Fecal Incontinence

Posted by dnikulas @dnikulas, Tue, Jun 18 5:00pm

I suffer from an "urge" incontinence. Almost every day I get the feeling (an urge) that I must find a toilet immediately. I have two to 10 minutes and if I don't make it I load my pants with the main bowel movement of the day. A gastroenterologist told me I don't have fecal "urge" incontinence, but "probably have IBS". He told me to take 2 tablespoons of Metamusel psyllium fiber) three times each day. After 3 1/2 week I still have the "urge" problem, in addition to now having 4 to 5 healthy bowel movements each day. Has anyone had a "diagnosis" and a "cure" for this kind of a problem: an strong urge once a day that must be attended to or one loses bowel control. I need help as I cannot travel in fear of the urge problem. Usually between 8 a.m. and 11 a.m. it happens, and after that I am okay for the day.

@dnikulas I have not had your problem, but because of having gallbladder out and stomach surgeries I sometimes have dumping syndrome. You have probably read this article or others like it: https://www.mayoclinic.org/diseases-conditions/fecal-incontinence/symptoms-causes/syc-20351397

I would keep a food diary to see if any foods contribute to your problem. Diet with me has helped a lot for the urgency of loose bowels. Another thing that helped me is taking a probiotic. I tried several, but the only one that helped me is Align. Instead of a daily problem it is now once or twice a month.

I would also get a second or even a third opinion of what is causing your problem.

Best of luck,
Zaroga

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@dnikulas I have fecal incontinence also. Thankfully, I did not pass large amounts of stool with no warning, but I did pass small amounts without knowing until I went to the bathroom and discovered some stool on my pad. I had an anorectal manometry which confirmed my muscle problem. When my son was born I tore through my anal sphincter and they tell me that has contributed to my problem. After having a large bowel movement I would continue to leak for a while and that was a real problem. It was discovered that I have a rectocele (sort of a hernia) that apparently catches some of the stool and then it slowly discharges after having a bowel movement. There is surgery to correct rectocele and also surgery to tighten the anal muscle but I have been told the success rate is not great so I opted to not go that route. There is one other treatment that involves an anal sling for fecal incontinence that holds the muscle up so that it does discharge when you are not prepared. If you google " anal sling" there are a number of articles about it. I am considering it but so far giving up dairy and the PT has helped enough that I have chosen to not have any surgery.

I have been to pelvic floor PT for urinary incontinence and that included PT for the anal muscles, and has helped. I also became aware that my soft stools that were leaking out were a result of my being lactose intolerant. It took me quite a while to pinpoint that but since I have given up eating anything with lactose it has helped tremendously.
JK

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@fourof5zs

@dnikulas I have not had your problem, but because of having gallbladder out and stomach surgeries I sometimes have dumping syndrome. You have probably read this article or others like it: https://www.mayoclinic.org/diseases-conditions/fecal-incontinence/symptoms-causes/syc-20351397

I would keep a food diary to see if any foods contribute to your problem. Diet with me has helped a lot for the urgency of loose bowels. Another thing that helped me is taking a probiotic. I tried several, but the only one that helped me is Align. Instead of a daily problem it is now once or twice a month.

I would also get a second or even a third opinion of what is causing your problem.

Best of luck,
Zaroga

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Thanks for the tips.

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This is a terrible problem for you. Did the GI who recommended Metamucil and suggested that you have IBS explain the dietary connections and refer you to a nutritionist? Have you had testing to rule out conditions like celiac? Have you had a colonoscopy? I had a similar problem with “the urges” and do have IBS. The low Fodmap diet is terrible but has mostly solved the bathroom emergencies. I can’t imagine all of that Metamucil.

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@jackiem95

This is a terrible problem for you. Did the GI who recommended Metamucil and suggested that you have IBS explain the dietary connections and refer you to a nutritionist? Have you had testing to rule out conditions like celiac? Have you had a colonoscopy? I had a similar problem with “the urges” and do have IBS. The low Fodmap diet is terrible but has mostly solved the bathroom emergencies. I can’t imagine all of that Metamucil.

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No. No. No. Yes. I will research Fodmap. Metamucil does not alleviate the problem, but only increases it. Thanks for the tip.

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@jackiem95

This is a terrible problem for you. Did the GI who recommended Metamucil and suggested that you have IBS explain the dietary connections and refer you to a nutritionist? Have you had testing to rule out conditions like celiac? Have you had a colonoscopy? I had a similar problem with “the urges” and do have IBS. The low Fodmap diet is terrible but has mostly solved the bathroom emergencies. I can’t imagine all of that Metamucil.

Jump to this post

@jackiem95 @dnikulas When I first started having the problem with diarrhea I was told to use Metamucil. It did not help at all. I did find that Imodium helped a bit but I am not supposed to use that much. Apparently it is not good to take when you are on immunosuppressants. Then I finally figured out that the darned immunosuppressants had actually triggered lactose intolerance and since then, as I said in my earlier post, I am doing much better. If I do have something questionable I take Lactaid which is very little help if at all, and then Imodium which I can take occasionally and between the two of them the problem is much less.
As @fourof5zs said, keep a food diary. That's pretty much what made me finally aware that lactose was my problem.
No ice cream? Sob. 🙁
JK

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