Bowel Incontinence

What is bowel incontinence?

Bowel incontinence means you cannot control when you poo. This might sound embarrassing, but it's actually quite common. Many people experience this at some point in their lives, so you're not alone.

What are the signs?

You might have bowel incontinence if you notice:

• Poo leaking out without warning
• Feeling like you need to go but can't make it to the toilet in time
• Not being able to get fully clean after using the toilet
• Finding streaks or stains in your underwear

When should you see your GP?

Speak to your GP if:

• You think you have bowel incontinence
• Your bowel habits have changed and aren't getting better
• You have softer poo, diarrhoea, or constipation that's unusual for you

Don't feel embarrassed - your GP is used to discussing these symptoms and wants to help.

Red flag symptoms - get help urgently

Contact NHS 111 or ask for an urgent GP appointment if:

• Your poo is black or dark red
• You have bloody diarrhoea

These symptoms need checking straight away.

How is it diagnosed?

Your GP might:

• Ask about your symptoms
• Feel your tummy and examine your bottom (wearing gloves)
• Ask for a poo sample
• Refer you for blood tests or other specialist tests if needed

What treatments are available?

Treatment depends on what's causing your symptoms and how severe they are.

Your GP might suggest:

• Reviewing your diet and medicines
• Medicines to help you poo less often or soften your poo
• Special products like incontinence pants or pads
• Barrier creams to protect your skin

Specialist services can offer:

• Diet reviews
• Exercises to strengthen the muscles around your bottom
• Techniques to help you empty your bowels properly
• Surgery in severe cases (this might involve repairing muscles or using devices to help control bowel movements)

What causes bowel incontinence?

There are many reasons why this happens:

• Certain foods and drinks (like spicy food or caffeine)
• Weaker muscles around your bottom as you age
• Changes after childbirth
• Health conditions like constipation, irritable bowel syndrome, or Crohn's disease
• Conditions affecting your awareness, like dementia or stroke
• Nerve damage in your spine

Often, it's a combination of factors.

Simple things that might help

• Try different sitting positions when using the toilet (put your feet on a footstool)
• Go to the toilet at regular times, especially after meals
• Keep a diary of symptoms and what you eat and drink
• Plan easy routes to toilets when you're out
• Wear clothes that are quick to remove
• Practice any exercises your GP recommends
• Eat a balanced diet
• Stop smoking if you smoke

Don't:

• Cut lots of foods from your diet all at once
• Strain when you poo

Getting support

Having bowel incontinence can affect how you feel emotionally. NHS talking therapies are available for free and can help you cope. Charities like Bladder & Bowel Community also offer support and information.

Remember, this condition is treatable. Speak to your GP - they're there to help, not judge.

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Based on NHS.uk guidance. Written by Dr Krishnan Pasupathi, NHS GP.