Bowel Incontinence

What is bowel incontinence?

Bowel incontinence, also known as fecal incontinence, is when you are unable to control your bowel movements. It’s a common problem amongst older adults and can range from a complete loss of control, to stool leaks that are irregular when passing gas. Although bowel incontinence is not usually a serious medical problem, it has the capacity to severely interfere with your day-to-day life. You don’t have to suffer from this condition, contact a GI Alliance practice today to meet with a GI physician that will help create a treatment plan that will improve your life.

Flexible sigmoidoscopy
Colonoscopy
Virtual colonoscopy
Double-contrast barium enema
Fecal test

A sigmoidoscope is used to view the inside of the rectum and lower colon. A finger-sized thick tube with a camera at the end is inserted from the rectum, and images of the inner wall of the rectum and part of the colon can be seen on the monitor. It can be used to take a biopsy of the polyp or tumor and remove some polyps. However, a colonoscopy needs to be done to view the whole colon and remove all polyps or tumors. It is fairly safe but has a small risk of bowel tear, bleeding, and infection.

A colonoscope is similar to a sigmoidoscope but is longer and is used to examine the inner wall of the whole colon. It is inserted from the rectum, and the doctor can see the images of the entire colon on the monitor. Special surgical tools can be passed through the colonoscope to take a biopsy and remove polyps. Sedation is required. There is a small risk of bowel tears, bleeding, or infection after the procedure. It’s important to note this is the only colorectal prevention strategy offered.

This is the computed tomography scan of the colon. The person is asked to lie on a table of the CT scanner, which takes cross-sectional images of the colon. It is a non-invasive technique and does not require sedation. If any abnormalities are found, a colonoscopy needs to be done to remove the polyps or tumors.

A small tube is inserted in the rectum, and barium sulfate, a white chalky liquid, and air is pumped into the colon. The barium suspension lines the outer walls of the colon. X-ray images of the colon are then taken to reveal abnormalities on the inner wall of the colon. If any abnormalities are found, a colonoscopy needs to be done to remove the polyps or tumors.

These are done with the fecal sample and are totally safe. Fecal tests may not give confirmatory results but may suggest abnormalities in the gastrointestinal tract, warranting further tests. A colonoscopy needs to be repeated if results are positive, indicating the presence of cancerous growth in the colon. There are three types of fecal tests:

  • Fecal occult blood tests detect blood in the feces that is not visible to normal eyes through a chemical reaction.
  • Fecal immunochemical tests detect blood through a specific immunochemical reaction of a protein in the blood and can detect hidden blood.
  • Stool DNA tests look for certain abnormal DNA genes in the cells shed from cancerous outgrowth or polyps in the stool sample.
Flexible sigmoidoscopy
Colonoscopy
Virtual colonoscopy
Double-contrast barium enema
Fecal test

A sigmoidoscope is used to view the inside of the rectum and lower colon. A finger-sized thick tube with a camera at the end is inserted from the rectum, and images of the inner wall of the rectum and part of the colon can be seen on the monitor. It can be used to take a biopsy of the polyp or tumor and remove some polyps. However, a colonoscopy needs to be done to view the whole colon and remove all polyps or tumors. It is fairly safe but has a small risk of bowel tear, bleeding, and infection.

A colonoscope is similar to a sigmoidoscope but is longer and is used to examine the inner wall of the whole colon. It is inserted from the rectum, and the doctor can see the images of the entire colon on the monitor. Special surgical tools can be passed through the colonoscope to take a biopsy and remove polyps. Sedation is required. There is a small risk of bowel tears, bleeding, or infection after the procedure. It’s important to note this is the only colorectal prevention strategy offered.

This is the computed tomography scan of the colon. The person is asked to lie on a table of the CT scanner, which takes cross-sectional images of the colon. It is a non-invasive technique and does not require sedation. If any abnormalities are found, a colonoscopy needs to be done to remove the polyps or tumors.

A small tube is inserted in the rectum, and barium sulfate, a white chalky liquid, and air is pumped into the colon. The barium suspension lines the outer walls of the colon. X-ray images of the colon are then taken to reveal abnormalities on the inner wall of the colon. If any abnormalities are found, a colonoscopy needs to be done to remove the polyps or tumors.

These are done with the fecal sample and are totally safe. Fecal tests may not give confirmatory results but may suggest abnormalities in the gastrointestinal tract, warranting further tests. A colonoscopy needs to be repeated if results are positive, indicating the presence of cancerous growth in the colon. There are three types of fecal tests:

  • Fecal occult blood tests detect blood in the feces that is not visible to normal eyes through a chemical reaction.
  • Fecal immunochemical tests detect blood through a specific immunochemical reaction of a protein in the blood and can detect hidden blood.
  • Stool DNA tests look for certain abnormal DNA genes in the cells shed from cancerous outgrowth or polyps in the stool sample.

What are the symptoms of bowel incontinence?

There are some symptoms that are indications that bowel incontinence is present. The common symptoms of bowel or fecal incontinence include:

  • Leakage of stool or gas that can’t be controlled
  • Leaking stool when you are not using the toilet, such as when you cough or pass gas
  • The urgency to have a bowel movement
  • Decreased awareness of the need to have a bowel movement or pass gas

If you believe you are experiencing bowel incontinence and need assistance with this issue, schedule an appointment with a GI specialist at GI Alliance so that they can craft a treatment plan that will provide relief.

How is bowel incontinence treated?

Bowel incontinence is a condition that may be able to be treated once a cause is pinpointed and reliable treatment is established. The treatment recommendations may vary, however, more than one treatment may be necessary to control the symptoms. Non-surgical treatment for this condition can often revolve around your diet. Some steps to take to help include:

  • Avoiding caffeine, as this may help to prevent diarrhea
  • Drinking several glasses of water each day to prevent constipation
  • Eating upwards of 20 to 30 grams of fiber each day (can make stool bulky and easier to control)

During a consultation, our team can discuss your options for treatment.

Personalized care for GI concerns

Going through life with bowel incontinence doesn't have to be your reality. Schedule an appointment with our gastrointestinal physicians at GI Alliance so that our team can provide the treatment you need to live your life without worry. We look forward to being able to help you get back to your normalcy.

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