Accidental bowel leakage is loss of normal control of your bowels. It also is called fecal incontinence. This condition leads to leakage of solid or liquid stool feces or gas. Accidental bowel leakage can occur if there are problems with the muscles and nerves in the rectum and pelvis. The large intestine also called the colon must be able to form and store the stool until you can get to the bathroom. The following problems can lead to accidental bowel leakage:.
A person with bowel, or fecal, incontinence, cannot control their bowel movements. The stools, or feces, leak from the rectum, because of some underlying condition. Bowel incontinence can vary in severity from passing a small amount of feces when breaking wind to total loss of bowel control. It is not life-threatening or hazardous, but it can affect the person's quality of life, emotional and mental health , and self-esteem. Fecal incontinence is a common condition, affecting around 18 million people, or 1 in 12 adults, in the United States. Many people do not report bowel incontinence due to embarrassment and a mistaken belief that it cannot be treated.
Your doctor will ask questions about your condition and perform a physical exam that usually includes a visual inspection of your anus. A probe may be used to examine this area for nerve damage. Normally, this touching causes your anal sphincter to contract and your anus to pucker. What you eat and drink affects the consistency of your stools. If constipation is causing fecal incontinence, your doctor may recommend drinking plenty of fluids and eating fiber-rich foods.
The goals of this trial are to determine the efficacy and safety of two treatments for women experiencing fecal incontinence. First, we aim to compare the use of loperamide to placebo and second, to compare the use of anal sphincter exercises with biofeedback to usual care. The primary outcome is the change from baseline in the St. Mark's Vaizey Score 24 weeks after treatment initiation.