mogą nasilać objawy niekontrolowanego wypróżniania:123

  • Biegunka – płynny stolec jest trudniejszy do utrzymania, co zwiększa ryzyko inkontynencji. Im dłużej utrzymuje się biegunka, tym trudniej jest kontrolować wypróżnienia
  • Zaparcia – mogą prowadzić do rozciągnięcia mięśni odbytnicy i osłabienia kontroli wypróżnień
  • Niektóre leki – np. metformina, akarboza, antydepresanty lub środki przeczyszczające mogą wpływać na konsystencję stolca i zwiększać ryzyko inkontynencji
  • Brak aktywności fizycznej – osoby, które spędzają wiele godzin dziennie siedząc lub leżąc, mogą gromadzić dużo stolca w odbytnicy
  • Zaostrzenia chorób przewlekłych – np. choroba Leśniowskiego-Crohna, wrzodziejące zapalenie jelita grubego

Czynniki łagodzące

Pewne działania i czynniki mogą łagodzić objawy inkontynencji kałowej:123

  • Regularna dieta – bogata w błonnik, z odpowiednią ilością płynów
  • Ćwiczenia mięśni Kegla – wzmacniające mięśnie miednicy
  • Ustalony harmonogram wypróżnień – pomaga w treningu jelit
  • Odpowiednia higiena – utrzymywanie czystości okolicy odbytu, używanie kremów barierowych (np. z tlenkiem cynku)
  • Leki przeciwbiegunkowe – w przypadku, gdy przyczyną inkontynencji jest biegunka

Pacjentom zaleca się regularne konsultacje z lekarzem w celu monitorowania objawów i dostosowywania leczenia. Wczesna diagnoza i interwencja mogą zapobiec progresji objawów i poprawić jakość życia.12

Wnioski i zalecenia

Niekontrolowane wypróżnianie jest powszechnym, ale często nieomawianym problemem, który może znacząco wpływać na jakość życia. Objawy mogą się różnić pod względem nasilenia – od okazjonalnego wycieku stolca podczas oddawania gazów do całkowitej utraty kontroli nad wypróżnieniami.12

Kluczowe punkty do zapamiętania:123

  • Niekontrolowane wypróżnianie nie jest normalną częścią starzenia się, mimo że częściej występuje u osób starszych
  • Stan ten jest w dużej mierze uleczalny lub możliwy do opanowania przy odpowiednim leczeniu
  • Wczesna diagnoza i interwencja mogą zapobiec progresji objawów
  • Pacjenci nie powinni unikać rozmowy z lekarzem o tym problemie z powodu wstydu czy zakłopotania
  • Dostępnych jest wiele opcji leczenia, w tym zmiany diety, ćwiczenia, leki i, w niektórych przypadkach, zabiegi chirurgiczne

Osoby doświadczające niekontrolowanego wypróżniania powinny skonsultować się z lekarzem, szczególnie jeśli objawy występują często, powodują dystres emocjonalny lub wpływają na codzienne aktywności. Dzięki odpowiedniemu leczeniu i wsparciu, większość pacjentów może uzyskać znaczącą poprawę kontroli jelit i jakości życia.12

Kolejne rozdziały

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Wybierz kolejny rozdział z menu poniżej, aby otworzyć nową podstronę kompedium wiedzy i uzyskać szczegółowe informację o leku, substancji lub chorobie.

  1. 11.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Fecal incontinence – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/fecal-incontinence/symptoms-causes/syc-20351397
    Fecal incontinence is accidental passing of solid or liquid stool. Fecal incontinence may happen when a person has a sudden urge to pass stool and cannot get to a toilet in time. Also, stool may leak when a person doesn’t sense the need to pass stool. […] The main symptom is not being able to control passing stool. This may happen during a short-term illness that causes diarrhea. For some people, fecal incontinence is an ongoing condition. […] There are two types of fecal incontinence: Urge incontinence is the sudden urge to pass stool but not being able to control the urge. The need to pass stool may come on so suddenly that it’s not possible to get to the toilet in time. Passive incontinence is passing stool when a person isn’t aware of the need to pass stool. A person may not be able to feel that the rectum is full of stool. […] Fecal incontinence also may be leakage of stool when a person passes gas.
  • #1 Fecal (Bowel) Incontinence: What It Is, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/14574-fecal-bowel-incontinence
    Fecal incontinence also called bowel incontinence is when you cant manage or control your bowel movements (pooping). Liquid or solid stool (poop) leaks out when you dont want it to. Fecal incontinence may be as mild as having a little leakage when you pass gas or as severe as unintentionally passing solid stools. […] Some people only have issues with leakage when they have diarrhea (runny stools). For others, fecal incontinence is an ongoing experience. Signs and symptoms include: Poop leaking when you pass gas. Poop leaking when you’re physically active. Feeling like you have to poop but being unable to make it to the toilet in time. Finding poop in your underwear after a regular bowel movement. Losing the ability to control your bowel movements entirely. […] The most common causes of fecal incontinence include constipation, diarrhea and conditions that damage the muscles or nerves that help you poop. Prior surgeries and procedures can also play a role.
  • #1 Symptoms & Causes of Fecal Incontinence – NIDDK
    https://www.niddk.nih.gov/health-information/digestive-diseases/bowel-control-problems-fecal-incontinence/symptoms-causes
    The symptoms of fecal incontinence depend on the type. […] If you have urge fecal incontinence, you will know when you need to pass stool but not be able to control passing stool before reaching a toilet. […] If you have passive fecal incontinence, you will pass stool or mucus from your anus without knowing it. […] Some medical experts include streaks or stains of stool or mucus on your underwear called soiling as a symptom of fecal incontinence. […] You should see a doctor if your fecal incontinence is frequent or severe. […] Fecal incontinence has many causes, including digestive tract disorders and chronic diseases. […] Diarrhea is the most common risk factor for fecal incontinence for people not staying in hospitals, nursing homes, or other similar institutions. […] Constipation can lead to large, hard stools that are difficult to pass.
  • #1 Fecal Incontinence: Symptoms & Causes | NewYork-Presbyterian
    https://www.nyp.org/womens/urogynecology/fecal-incontinence
    Fecal incontinence is a condition in which you cannot control your bowel movements. […] Those with fecal incontinence have uncontrolled bowel movements, leading to stool (feces) leakage from the rectum. […] Fecal incontinence causes an unexpected leaking of solid stool, liquid stool (diarrhea), or mucus from the anus. It can occur temporarily due to an acute illness, or it may repeatedly happen in people with longstanding medical conditions. […] Fecal incontinence symptoms may include: Urge incontinence makes you feel like you suddenly have to have a bowel movement and may not get to the toilet in time. The muscles in your lower pelvis (pelvic floor) may be too weak to hold back the stool. […] Passive incontinence means you have a bowel movement without even knowing it. It happens when you lose the ability to sense that your rectum is full. […] Other symptoms of fecal incontinence can include diarrhea, constipation, gas, and bloating.
  • #1 Faecal incontinence | healthdirect
    https://www.healthdirect.gov.au/faecal-incontinence
    Faecal incontinence is when you have trouble controlling your bowel. Symptoms can include accidental leakage of faeces (poo) or wind. […] Symptoms of faecal incontinence can include: accidental leaking of wind (farting), needing to rush to the toilet to do a poo, a small amount of leakage of bowel contents (faeces) into your underwear, being unable to hold onto a poo (liquid or solid). […] Many people with faecal incontinence also have urinary incontinence (problems with bladder control). […] If you are having trouble controlling your bowel, you should see your doctor. It’s also important to see your doctor if you have any change in your bowel habits or notice blood in your stools (poo). […] Your treatment will depend on the cause of your faecal incontinence. […] In some cases, surgery may be recommended to help treat faecal incontinence.
  • #1 Fecal incontinence – Wikipedia
    https://en.wikipedia.org/wiki/Fecal_incontinence
    Fecal incontinence (FI), or in some forms, encopresis, is a lack of control over defecation, leading to involuntary loss of bowel contents including flatus (gas), liquid stool elements and mucus, or solid feces. […] Symptoms may worsen over time. […] FI affects virtually all aspects of peoples’ lives, greatly diminishing physical and mental health, and affecting personal, social, and professional life. […] Emotional effects may include stress, fearfulness, anxiety, exhaustion, fear of public humiliation, feeling dirty, poor body image, reduced desire for sex, anger, humiliation, depression, isolation, secrecy, frustration, and embarrassment. […] Physical symptoms such as skin soreness, pain and odor may also affect quality of life. […] FI is one of the most psychologically and socially debilitating conditions in an otherwise healthy individual and is generally treatable.
  • #1 Fecal incontinence – Wikipedia
    https://en.wikipedia.org/wiki/Fecal_incontinence
    More than 50% of hospitalized seriously ill patients rated bladder or fecal incontinence as „worse than death”. […] Symptoms of fecal leakage (FL) are similar and may occur after defecation. There may be loss of small amounts of brown fluid and staining of the underwear. […] FI can be divided into those people who experience a defecation urge before leakage (urge incontinence), and those who experience no sensation before leakage (passive incontinence or soiling). […] Urgency may also be associated with reduced rectal volume, reduced ability of the rectal walls to distend and accommodate stool, and increased rectal sensitivity. […] Fecal leakage, fecal soiling and fecal seepage are minor degrees of FI, and describe incontinence of liquid stool, mucus, or very small amounts of solid stool. […] There is a continuous spectrum of different clinical presentations from incontinence of flatus (gas), through incontinence of mucus or liquid stool, to solids. […] Once continence to flatus is lost, it is rarely restored.
  • #1 Fecal Incontinence: Symptoms and Treatment Options
    https://www.greaterbostonurology.com/blog/fecal-incontinence-symptoms-and-treatment-options
    Understandably, this is an extremely debilitating condition, and, unfortunately, so few people want to talk about it out of embarrassment, shame, and/or fear. Keep in mind, though, that fecal incontinence is more common than you might think. In fact, studies suggest accidental bowel leakage is even more common than asthma. Yet no one is talking about it. […] For people who experience at least one episode of stool leakage per week, the number one treatment is sacral neural modulation (brand name: InterStim Therapy). Note: it’s rare for regulatory societies to recommend a surgery, especially an implant, as first-line treatment, but they do for this condition. […] I absolutely understand that accidental bowel leakage can feel equal parts devastating and hopeless. It’s important to talk to your doctor. Please know that as physicians, we understand that it’s a tough and embarrassing topic to discuss, but we are trained to help. Do not suffer in silence.
  • #1 Faecal incontinence – Guts UK
    https://gutscharity.org.uk/advice-and-information/conditions/faecal-incontinence/
    Faecal incontinence is a bowel symptom. People might not be able to stop the urge to open their bowel. This is called urge incontinence. Some people might not realise they need to open their bowel and are incontinent. This is called passive incontinence. […] Long term faecal incontinence can result in feelings of hopelessness. It is important to discuss any low or other feelings with your doctor, so that proper support can be organised. This might involve counselling around specific issues of incontinence for example: […] You are also at a higher risk of the skin around the back passage breaking down and developing localised skin infections. This will be noticeable with increased pain when opening your bowels or even just sitting and if left untreated cause you to develop a fever. This can be avoided by keeping the area clean, dry and avoid excessive wiping. Barrier creams such as zinc oxide, incontinence pads and using premoistened tissue and pads for wiping are some ways to help.
  • #1 Fecal (Bowel) Incontinence: What It Is, Causes & Treatment
    https://my.clevelandclinic.org/health/diseases/14574-fecal-bowel-incontinence
    Your experience depends on what’s causing your fecal incontinence and how treatable it is. For example, if fecal incontinence is related to an infection (as with diarrhea), relief may be as straightforward as a round of antibiotics to kill the bacteria. […] Treatments for fecal incontinence, including surgery and sacral stimulation, improve fecal incontinence for some people but not for others. Research shows symptoms improve for over half of people following sphincteroplasty or sacral stimulation. However, over time, symptoms may gradually return for some people. If you need surgery for fecal incontinence, you’ll typically also need long-term symptom management.
  • #1 Bowel incontinence | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/stomach-liver-and-gastrointestinal-tract/bowel-incontinence/
    Bowel incontinence is an inability to control bowel movements, resulting in involuntary soiling. Its also sometimes known as faecal incontinence. […] The experience of bowel incontinence can vary from person to person. Some people feel a sudden need to go to the toilet but are unable to reach a toilet in time. This is known as urge bowel incontinence. […] Other people experience no sensation before soiling themselves, known as passive incontinence or passive soiling, or there might be slight soiling when passing wind. […] Some people experience incontinence on a daily basis, whereas for others it only happens from time to time. […] Its thought 1 in 10 people will be affected by it at some point in their life. It can affect people of any age, although its more common in elderly people. Its also more common in women than men.
  • #1 Bowel Incontinence and urgency
    https://crohnsandcolitis.org.uk/info-support/information-about-crohns-and-colitis/all-information-about-crohns-and-colitis/symptoms/bowel-incontinence-and-urgency
    Bowel incontinence is when you pass liquid or solid poo without meaning to. […] Bowel incontinence and urgency affect up to 7 in every 10 people with Crohns or Colitis. […] You are more likely to experience bowel incontinence during a flare-up. But it can also occur during remission. Urgency is common during remission. […] Bowel incontinence affects about 1 in 10 people in the general population at some point in their life. […] Bowel incontinence is more common in people with Crohns or Colitis than in the general population. […] You are more likely to experience bowel incontinence or urgency during a flare-up. But they can also occur during remission (when your symptoms are under control). Bowel incontinence affects at least 10% (1 in 10) people in remission. Urgency affects up to 66% (6 in 10) people in remission.
  • #1 Fecal Incontinence – Causes and Treatment | familydoctor.org
    https://familydoctor.org/condition/fecal-incontinence/
    Fecal incontinence is the inability to control bowel movements. This leads to stool (feces) leaking from the rectum at unexpected times. It is more common in women and in the elderly of both sexes. […] Symptoms of fecal incontinence can be mild (streaks or stains of leaked stool in your underwear) to more severe (not being able to control bowel movements). […] Muscle damage is involved in most cases of fecal incontinence. For some people, this damage occurs during childbirth. […] People can often compensate for muscle weakness. Typically, incontinence develops later in life when muscles weaken and the supporting structures in the pelvis become loose. […] Damage to the nerves that control the anal muscle or regulate rectal sensation is also a common cause of fecal incontinence. […] Fecal incontinence may also be caused by a reduction in the elasticity of the rectum.
  • #1 Accidental Bowel Leakage | ACOG
    https://www.acog.org/womens-health/faqs/accidental-bowel-leakage
    Accidental bowel leakage (ABL) is the loss of normal control of your bowels. It also is called fecal incontinence or anal incontinence. This condition leads to leakage of solid stool, liquid stool, mucus, or gas. […] Symptoms of a bowel control problem may include: Leaking stool, mucus, or gas, Strong or urgent need to have bowel movements, Diarrhea, Constipation, Streaks or stains of stool on your underwear. […] In some women, bowel control problems often are the result of vaginal childbirth. As the fetus passes through the vagina, the muscles and tissues of the rectum may be stretched or torn. The anal sphincter also can be injured during vaginal delivery. Some women have short-term bowel control problems right after childbirth that improve within a few days or weeks. Other women do not develop a problem until later in life. Also, as a person ages, the anal sphincter may weaken. A minor problem in a younger woman can become worse with age.
  • #1 Bowel incontinence | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/stomach-liver-and-gastrointestinal-tract/bowel-incontinence/
    Bowel incontinence is a symptom of an underlying problem or medical condition. […] Many cases are caused by diarrhoea, constipation, or weakening of the muscle that controls the opening of the anus. […] It can also be caused by long-term conditions such as diabetes, multiple sclerosis and dementia. […] In many cases, with the right treatment, a person can maintain normal bowel function throughout their life. […] Treatment will often depend on the cause and how severe it is, but possible options include: lifestyle and dietary changes to relieve constipation or diarrhoea, exercise programmes to strengthen the muscles that control the bowel, medication to control diarrhoea and constipation, surgery, of which there are a number of different options. […] Even if it isnt possible to cure your bowel incontinence, symptoms should improve significantly.
  • #1 Fecal Incontinence – Harvard Health
    https://www.health.harvard.edu/a_to_z/fecal-incontinence-a-to-z
    Symptoms of fecal incontinence can range from intermittent mild spotting of liquid stool, to the complete inability to contain solid stool. […] Fecal incontinence, when due to a temporary problem such as severe diarrhea or fecal impaction, disappears when that problem is treated. However, in some cases fecal incontinence can be severe and very difficult to control. This is more likely to occur in people who are elderly, frail or immobile. […] Although some types of fecal incontinence are harder to treat than others, most people with this problem can achieve some improvement. Between 70% and 80% of people with this problem get at least some relief with treatment.
  • #1 Fecal Incontinence – National Association For Continence
    https://nafc.org/bowel-health/
    In other cases, fecal incontinence may not emerge until many years later. […] For the tens of millions with fecal incontinence, there are a number of things that can be done to improve bowel function. […] But don’t give up hope if you have more severe ABL. There are plenty of treatment options for you, too, including everything from active management to surgery. However, these measures do not always guarantee a return to complete bowel control. […] For 90% of those with ABL, leakage is light to moderate. Many people are able to manage their condition with lifestyle and behavior changes.
  • #1 Fecal Incontinence (Soiling): Causes, Treatment and Prognosis | Nationwide Children’s Hospital
    https://www.nationwidechildrens.org/conditions/fecal-incontinence
    Fecal incontinence (accidentally having bowel movements) is a very common problem in children. Fecal incontinence can be caused by medical conditions like chronic constipation or congenital conditions that may disrupt bowel control, including: spina bifida, anorectal malformations and Hirschsprung disease. There are two types of fecal incontinence: True fecal incontinence occurs in children who do not have the normal mechanisms needed for controlling their bowel movements. Typically, these children have: Anorectal malformations (imperforate anus), Hirschsprung disease, Spinal problems. These conditions may have prevented their bodies from developing normal bowel structures or control of those structures. Children with true fecal incontinence can also be classified as having a slow or fast bowel and the treatment for each is different. Pseudoincontinence or encopresis typically occurs in children with the ability to toilet train but who have developed severe, chronic constipation. This leads to stools that are infrequent or hard to pass. While most of these children have the ability to control their bowel movements, they become so constipated that stool impacts and overflows. Bowel issues can also be triggered by how fast the colon pushes feces through to the rectum before it reaches the sphincter muscles. Hypomotility: In patients where the colon pushes stool slowly, feces tends to gather in the rectum which is larger than normal in most such patients. These children may not be able to feel the fullness, developing severe constipation and then soiling due to overflow. The issue can also develop in children who don’t have any malformations and have never had surgery. In this case, the soiling due to idiopathic (unknown cause) constipation is called encopresis. Treatment for these patients with slow motility can involve: Diet changes, Medication, Treatments, Bowel management programs. Hypermotility: Patients who may have had surgery that removed parts of their colon experience stool that moves through too fast. This can result in loose, watery stools that can leak out of the anus. Treatment for this may involve diet modifications and medication. Children with true fecal incontinence lack the ability to voluntarily have a bowel movement, so they require daily interventions to empty the colon of stool. However, there are two different types of true fecal incontinence and treatment for each varies: Children with a slow colon with constipation. This group represents the majority of children with true fecal incontinence. These are patients typically have: Anorectal malformations, Hirschsprung disease, Spinal disorders. They will require a daily enema that cleans the colon, but many children won’t need a special diet or medicines. Children with a fast colon and loose stools. Loose stools can be a problem with some children who have had anorectal surgery and can also occur in some patients with Hirschsprung disease. In addition to a daily enema, these children will also need a constipating diet, and medicine to slow the colon. Factors that indicate good prognosis for future bowel control: Normal sacrum (the large triangular bone at the base of the spine), Good sphincter muscles, Anorectal malformation types of rectal atresia, rectoperineal fistula, imperforate anus without fistula, small cloacas and rectourethral bulbar fistula, Good bowel movement pattern, of 1-2 well formed bowel movements per day, Evidence of sensation when passing stool (ability to push). Factors that indicate a poor prognosis for future bowel control: Abnormal sacrum, Poor sphincter muscles, Anorectal malformation types including rectobladderneck fistula, rectoprostatic fistula, larger cloacas, complex malformations, Constant passing of stool, No sensation (no pushing), Urinary incontinence, dribbling of urine. Whether the prognosis for bowel control is considered good or poor, it’s important to note that most children who have undergone surgery to correct anorectal malformations or Hirschsprung disease will need some type of consistent dietary or medical intervention to prevent constipation or true fecal incontinence.
  • #1 Fecal Incontinence – American College of Gastroenterology
    https://gi.org/topics/fecal-incontinence/
    Fortunately, effective treatments are available for fecal incontinence. Treatment for fecal incontinence can help improve or restore bowel control. Depending on the cause of your incontinence, treatment may include dietary changes, medications, special exercises that help you better control your bowels, or surgery.
  • #1
    https://www.hingehealth.com/resources/articles/fecal-incontinence/
    The chances are greater if your baby was large, forceps were used to help deliver the baby, you had a perineal tear, or (less common) if the doctor made a cut (called an episiotomy) in your vaginal area to make more room for the baby’s head during birth. […] Chronic constipation. Large, hard stools are difficult to pass. Over time, straining from constipation can weaken pelvic floor muscles and stretch rectal muscles, allowing watery stools that build up behind the hard stool to leak out. […] Diarrhea. Loose, liquid stools can fill your rectum quickly, and are harder to hold in than solid stools. […] Fecal incontinence is stressful. But it doesn’t have to control you. There are plenty of ways you can take control and get back to living your life to the fullest.
  • #1
    https://fascrs.org/patients/diseases-and-conditions/a-z/fecal-incontinence
    Fecal incontinence (also called anal or bowel incontinence) is the impaired ability to control the passage of gas or stool. This is a common problem, but often not discussed due to embarrassment. Failure to seek treatment can result in social isolation and a negative impact on quality of life. […] Symptoms can range from mild to severe. Mild cases may only involve difficulty controlling gas, while severe cases can lead to an inability to control both liquid and formed stools. A patient may have a feeling of urgency or experience stool leakage due to frequent liquid stools or diarrhea. […] Age-related loss of anal muscle strength: Some people gradually lose anal muscle strength as they age. A mild control problem may have existed when they were younger may progress later in life.
  • #1 All About Fecal Incontinence | Magee-Womens Research Institute & Foundation
    https://mageewomens.org/for-researchers/research-centers/all-about-fecal-incontinence
    Fecal incontinence, also known as bowel incontinence, is an involuntary unexpected leakage of liquid stool. Some of the more common causes of this condition include diarrhea, constipation, a tear or separation of the anal sphincter, and muscle or nerve damage. It can affect people of all ages, but it is most common in women (as a result of childbirth) and adults over the age of 65. It is estimated that approximately 9% of women living in the community and 45% of those living in nursing homes experience accidental bowel leakage. […] People who suffer from chronic fecal incontinence are unable to control the passage of gas, liquid, or solid stool. Often they are not able to make it to the toilet in time. There are multiple causes for fecal incontinence. Fecal incontinence is strongly associated with other bowel problems such as diarrhea, constipation, bloating, or abdominal cramps. In addition to bowel disorders, weakness of the anal sphincter complex can result in leakage. This weakness could be caused by injury to the muscles during childbirth or neurologic conditions such as diabetes, Parkinsons disease, stroke. Because the causes are varied and they are not often reversible, treatments for fecal incontinence are limited. […] Treatment for fecal incontinence is dependent on the cause of the fecal incontinence, severity of symptoms, and quality of life. Treatments may include behavioral, medical or pharmacologic, or surgical.
  • #1 Bowel incontinence | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/stomach-liver-and-gastrointestinal-tract/bowel-incontinence/
    Bowel incontinence is usually caused by a physical problem with the parts of the body that control the bowel. […] The most common problems are: problems with the rectum the rectum is unable to retain poo properly until its time to go to the toilet, problems with the sphincter muscles the muscles at the bottom of the rectum dont work properly, nerve damage the nerve signals sent from the rectum dont reach the brain. […] Constipation is a leading cause of bowel incontinence. […] In cases of severe constipation, a large, solid stool can become stuck in the rectum. This is known as faecal impaction. The stool then begins to stretch the muscles of the rectum, weakening them. […] Watery stools can leak around the stool and out of the bottom, causing bowel incontinence. This is called overflow incontinence and happens most commonly in elderly people.
  • #1 Symptoms & Causes of Fecal Incontinence – NIDDK
    https://www.niddk.nih.gov/health-information/digestive-diseases/bowel-control-problems-fecal-incontinence/symptoms-causes
    Childbirth sometimes causes injuries to the anal sphincters, which can cause fecal incontinence. […] For children older than age 4, the most common cause of fecal incontinence is constipation with a large amount of stool in the rectum. […] Birth defects of the anus, rectum, or colon, such as Hirschsprung disease, can cause fecal incontinence in children.
  • #1 Accidental Bowel Leakage | ACOG
    https://www.acog.org/womens-health/faqs/accidental-bowel-leakage
    The type of treatment depends on the cause of the problem and how severe it is. Your ob-gyn may care for you, or you may be referred to a doctor who specializes in treating ABL, such as a gastroenterologist. […] Many women with ABL can improve symptoms with self-care. Changes in diet, taking medication, or doing special exercises can make a difference for many women. […] Kegel exercises strengthen the muscles that surround the openings of the anus, urethra, and vagina. Doing these exercises regularly may improve incontinence. […] In some cases, surgery may help correct loss of bowel control. Most people will try other treatments before surgery is recommended. If the sphincter muscle of the anus is torn, it sometimes can be repaired with surgery. Sutures (stitches) are used to bring together the torn ends of the sphincter so they can heal. Your ob-gyn can help you decide if surgery is an option for you.
  • #1 Fecal Incontinence – Causes and Treatment | familydoctor.org
    https://familydoctor.org/condition/fecal-incontinence/
    Because diarrhea is more difficult to control than formed stool, it is an added stress that can lead to fecal incontinence. […] Living with fecal incontinence can be socially and emotionally challenging, no matter what your age. […] It is a very treatable condition. Your doctor can recommend the best treatment for you.
  • #1 Fecal Incontinence: Symptoms, Causes, and Treatment
    https://www.verywellhealth.com/fecal-incontinence-7109589
    Roughly one in three people will experience fecal incontinence in their lifetime. People most affected by it include: Older adults over the age of 65, People who do not engage in regular physical activity, People with underlying and chronic diseases or medical conditions, People who have gotten their gallbladders removed, People who smoke tobacco products, Adults in hospitals or nursing homes. […] Fecal incontinence can go hand in hand with embarrassment, but it is no reason to feel ashamed. There are ways to cope well with fecal incontinence to help improve your overall quality of life. […] Fecal incontinence is a medical problem with viable treatment options. Although it wont go away on its own, with the right therapy and medical provider, you can relieve and manage your fecal incontinence. Like any other health disorder, it is no reason to feel ashamed. […] Fecal incontinence is a lack of bowel control. Sometimes, people with the disorder know its happening but cannot reach the bathroom in time, whereas others are unaware they are experiencing bowel leakage.
  • #2 Bowel Incontinence (Fecal Incontinence): Causes, Symptoms, Diagnosis, Treatment
    https://www.webmd.com/digestive-disorders/bowel-incontinence
    Bowel incontinence may be a short-term problem or one that happens on a regular basis. You could suddenly feel the urge to use the bathroom (called urge incontinence) or you might not be aware that you need to go (called passive incontinence). […] Bowel incontinence is usually treatable. In many cases, it can be cured completely.
  • #2 Fecal incontinence – Wikipedia
    https://en.wikipedia.org/wiki/Fecal_incontinence
    Fecal incontinence (FI), or in some forms, encopresis, is a lack of control over defecation, leading to involuntary loss of bowel contents including flatus (gas), liquid stool elements and mucus, or solid feces. […] Symptoms may worsen over time. […] FI affects virtually all aspects of peoples’ lives, greatly diminishing physical and mental health, and affecting personal, social, and professional life. […] Emotional effects may include stress, fearfulness, anxiety, exhaustion, fear of public humiliation, feeling dirty, poor body image, reduced desire for sex, anger, humiliation, depression, isolation, secrecy, frustration, and embarrassment. […] Physical symptoms such as skin soreness, pain and odor may also affect quality of life. […] FI is one of the most psychologically and socially debilitating conditions in an otherwise healthy individual and is generally treatable.
  • #2 Fecal Incontinence – Symptoms, Causes & Treatment – Wellspect
    https://www.wellspect.us/bowel/common-bowel-problems/bowel-leakage/
    Fecal incontinence is a medical term for bowel leakage that refers to the loss of normal control of the bowel, leading to leakage of solid or liquid stool, mucus, or gas. […] Symptoms of fecal incontinence can be experienced either as stool coming out without warning, which is known as passive fecal incontinence or as a sudden bowel movement that cant be controlled, which is called urge fecal incontinence. Some may experience both kinds of leakage. […] Common symptoms of bowel leakage include: Feeling a strong or sudden urge to pass stool, Not making it to the toilet in time, Not being able to control bowel movements, Having accidents due to not being aware of/feeling the need to go, Streaks or strains of stool in the underwear. […] Fecal incontinence (FI) is the symptom that is ranked as the most bothersome for patients. FI is also the most under reported due to the taboo nature and embarrassment associated with it.
  • #2 Fecal Incontinence: Symptoms & Causes | NewYork-Presbyterian
    https://www.nyp.org/womens/urogynecology/fecal-incontinence
    Fecal incontinence is a condition in which you cannot control your bowel movements. […] Those with fecal incontinence have uncontrolled bowel movements, leading to stool (feces) leakage from the rectum. […] Fecal incontinence causes an unexpected leaking of solid stool, liquid stool (diarrhea), or mucus from the anus. It can occur temporarily due to an acute illness, or it may repeatedly happen in people with longstanding medical conditions. […] Fecal incontinence symptoms may include: Urge incontinence makes you feel like you suddenly have to have a bowel movement and may not get to the toilet in time. The muscles in your lower pelvis (pelvic floor) may be too weak to hold back the stool. […] Passive incontinence means you have a bowel movement without even knowing it. It happens when you lose the ability to sense that your rectum is full. […] Other symptoms of fecal incontinence can include diarrhea, constipation, gas, and bloating.
  • #2 Bowel (Fecal) Incontinence – The Colorectal Center, PLC – Colorectal Surgery Nashville TN
    https://thecolorectalcenter.com/for-patients/bowel-incontinence/
    Bowel incontinence symptoms can range from an occasional leakage of stool while passing gas to a complete loss of bowel control. […] Fecal incontinence is a much more common condition, but is under reported due to patients embarrassment and reluctance to discuss this unpleasant issue with a physician. […] Damage to the nerves that control the anal sphincter or those that sense stool in the rectum can result in fecal incontinence. […] Childbirth is the most common cause of incontinence. […] Disease can also affect these nerves, such as diabetes, multiple sclerosis, and scleroderma can cause damage leading to fecal incontinence. […] Diarrhea may be associated with a feeling of urgency or stool leakage due to the frequent liquid stools passing through the anal opening. […] A broad range of conditions and disorders can cause fecal incontinence, including: Constipation, Obstetric/childbirth injuries, Diarrhea, Muscle damage, Surgery, Rectal cancer, Nerve Damage, Anal Infection, Loss of muscle strength with age, Chronic laxative abuse. […] A number of medical tests can help pinpoint the cause of fecal incontinence. […] Sigmoidoscopy or colonoscopy- helps detect signs of inflammation, tumors or scars tissue that may cause fecal incontinence.
  • #2 Accidental Bowel Leakage | ACOG
    https://www.acog.org/womens-health/faqs/accidental-bowel-leakage
    Accidental bowel leakage (ABL) is the loss of normal control of your bowels. It also is called fecal incontinence or anal incontinence. This condition leads to leakage of solid stool, liquid stool, mucus, or gas. […] Symptoms of a bowel control problem may include: Leaking stool, mucus, or gas, Strong or urgent need to have bowel movements, Diarrhea, Constipation, Streaks or stains of stool on your underwear. […] In some women, bowel control problems often are the result of vaginal childbirth. As the fetus passes through the vagina, the muscles and tissues of the rectum may be stretched or torn. The anal sphincter also can be injured during vaginal delivery. Some women have short-term bowel control problems right after childbirth that improve within a few days or weeks. Other women do not develop a problem until later in life. Also, as a person ages, the anal sphincter may weaken. A minor problem in a younger woman can become worse with age.
  • #2
    https://www.iowaclinic.com/specialties/digestive-health/colorectal-surgery/prolapse-incontinence/fecal-incontinence/
    Fecal incontinence symptoms will vary from patient-to-patient due to the severity of the disease. Some of the most common symptoms that may be experienced include: […] Additional symptoms that are completely normal to experience with bowel incontinence are depression and anxiety, embarrassment, skin irritation and social isolation. If you’re experiencing any of the listed symptoms, speak with your provider to find the best solution for you.
  • #2 Anal (Fecal) Incontinence – UChicago Medicine
    https://www.uchicagomedicine.org/conditions-services/obgyn/urogynecology/anal-fecal-incontinence
    Anal incontinence is the accidental loss of bowel control that results in the leakage of gas (flatal incontinence) or stool (fecal incontinence). Anal incontinence is common, affecting 10 percent of women. […] Anal incontinence often occurs with other pelvic floor disorders, including urinary incontinence. In fact, up to 20 percent of women who have urinary incontinence also suffer from fecal incontinence. […] Signs of anal incontinence include: Stool leakage, Inability to control passage of gas, Urgency to have a bowel movement. […] Most often, symptoms of anal incontinence don’t develop until later in life. Although the most common risk factors for women are childbirth and aging, other risk factors for anal sphincter and pelvic floor muscle injury include: Inflammatory bowel diseases (such as ulcerative colitis or Crohn’s disease), Chronic diarrhea, Previous surgery on the colon or anus, Pelvic radiation therapy for cancer, Rectal prolapse, Perineal tears during childbirth.
  • #2 Bowel Incontinence and urgency
    https://crohnsandcolitis.org.uk/info-support/information-about-crohns-and-colitis/all-information-about-crohns-and-colitis/symptoms/bowel-incontinence-and-urgency
    Urgency and bowel incontinence can be a sensitive issue that can have a real impact on your daily life. […] Bowel incontinence is not something to feel ashamed of. […] There is a range of treatments and ways to manage urgency and bowel incontinence. […] It will not usually go away on its own. Most people need help to manage urgency or bowel incontinence. […] The most common causes of bowel control problems for people with Crohns or Colitis are: Diarrhoea, Inflammation of the bowel, Muscle damage, Nerve damage, Constipation, Perianal fistula. […] A key part of managing urgency and bowel incontinence in people with Crohns or Colitis is getting your condition as well controlled as possible. […] If other approaches do not work, your GP or IBD team may suggest trying anti-diarrhoeal medicine. […] Surgery is usually only considered if other treatments have not helped.
  • #2 Identifying and Managing Fecal Incontinence – Today’s Geriatric Medicine
    https://www.todaysgeriatricmedicine.com/archive/Winter25p22.shtml
    Fecal incontinence can significantly impact various aspects of a persons life, leading to a diminished sense of well-being and quality of life. The effects of fecal incontinence are multifaceted and include the following: Psychological Effects: Individuals with fecal incontinence often experience psychological stress that can lead to anxiety, depression, and feelings of anger, sadness, hopelessness, shame, and embarrassment. […] The stigma surrounding fecal incontinence may hinder individuals from seeking medical help, which can delay diagnosis and treatment, ultimately affecting their overall health outcomes. […] Fecal incontinence is treatable, but individuals experiencing symptoms must feel comfortable discussing their concerns with a health care provider to receive appropriate treatment.
  • #2 Fecal Incontinence – Children’s Hospital of Orange County
    https://choc.org/programs-services/gastroenterology/fecal-incontinence/
    The treatment recommended for fecal incontinence depends on its cause. Patients might need to try more than one, or a combination of treatments, to manage fecal incontinence. Possible treatments include: Medication. The child’s doctor may prescribe medication to help control diarrhea or other illnesses or diseases that contribute to fecal incontinence. […] Complications are problems caused by a person’s condition. With fecal incontinence, complications may include: Emotional and social distress. Fecal incontinence can be embarrassing, and some children, teens or young adults might want to avoid school and social situations. Some children may become depressed because of fecal incontinence. […] Many causes of fecal incontinence can’t be prevented. However, as families go through the process of diagnosis to find its cause, you might learn ways to help prevent episodes of your child’s incontinence. For example, if diet is to blame, avoiding certain foods or beverages may help. So might a high fiber diet with plenty of fluids. Certain treatments, such as bowel training, may help the child develop a schedule for going to the bathroom throughout the day and prevent accidents.
  • #2 Understanding Fecal Incontinence: Causes and Treatment Options | Premier Women’s Health of Minnesota
    https://premierwomenshealthmn.com/bowel-fecal-incontinence/
    Fecal incontinence, also called bowel incontinence or bowel leakage, is the inability to control bowel movements, causing stool to leak from the rectum. […] Symptoms of fecal incontinence may range from occasional or frequent accidental fecal leaking, diarrhea, constipation, gas, farting, or bloating. Symptoms can worsen over time, particularly with jumping, lifting or standing activities. […] Symptoms are usually relieved when lying down. Whatever the symptom(s), its important that you honestly talk with your provider about what you are experiencing even if it is embarrassing. […] Fecal incontinence, or occasional stool leakage, is more common than many realize. It frequently affects women, especially those who have given birth or are over 50. […] The likelihood of fecal incontinence increases with age. […] Women are more prone to this condition. […] An estimated 30% of women treated for overactive bladder/urge incontinence also improve their bowel concerns.
  • #2 Functional Fecal Incontinence | Physician Alliance of Connecticut
    https://physiciansallianceofconnecticut.com/blog/functional-fecal-incontinence-symptoms-causes-and-prevention/
    Fecal incontinence refers to an individuals inability to control bowel movements. It can also be called bowel incontinence since these terms are often used interchangeably. […] The severity and frequency of this condition vary. Sometimes, people experience temporary fecal incontinence if they are unwell, have diarrhea, and are too ill or weak to control their bowels. Once the cause of the diarrhea is remedied, then the fecal incontinence disappears. […] For others, fecal incontinence occurs on a regular basis and interferes with their daily life. Functional fecal incontinence is a related condition where a person may be otherwise healthy but for a myriad of reasons is unable to get to the toilet in a timely manner. […] Some of the most common symptoms of fecal incontinence include: Trouble passing stool, Bloating, Gas.
  • #2 Bowel incontinence: Symptoms, treatment, and prevention
    https://www.medicalnewstoday.com/articles/165583
    A person with bowel incontinence cannot control their bowel movements. They may have a sudden urge to poop but are unable to get to a bathroom in time, or stools may leak from their rectum with no indication of a bowel movement. […] Bowel, or fecal, incontinence can vary in severity from passing a small amount of feces when breaking wind to total loss of bowel control. […] Fecal incontinence can be a relatively small problem, resulting in the occasional soiling of underwear, or it can be devastating, with a total lack of bowel control. […] Chronic fecal incontinence can involve frequent or occasional accidental leakage, an inability to hold in gas, silent leakage of feces during daily activities or exertion, or not reaching the bathroom in time. […] Two types of bowel incontinence are: urge bowel incontinence, when the person has a sudden urge to use the bathroom but is unable to get there in time and passive soiling, where nothing indicates that a bowel movement is about to occur. […] Episodes may occur daily, weekly, or monthly.
  • #2
    https://fascrs.org/patients/diseases-and-conditions/a-z/fecal-incontinence-expanded
    Fecal incontinence is the impaired ability to control the release of gas and stool at a desired time. […] Fecal incontinence, or loss of control, can occur if the person has loose stools, or if they have diseases or injuries to the rectum, the anus, or the nerves that control the anal muscles. […] Fecal incontinence can range from minor changes in the ability to control gas to complete loss of control of solid stool without warning, and varying degrees in-between. Some patients may experience symptoms only intermittently on a weekly or monthly basis, where others may experience incontinence daily. […] Patients may also have altered awareness of their need to have a bowel movement. They may report having no sense of the need to have a bowel movement, and may have spontaneous loss of solid or liquid stool. […] Patients may report new symptoms of urgency or near accidents. This occurs when the patient can sense the need to have a bowel movement but cannot hold it for a long time without an accident.
  • #2
    https://fascrs.org/patients/diseases-and-conditions/a-z/fecal-incontinence
    Fecal incontinence (also called anal or bowel incontinence) is the impaired ability to control the passage of gas or stool. This is a common problem, but often not discussed due to embarrassment. Failure to seek treatment can result in social isolation and a negative impact on quality of life. […] Symptoms can range from mild to severe. Mild cases may only involve difficulty controlling gas, while severe cases can lead to an inability to control both liquid and formed stools. A patient may have a feeling of urgency or experience stool leakage due to frequent liquid stools or diarrhea. […] Age-related loss of anal muscle strength: Some people gradually lose anal muscle strength as they age. A mild control problem may have existed when they were younger may progress later in life.
  • #2 Center For Colon and Rectal Health, Inc.
    https://coloncenters.com/fecal-incontinence/
    Fecal Incontinence is the inability to control bowel movements making it difficult or impossible to hold gas, solid or liquid stool, or silent leakage causing unexpected leaking from your rectum. It can range from occasional leakage to a complete lack of bowel control. […] Many patients with fecal incontinence may not be able to feel the urge for a bowel movement, and others feel the urgency but are not able to hold a bowel movement. These conditions affect millions of people who have symptoms disrupting their daily life. […] Not always becoming immediately evident after labor and delivery, fecal incontinence may show up decades later, after menopause, when hormone levels begin to fall. […] Most fecal incontinence symptoms will not require surgery. […] If improvement is evident, your CCRH physician will review and discuss the options for permanent implantation of the device to manage fecal incontinence.
  • #2 The 101 On Fecal Incontinence: Symptoms, Causes, And More | Bladder Centers of America – Urinary Incontinence Treatment in Phoenix, Arizona
    https://bladdercenter.com/fecal-incontinence-blog/
    The dropping of the rectum into the anus stretches the rectal sphincter, exerting pressure on the surrounding rectal nerves. The pressure, in turn, decreases the control of the sphincter muscles, leading to the involuntary leakage of fecal matter from the anal orifice. […] Fecal incontinence is a complex condition to manage and takes quite a lot of time to go back to normal or near normal. […] Having fecal incontinence can be embarrassing for an individual. Because of the stigma that revolves around this bowel issue can cause the person to withdraw from socializing with people, going out in public, and doing their daily activities or work. […] The chances of developing fecal incontinence, although it increases with age, is not the only factor. Various other risk factors also pose a higher risk for an individual to develop fecal incontinence. […] Even though fecal incontinence can occur in an individual at any stage of life, it is more common in those aged 65 years or above. […] Fecal incontinence, when diagnosed early, is usually a treatable condition that can be cured completely by religiously following the prescribed treatment.
  • #2 Fecal Incontinence – Harvard Health
    https://www.health.harvard.edu/a_to_z/fecal-incontinence-a-to-z
    Symptoms of fecal incontinence can range from intermittent mild spotting of liquid stool, to the complete inability to contain solid stool. […] Fecal incontinence, when due to a temporary problem such as severe diarrhea or fecal impaction, disappears when that problem is treated. However, in some cases fecal incontinence can be severe and very difficult to control. This is more likely to occur in people who are elderly, frail or immobile. […] Although some types of fecal incontinence are harder to treat than others, most people with this problem can achieve some improvement. Between 70% and 80% of people with this problem get at least some relief with treatment.
  • #2 When to Worry About Fecal Incontinence: Colon and Rectal Surgeons of Greater Hartford: Colon and Rectal Surgeons
    https://www.crsgh.com/blog/when-to-worry-about-fecal-incontinence
    In about one out of five cases, fecal incontinence resolves with lifestyle changes alone. In general, you can expect about a 60% reduction in your symptoms. […] If these measures don’t significantly improve your continence and quality of life, we may recommend other types of therapies. Sacral nerve stimulation with Axonics SNM System can help your anal sphincter regain strength. […] Fecal incontinence and sharts are no laughing matter. To regain control of your bowels, contact our team at Colon and Rectal Surgeons of Greater Hartford.
  • #2 Fecal Incontinence (Soiling): Causes, Treatment and Prognosis | Nationwide Children’s Hospital
    https://www.nationwidechildrens.org/conditions/fecal-incontinence
    Fecal incontinence (accidentally having bowel movements) is a very common problem in children. Fecal incontinence can be caused by medical conditions like chronic constipation or congenital conditions that may disrupt bowel control, including: spina bifida, anorectal malformations and Hirschsprung disease. There are two types of fecal incontinence: True fecal incontinence occurs in children who do not have the normal mechanisms needed for controlling their bowel movements. Typically, these children have: Anorectal malformations (imperforate anus), Hirschsprung disease, Spinal problems. These conditions may have prevented their bodies from developing normal bowel structures or control of those structures. Children with true fecal incontinence can also be classified as having a slow or fast bowel and the treatment for each is different. Pseudoincontinence or encopresis typically occurs in children with the ability to toilet train but who have developed severe, chronic constipation. This leads to stools that are infrequent or hard to pass. While most of these children have the ability to control their bowel movements, they become so constipated that stool impacts and overflows. Bowel issues can also be triggered by how fast the colon pushes feces through to the rectum before it reaches the sphincter muscles. Hypomotility: In patients where the colon pushes stool slowly, feces tends to gather in the rectum which is larger than normal in most such patients. These children may not be able to feel the fullness, developing severe constipation and then soiling due to overflow. The issue can also develop in children who don’t have any malformations and have never had surgery. In this case, the soiling due to idiopathic (unknown cause) constipation is called encopresis. Treatment for these patients with slow motility can involve: Diet changes, Medication, Treatments, Bowel management programs. Hypermotility: Patients who may have had surgery that removed parts of their colon experience stool that moves through too fast. This can result in loose, watery stools that can leak out of the anus. Treatment for this may involve diet modifications and medication. Children with true fecal incontinence lack the ability to voluntarily have a bowel movement, so they require daily interventions to empty the colon of stool. However, there are two different types of true fecal incontinence and treatment for each varies: Children with a slow colon with constipation. This group represents the majority of children with true fecal incontinence. These are patients typically have: Anorectal malformations, Hirschsprung disease, Spinal disorders. They will require a daily enema that cleans the colon, but many children won’t need a special diet or medicines. Children with a fast colon and loose stools. Loose stools can be a problem with some children who have had anorectal surgery and can also occur in some patients with Hirschsprung disease. In addition to a daily enema, these children will also need a constipating diet, and medicine to slow the colon. Factors that indicate good prognosis for future bowel control: Normal sacrum (the large triangular bone at the base of the spine), Good sphincter muscles, Anorectal malformation types of rectal atresia, rectoperineal fistula, imperforate anus without fistula, small cloacas and rectourethral bulbar fistula, Good bowel movement pattern, of 1-2 well formed bowel movements per day, Evidence of sensation when passing stool (ability to push). Factors that indicate a poor prognosis for future bowel control: Abnormal sacrum, Poor sphincter muscles, Anorectal malformation types including rectobladderneck fistula, rectoprostatic fistula, larger cloacas, complex malformations, Constant passing of stool, No sensation (no pushing), Urinary incontinence, dribbling of urine. Whether the prognosis for bowel control is considered good or poor, it’s important to note that most children who have undergone surgery to correct anorectal malformations or Hirschsprung disease will need some type of consistent dietary or medical intervention to prevent constipation or true fecal incontinence.
  • #2
    https://www.amerikanhastanesi.org/mayo-clinic-care-network/mayo-clinic-health-information-library/diseases-conditions/fecal-incontinence
    Fecal incontinence can be a complication of childbirth. […] Fecal incontinence is often present in late-stage Alzheimer’s disease and dementia. […] Complications of fecal incontinence may include emotional distress. Losing control over bodily functions can lead to feeling uneasy about being out in public. […] When medical treatments can’t completely eliminate incontinence, products such as absorbent pads and disposable underwear can help you manage the problem. […] Treatment can help improve your quality of life and raise your self-esteem.
  • #2 Fecal Incontinence (Accidental Bowel Leakage) – Your Pelvic Floor
    https://www.yourpelvicfloor.org/conditions/fecal-incontinence/
    Fecal incontinence occurs most commonly because the anal sphincter is not functioning properly. Damage to the sphincter muscles or to the nerves controlling these muscles, decreased muscle strength, excessively strong bowel contractions, or alterations to bowel sensation can all lead to disturbance of normal anal sphincter function. […] One of the most common causes of fecal incontinence in women is injury during childbirth. The anal muscles may be torn during delivery or there may be damage to the nerves that help the anal muscles function. Some of these injuries can be recognized at the time of delivery, but others may not be as obvious and only become a problem later in life. […] Some individuals experience loss of strength of the anal muscles as they age, so fecal incontinence may become more of a problem with advanced age. Anal surgery or injury to the area around the anal muscle can also lead to a loss of bowel control.
  • #2 Bowel incontinence | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/stomach-liver-and-gastrointestinal-tract/bowel-incontinence/
    Its difficult for the rectum to hold liquid stools (diarrhoea), so people with diarrhoea (particularly recurring diarrhoea) can develop bowel incontinence. […] Bowel incontinence happens if these muscles become weakened or damaged. […] Childbirth is a common cause of damage to the sphincter muscles and a leading cause of bowel incontinence. […] Bowel incontinence can also be caused by a problem with the nerves connecting the brain and the rectum. […] An injury to these nerves, such as a spinal injury, can also lead to bowel incontinence. […] In some cases, bowel incontinence may result from a health condition such as dementia or a severe learning disability that causes the person to lose bowel control. […] Treatment for bowel incontinence depends on underlying cause and the pattern of your symptoms.
  • #2 All About Fecal Incontinence | Magee-Womens Research Institute & Foundation
    https://mageewomens.org/for-researchers/research-centers/all-about-fecal-incontinence
    Fecal incontinence, also known as bowel incontinence, is an involuntary unexpected leakage of liquid stool. Some of the more common causes of this condition include diarrhea, constipation, a tear or separation of the anal sphincter, and muscle or nerve damage. It can affect people of all ages, but it is most common in women (as a result of childbirth) and adults over the age of 65. It is estimated that approximately 9% of women living in the community and 45% of those living in nursing homes experience accidental bowel leakage. […] People who suffer from chronic fecal incontinence are unable to control the passage of gas, liquid, or solid stool. Often they are not able to make it to the toilet in time. There are multiple causes for fecal incontinence. Fecal incontinence is strongly associated with other bowel problems such as diarrhea, constipation, bloating, or abdominal cramps. In addition to bowel disorders, weakness of the anal sphincter complex can result in leakage. This weakness could be caused by injury to the muscles during childbirth or neurologic conditions such as diabetes, Parkinsons disease, stroke. Because the causes are varied and they are not often reversible, treatments for fecal incontinence are limited. […] Treatment for fecal incontinence is dependent on the cause of the fecal incontinence, severity of symptoms, and quality of life. Treatments may include behavioral, medical or pharmacologic, or surgical.
  • #2 Fecal Incontinence – National Association For Continence
    https://nafc.org/bowel-health/
    Fecal incontinence (FI) or accidental bowel leakage (ABL) is a condition where you’re not able to hold a bowel movement until reaching a bathroom. However, there’s actually a broader range of signs and symptoms that characterize the disorder, including the following: Having trouble holding a bowel movement […] For most, fecal incontinence is characterized by light to moderate leakage, though there are plenty who experience more severe symptoms. Age can be a contributing factor, so it’s not surprising that older people experience it more frequently, but accidental bowel leakage has been reported to affect men and women as early as 40. […] If you or someone you know experiences any of these symptoms, you can check this list to get a better understanding of what ABL looks like. […] As you age, muscles and tissues lose elasticity. As this ability to stretch becomes more limited, fecal incontinence can occur.
  • #2 Fecal Incontinence | MUSC Health | Charleston SC
    https://muschealth.org/medical-services/ddc/patients/symptoms-and-conditions/fecal-incontinence
    Fecal incontinence is the release of someone’s rectal contents against their wishes. Approximately 50% of all people complaining to doctors of diarrhea have incontinence. Incontinence is the most common cause for institutionalizing an elderly person. Up to three percent of women who give birth vaginally have temporary or permanent fecal incontinence. Fecal incontinence is much more debilitating than urinary incontinence. […] If the anal sphincter muscles become weak after having babies or with increasing age, people may have trouble controlling their bowel movements and gas. They may leak gas, liquid feces, or solid feces, which can cause extreme embarrassment. […] If exercises do not help, or if the sphincter muscles have been cut or torn during childbirth or some previous surgery, then surgery can be performed to repair and tighten the muscles.
  • #2 Fecal incontinence in children – Symptoms, diagnosis and treatment | BMJ Best Practice US
    https://bestpractice.bmj.com/topics/en-us/743
    Fecal incontinence in children is defined as involuntary defecation at inappropriate times, occurring after the typical age of completed toilet training (generally 4 years of age or older). […] In most cases, caused by overflow soiling associated with chronic constipation and severe fecal impaction in an otherwise healthy child without underlying anatomical abnormalities. […] May have a significant negative impact on the quality of life for the child and the family. […] The goal of therapy is for patients to pass stool 1 to 3 times per day in the toilet with no episodes of soiling. […] Treatment involves complete colon disimpaction, long-term treatment with laxatives and stool softeners, and bowel re-education. Any underlying causes should also be addressed.
  • #2 Symptoms & Types – Voices for PFD
    https://www.voicesforpfd.org/bowel-control/symptoms-types/
    Abnormal stool consistency (either loose or hard stools) may contribute to ABL: Diarrhea or loose bowel movements are more difficult to control. This can also increase the sensation of needing to pass stool, called fecal urgency. Severe constipation. People who have significant problems passing stool can experience a hard lump of stool with diarrhea that develops around it.
  • #2 Fecal Incontinence – American College of Gastroenterology
    https://gi.org/topics/fecal-incontinence/
    Fortunately, effective treatments are available for fecal incontinence. Treatment for fecal incontinence can help improve or restore bowel control. Depending on the cause of your incontinence, treatment may include dietary changes, medications, special exercises that help you better control your bowels, or surgery.
  • #2 Fecal Incontinence: Symptoms, Causes & Treatment – Tua Saúde
    https://www.tuasaude.com/en/fecal-incontinence/
    Fecal incontinence is diagnosed by a colorectal surgeon or gastroenterologist based on an evaluation of symptoms (including when they started and how long they have been going on), medical history, past surgeries, and current medications, in addition to an anal and rectal exam. […] The main causes of fecal incontinence are: Natural aging of the body that weakens the anal and rectal muscles; Chronic diarrhea or constipation; Surgery or trauma to the area; Vaginal birth, episiotomy, or the use of forceps during delivery; Diabetic neuropathy, multiple sclerosis, spinal cord injuries, or stroke; Rectal prolapse, megacolon, infections, or radiation. […] Fecal incontinence can also be caused by Crohn’s disease, ulcerative colitis, irritable bowel syndrome, hyperthyroidism, diabetes, or the use of medications like metformin, acarbose, antidepressants, or laxatives.
  • #2 Fecal incontinence – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/fecal-incontinence/symptoms-causes/syc-20351397
    Fecal incontinence is accidental passing of solid or liquid stool. Fecal incontinence may happen when a person has a sudden urge to pass stool and cannot get to a toilet in time. Also, stool may leak when a person doesn’t sense the need to pass stool. […] The main symptom is not being able to control passing stool. This may happen during a short-term illness that causes diarrhea. For some people, fecal incontinence is an ongoing condition. […] There are two types of fecal incontinence: Urge incontinence is the sudden urge to pass stool but not being able to control the urge. The need to pass stool may come on so suddenly that it’s not possible to get to the toilet in time. Passive incontinence is passing stool when a person isn’t aware of the need to pass stool. A person may not be able to feel that the rectum is full of stool. […] Fecal incontinence also may be leakage of stool when a person passes gas.
  • #2
    https://acripc.com/understanding-fecal-incontinence-causes-symptoms–treatment.htm
    If you’re experiencing any of these symptoms, it’s important to seek medical attention to determine the cause and develop an appropriate treatment plan. […] The treatment approach for fecal incontinence will depend on the underlying cause and the severity of your symptoms. […] Fecal incontinence is a complex and often misunderstood condition, but relief is possible with modern treatment options. By understanding the causes, symptoms, and available options, you can take the first step towards regaining control of your bowel function and improving your quality of life.
  • #3
    https://www.hingehealth.com/resources/articles/fecal-incontinence/
    The chances are greater if your baby was large, forceps were used to help deliver the baby, you had a perineal tear, or (less common) if the doctor made a cut (called an episiotomy) in your vaginal area to make more room for the baby’s head during birth. […] Chronic constipation. Large, hard stools are difficult to pass. Over time, straining from constipation can weaken pelvic floor muscles and stretch rectal muscles, allowing watery stools that build up behind the hard stool to leak out. […] Diarrhea. Loose, liquid stools can fill your rectum quickly, and are harder to hold in than solid stools. […] Fecal incontinence is stressful. But it doesn’t have to control you. There are plenty of ways you can take control and get back to living your life to the fullest.
  • #3 Functional Fecal Incontinence | Physician Alliance of Connecticut
    https://physiciansallianceofconnecticut.com/blog/functional-fecal-incontinence-symptoms-causes-and-prevention/
    Experiencing symptoms of fecal incontinence occasionally happens to most people. If you find yourself regularly experiencing an urge to pass stool that comes on suddenly or is unable to recognize when you need to make a bowel movement, its a good idea to talk it over with your doctor. […] With diarrhea, the stool becomes very loose and watery. Even individuals with strong rectal muscles and sphincters can find it difficult to hold in stool in this state. […] The longer diarrhea persists, the more difficult it becomes to hold in stool.
  • #3 Fecal Incontinence – Children’s Hospital of Orange County
    https://choc.org/programs-services/gastroenterology/fecal-incontinence/
    The treatment recommended for fecal incontinence depends on its cause. Patients might need to try more than one, or a combination of treatments, to manage fecal incontinence. Possible treatments include: Medication. The child’s doctor may prescribe medication to help control diarrhea or other illnesses or diseases that contribute to fecal incontinence. […] Complications are problems caused by a person’s condition. With fecal incontinence, complications may include: Emotional and social distress. Fecal incontinence can be embarrassing, and some children, teens or young adults might want to avoid school and social situations. Some children may become depressed because of fecal incontinence. […] Many causes of fecal incontinence can’t be prevented. However, as families go through the process of diagnosis to find its cause, you might learn ways to help prevent episodes of your child’s incontinence. For example, if diet is to blame, avoiding certain foods or beverages may help. So might a high fiber diet with plenty of fluids. Certain treatments, such as bowel training, may help the child develop a schedule for going to the bathroom throughout the day and prevent accidents.
  • #3
    https://www.amerikanhastanesi.org/mayo-clinic-care-network/mayo-clinic-health-information-library/diseases-conditions/fecal-incontinence
    Fecal incontinence can be a complication of childbirth. […] Fecal incontinence is often present in late-stage Alzheimer’s disease and dementia. […] Complications of fecal incontinence may include emotional distress. Losing control over bodily functions can lead to feeling uneasy about being out in public. […] When medical treatments can’t completely eliminate incontinence, products such as absorbent pads and disposable underwear can help you manage the problem. […] Treatment can help improve your quality of life and raise your self-esteem.