Faecal incontinence

Faecal incontinence

What is faecal incontinence?

Faecal incontinence is a distressing condition where you can’t control your bowel movements.

You might unexpectedly leak just one small stool when you pass wind or cough, or it could mean losing a complete bowel movement.

What are the symptoms of faecal incontinence?

If you’re experiencing faecal incontinence, you can’t control your bowel movements. In other words, you can’t get to the toilet in time – or don’t even know you need to go. This means your stools might leak unexpectedly.

What causes faecal incontinence?

Having control over your bowel movements requires your nervous system, rectum and anus to be functioning normally. So, if you have faecal incontinence, it’s crucial to find out what’s wrong. Causes of faecal incontinence can include:

  • Damage to the anal sphincter (as a result of a serious tear in childbirth, for example)
  • A weak pelvic floor
  • Previous surgery, including rectal, anal, prostate or gynaecological surgery
  • Long-term constipation causing the anus to weaken
  • Stools building up in the rectum
  • The over-use of laxatives
  • An overgrowth of bacteria in the small intestine (called SIBO)
  • Irritable bowel syndrome (IBS)
  • Stress or anxiety.

How do we diagnose the causes of faecal incontinence?

There are many potential causes of faecal incontinence, ranging from mild to severe. In order to diagnose faecal incontinence to help find out what’s going on, we can run one or more of the following tests: