Q.

What are the possible reasons for fecal incontinence?

Asked by KAVITA MISHRA ·

Medically reviewed by SecondMedic medical review team

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Answered by SecondMedic Expert

General Physician · General Physician

Fecal incontinence, also known as bowel control problems, is a condition in which a person has difficulty controlling their bowel movements. It can be caused by many different factors and range from mild cases of occasional leaking to severe episodes of frequent soiling.

The most common cause of fecal incontinence is damage or weakening of the pelvic floor muscles, which support our rectum and help keep it closed off until we’re ready to go to the toilet. Pelvic floor dysfunction can be caused by childbirth, surgery such as a hysterectomy or prostatectomy, aging-associated muscle weakness, obesity, constipation or diarrhea over an extended period of time. Diseases such as diabetes and multiple sclerosis can also disrupt nerve signals that control the sphincter muscles, leading to fecal incontinence.

In some cases temporary changes in diet may trigger symptoms such as drinking caffeinated beverages that act like a laxative or eating foods containing lots of sugar alcohols (such as candy) that are poorly digested by some people. In addition certain medications including opiates (painkillers), sedatives and anti-depressants have been linked with fecal incontinence due to their effect on slowing down digestion speed and causing loose stools.

For more information on diagnosis and treatment options you should consult your doctor who will assess your condition and provide advice tailored specifically for you.

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