Hello @emyliander

I have been following this discussion for a couple of days and feel that it is time for me to weigh in as well. I understand about this unexpected leakage. Having had several surgeries of the digestive tract and also a neurological disorder provides ample reasons to contend with this type of problem. I found what Kanaaz said interesting in that it can be related to problems with muscles and nerves in the rectum and pelvis. I have problems with incontinence especially when I'm physically tired. It seems that the muscles lose their strength. Do you find this true as well?

I'm glad that you are going to try and see a urogynecologist. I hope that gives you some help. At Mayo Connect, we all learn from each other. I hope you will post and provide updates as you search for answers. I look forward to hearing from you again.

@emyliander The strictures in rectum may not be working well.A gastro.can measure the reflexes.I had this done while under sedation when having a colonoscopy.I was then referred to a colorectal surgeon who referred me to a pelvic floor physiotherapist.I hope that this is a help to you.