Lack or Loss of Rectal Control

Bowel incontinence is due to a loss of control over the rectal sphincter. This lack of muscle control can occur due to situations such as nerve damage, medications and even surgery. There are a number of ways to treat and possibly eliminate this involuntary expulsion of stools and strengthen the rectal muscles.
  1. Biofeedback

    • This procedure involves placing a probe into the anus to train the user on what muscles to use to control incontinence. This option strengthens the muscles of the anus and also gives users a visual or sound display when proper muscles are being used.

    Medication

    • Changing the consistency of stools may help control bowel incontinence and make controlling the rectal muscles easier. Over-the-counter, anti-diarrhea medications can cause the stool to become more firm and thus easier to retain.

    Exercise

    • Learning how to do pelvic floor exercises (known as Kegel exercises) can strengthen the muscles of the rectum. This is done by contracting the muscles of the anus, buttocks,and pelvis hard (as if trying to not pass gas) for a minimum of five seconds per interval several times daily.

    Surgery

    • Surgery is typically for those who have run out of other, less invasive options for incontinence and muscle control. The types of surgeries available for this type of issue include sphincter repair (sphincteroplasty), artificial sphincter replacement, and in more extreme situations, being fitted with colostomy bag.

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