Fecal incontinence is a condition that many people suffer from in silence, often feeling isolated or embarrassed by their symptoms. But you’re not alone and you don’t have to suffer in silence. The first step to managing this condition effectively is seeking help from a qualified fecal incontinence specialist. This in-depth guide explores what fecal incontinence is, the types of specialists who treat it, how they diagnose and manage the condition, and what to expect throughout your care journey.
What Is Fecal Incontinence?
Fecal incontinence refers to the inability to control bowel movements, leading to the unintentional loss of stool. It can range from occasional leakage while passing gas to complete loss of bowel control. The condition can significantly affect physical, emotional, and social well-being.
Common Causes Include:
- Muscle Damage: Often caused by childbirth, surgery, or trauma to the pelvic region.
- Nerve Damage: Due to diabetes, multiple sclerosis, spinal injuries, or stroke.
- Chronic Constipation or Diarrhea: Long-term digestive issues can stretch or weaken the rectal muscles.
- Rectal Prolapse or Hemorrhoids: Physical changes in the anal region can affect control.
- Aging: Muscle weakening and nerve sensitivity decline over time.
Regardless of the cause, the condition is treatable. A fecal incontinence specialist can help you understand the root of your symptoms and guide you toward effective treatment options.
Who Is a Fecal Incontinence Specialist?
A fecal incontinence specialist is usually a medical professional who specializes in conditions affecting the colon, rectum, and anus. These experts can include:
- Colorectal Surgeons: Physicians trained specifically in surgical and non-surgical treatment of the lower gastrointestinal tract.
- Gastroenterologists: Doctors who diagnose and manage digestive disorders, including bowel control issues.
- Pelvic Floor Physical Therapists: Specialists who help strengthen the muscles used for bowel control.
- Urogynecologists: Gynecologists with advanced training in pelvic floor disorders, particularly in women.
The specialist’s role is not just to treat the physical symptoms but also to guide you through the emotional and lifestyle impacts of living with fecal incontinence.
The Importance of Seeing a Specialist
Fecal incontinence is not a one-size-fits-all condition. What works for one person may not work for another. That’s why consulting a fecal incontinence specialist is critical.
Benefits of Seeing a Specialist:
- Accurate Diagnosis: Through detailed evaluations and diagnostic tests.
- Personalized Treatment Plan: Based on your lifestyle, medical history, and severity of symptoms.
- Access to Advanced Treatments: Including surgical options, nerve stimulation therapies, and biofeedback training.
- Supportive Care: Compassionate, confidential, and professional support throughout your treatment journey.
What to Expect During Your Initial Appointment
During your first visit with a fecal incontinence specialist, the provider will review your medical history, discuss your symptoms in detail, and may perform a physical examination. It’s helpful to come prepared:
- Bring a symptom diary tracking episodes of incontinence, diet, and any bowel habits.
- List all current medications, including over-the-counter supplements.
- Be ready to discuss sensitive topics like bowel habits and hygiene.
Common Diagnostic Tests Include:
- Anorectal Manometry: Measures the strength of rectal and anal muscles.
- Endoanal Ultrasound: Uses sound waves to create images of the anal sphincter.
- Defecography: A special x-ray that shows the process of a bowel movement.
- Colonoscopy or Sigmoidoscopy: Examines the inside of the colon for structural problems.
Treatment Options Offered by a Fecal Incontinence Specialist
Treatment for fecal incontinence depends on the underlying cause and the severity of symptoms. The goal is to restore bowel control, reduce symptoms, and improve quality of life.
1. Lifestyle and Dietary Changes
- Increase Fiber Intake: Fiber helps bulk up stools and regulate bowel movements.
- Stay Hydrated: Proper fluid intake keeps stool soft and easy to pass.
- Establish Regular Bowel Habits: Scheduled bathroom visits can train the bowels.
2. Pelvic Floor Therapy
A fecal incontinence specialist may refer you to a pelvic floor therapist to strengthen the muscles that control bowel movements. Therapy includes:
- Kegel Exercises
- Biofeedback Training
- Electrical Stimulation
3. Medications
- Anti-diarrheal Medications: Help firm up stools and reduce urgency.
- Laxatives: For those with chronic constipation causing overflow incontinence.
- Stool Bulking Agents: Make stool easier to control and pass.
4. Medical Procedures and Surgeries
If conservative methods are ineffective, several procedures may be offered:
- Injectable Bulking Agents: Injections into the anal canal to improve closure.
- Sacral Nerve Stimulation (SNS): A device implanted under the skin sends electrical pulses to nerves that control the bowel.
- Sphincteroplasty: Surgery to repair a damaged anal sphincter.
- Artificial Bowel Sphincter: Implanted devices that mimic the function of sphincter muscles.
- Colostomy: Reserved for severe, untreatable cases stool is diverted through an opening in the abdomen.
Emotional and Social Impact
Living with fecal incontinence can lead to embarrassment, social withdrawal, depression, and anxiety. A good fecal incontinence specialist acknowledges the psychological component of the condition and may recommend:
- Support Groups
- Mental Health Counseling
- Incontinence Product Guidance (pads, adult briefs, skin protection)
At RS Surgical, we understand that treatment extends beyond medical management. We’re committed to helping patients reclaim their confidence and daily comfort.
When to Seek Help
Don’t wait for symptoms to become unbearable. Fecal incontinence is a medical condition, not something to be ashamed of. If you’ve experienced:
- Frequent stool leakage
- A sudden inability to control bowel movements
- Persistent diarrhea or constipation
- Painful bowel movements
…it’s time to see a fecal incontinence specialist.
Questions to Ask Your Specialist
When you meet with a specialist, come prepared with questions such as:
- What is the cause of my incontinence?
- Are my current medications contributing to this problem?
- What treatment options are available for my condition?
- What are the side effects of each treatment?
- Will I need surgery?
- How can I manage my symptoms at home?
- Are there exercises or therapies I can do on my own?
The more informed you are, the more empowered you’ll feel in your treatment journey.
Why Choose RS Surgical?
At RS Surgical, we specialize in diagnosing and treating complex colorectal conditions, including fecal incontinence. Our expert team is dedicated to providing compassionate, confidential, and comprehensive care. With access to state-of-the-art technology and advanced therapies, we offer the most up-to-date solutions for improving bowel control.
We take a whole-person approach, addressing not just your symptoms, but your overall wellness and quality of life.
Take the First Step Toward Relief
Fecal incontinence can be an isolating and frustrating condition, but effective treatment is available. The first and most important step is reaching out to a qualified fecal incontinence specialist. At RS Surgical, we’re here to listen, evaluate, and guide you toward a treatment plan that works for your lifestyle and needs.
Schedule a consultation today and take the first step toward restoring comfort, control, and confidence.
Visit RS Surgical’s website or contact our office to book an appointment. Your health and dignity matter, and we’re here to support you every step of the way.