Bowel incontinence is the inability to control bowel movement, resulting in unexpected anal leakage. This can range from the occasional leakage of stool when passing gas, to a complete loss of bowel control.
Common causes of bowel incontinence include diarrhoea, constipation or weakening of the sphincter muscles, which can happen as people age and the muscle loses tone, or as a result of giving birth. It can also be caused by long-term conditions such as diabetes, multiple sclerosis, IBS and dementia. It can affect people of any age, but is more common in the elderly and in women.
It can be an upsetting and difficult condition to deal with, and one that many feel too embarrassed to talk about. However, there is a range of treatments available and a cure is often possible so it’s important to speak to a doctor. The NHS also has a continence service where you can book an appointment without a referral and speak to specialist nurses who can offer useful advice.
See also: Hypnotherapy Proven To Help Gut Pain
Diagnosis
Those suffering from bowel incontinence may be reluctant to speak to their doctor, but doctors will understand that the condition is emotionally distressing and patients may be embarrassed. By being honest and giving as much information as possible, you’re more likely to receive the most suitable treatment and advice. Be sure to let your doctor know about:
• Changes in your bowel habits lasting more than a few weeks
• Rectal bleeding
• Stomach pain
• Changes to your diet
• Any medication you’re taking
See also: Coeliac Disease
Treatment
In many cases, the condition can be cured. With the right treatment, a person can maintain normal bowel function throughout their life (depending on the causes and severity of their condition). If it isn’t possible to completely cure the condition, symptoms can be significantly alleviated and be easier to control.
Diet: A high-fibre diet is usually recommended—plenty of fruit, vegetables, wholegrains (rice, pasta and bread), seeds, nuts and oats, along with drinking plenty of fluids to soften the stool. It’s advisable to keep a food diary to keep track of any foods that may cause a reaction.
Exercise: Pelvic floor exercises can help strengthen the muscles that control the bowel, and if exercises are carried out three times a day for six to eight weeks, there should be a noticeable improvement in symptoms.
Medication: If a medical illness (such as IBS or an inflammation of the bowel) is causing the bowel incontinence, medication can be prescribed.
Supplements: For those suffering with IBS, supplements can help stabilise digestion and control the syndrome.
Surgery: There are a number of surgical options available, including sphincter repair or replacement. For those with severe bowel incontinence, a colostomy can greatly improve quality of life.
Products: Many people become anxious about leaving the house or taking part in everyday activities in case accidental anal leakage occurs. Disposable pads or anal plugs can be used until symptoms are better controlled.
Continue reading Celebrity Angels for more articles on gut and bowel incontinence issues and how to keep these conditions at bay.
