
Losing control of your bowels can be embarrassing, but it's a common issue, affecting up to one in four women at some point in their lives. Fecal incontinence, or the loss of control of gas or poop, can range from mild leakage to unintentional passing of solid stools. It is often beyond one's ability to control and can indicate a malfunctioning bowel control system or a structural issue. While it can be a difficult topic to discuss, it's important to seek medical advice, as treatments are available, including dietary changes, exercises, medications, and, in some cases, surgery.
| Characteristics | Values |
|---|---|
| Fecal incontinence | Loss of control of gas or poop that causes distress or discomfort |
| Causes of fecal incontinence | Conditions that damage the nerves and muscles that help you poop, like those in your rectum and anus |
| Solutions | Wear a pad or disposable undergarment, take nonprescription pills called flatulence medication, bring supplies to freshen up or a change of clothes |
| Encopresis | A condition where a child repeatedly soils their underwear with poop, past the age when gastric control over bowel habits is expected |
| Causes of encopresis | Constipation, fear of pain when passing a stool, fear of using the toilet at school or in public places |
| Solutions | Keep the stool soft, provide supplements like PHGG, Bacillus Coagulans, and magnesium, positive reinforcement, limit dairy intake, increase water intake |
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What You'll Learn

Reduce your caffeine intake
Caffeine stimulates the colon, which sends your body into "I have to go to the bathroom" mode. It is a natural diuretic and can also stimulate the central nervous system, resulting in an increased heart rate and gastric motility. Research suggests that caffeine can have a variety of effects on the colon. One study found that caffeine can stimulate colon motility in some people and is 60% stronger at stimulating colonic activity than water. Another study found that caffeine can trigger strong anal sphincter contractions, which are required for successful bowel movements.
To reduce your caffeine intake, you can try the following:
- Opt for decaf or low-caffeine options: Decaffeinated coffee or those with lower caffeine levels can be a good choice if you have a sensitive stomach.
- Avoid adding milk or cream: Dairy can be a trigger for digestive issues, so consider skipping the milk or cream in your coffee and opting for non-dairy alternatives like oat milk, coconut milk, or soy milk.
- Drink plenty of water: Coffee is a diuretic, which means it can dehydrate you and contribute to loose stools. Make sure to drink enough water throughout the day to stay hydrated.
- Limit your intake: If you find that even small amounts of coffee cause diarrhea, it may be best to limit or avoid it altogether.
- Consume coffee at specific times: Regulate its impact on your digestive system by having your last cup in the early afternoon.
- Opt for smaller serving sizes or dilute your coffee with water to reduce its potency.
- Keep track of your coffee consumption and its effect on your digestive system to determine your personal threshold for an optimal balance.
It is important to note that while reducing your caffeine intake may help, other compounds in coffee, including decaf, appear to play a role in stimulating bowel movements. Additionally, individual factors such as lactose intolerance or sensitivity to caffeine can also contribute to this effect.
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Manage stress and anxiety
While it is okay to hold in your poop occasionally, doing so regularly can lead to fecal impaction, a large, solid buildup that cannot be pushed out. If you are experiencing fecal incontinence, you may be unable to stop the sudden urge to poop, making it difficult to reach the toilet in time.
If you are experiencing anxiety about pooping, you may be fearful of pooping in places that are not completely private, such as in public restrooms or in someone else's home. This type of anxiety can affect your daily life, causing you to avoid social outings, holidays, or public events.
To manage stress and anxiety related to pooping, consider the following:
- Mindfulness activities: Try mindfulness activities such as meditation or deep breathing to lower your body's stress hormones. Prioritize activities that make you feel calm and relaxed, especially if you experience anxiety poops regularly.
- Seek professional help: If you are experiencing persistent diarrhea, constipation, or other symptoms such as abdominal pain, consider seeking advice from a healthcare professional. They can help address any underlying conditions and provide treatment options.
- Dietary changes: Limit your intake of foods that can increase inflammation and make you more prone to digestive issues, such as diarrhea and bloating. Instead, focus on a balanced diet rich in vegetables, whole grains, and proteins and ensure adequate electrolyte intake with water-rich fruits and vegetables.
- Exercise: Engage in regular physical activity, as a 2017 study found that a plant-based diet combined with exercise can help relax your bowels.
- Mindful eating: Practice mindful eating techniques to reduce the impact of stress and anxiety on digestion.
- Positive affirmations: Speaking, thinking, or writing affirming statements can help boost confidence, reduce anxiety, and overcome self-doubt related to pooping.
- Support and treatment: If you are a parent dealing with a child who soils their pants, remember that relapses are normal, and it is important to be patient during treatment. Encourage your child by using positive reinforcement, such as stickers or stars on a poop calendar.
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Avoid certain medications and supplements
Medications and supplements can have a significant impact on bowel movements, and it is important to be aware of their potential side effects. While some medications may cause constipation, others may lead to frequent bowel movements or even diarrhoea.
Antidepressants, opioids, calcium-channel blockers, and anticholinergics are known to contribute to constipation. Opioids, for instance, can cause nerves in the gut to "sleep," inhibiting movement. Calcium-channel blockers, such as diltiazem, relax the muscles in the gut, leading to potential constipation. Anticholinergics, found in many over-the-counter and prescription medications, block the effects of acetylcholine, a chemical that aids muscle movement. This reduced movement in the gut can result in constipation.
On the other hand, antibiotics, chemotherapy drugs, and nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can disturb the balance of microbes in the gut, leading to diarrhoea. Additionally, certain medications may affect your gut microbiome, which supports digestion and other functions. Poor sleep, caused by medications or other factors, can also worsen gut issues and increase the urge to defecate at night.
To avoid these issues, it is important to be mindful of the side effects of any medications or supplements you are taking. Consult a healthcare professional if you have concerns or if your bowel movements are affecting your quality of life. They may suggest alternative treatments or provide advice on managing these side effects.
Furthermore, maintaining a healthy gut may help reduce the impact of certain medications. A healthy gut contains a balance of "good" and "bad" microbes, including bacteria, fungi, and viruses, which aid digestion. A well-balanced diet, adequate sleep, and managing stress can all contribute to a healthy gut and, consequently, more regular bowel movements.
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Control your pelvic floor muscles
One important aspect of maintaining bowel control is managing your pelvic floor muscles. These muscles form a sling-like structure that supports your bladder, uterus, and rectum. Strengthening these muscles can help you control your bowel movements and prevent accidental stool leakage. Here are some tips to help you control your pelvic floor muscles:
Pelvic Floor Muscle Exercises:
Perform pelvic floor muscle exercises, also known as Kegel exercises, to strengthen the muscles. To identify these muscles, try to stop urination mid-stream or tighten the muscles that prevent passing gas. Once you've identified the correct muscles, squeeze and lift them for a count of three, then relax for a count of three. Repeat this contraction and relaxation cycle 10–20 times, at least three times a day.
Practice Proper Breathing:
Breathing correctly during Kegel exercises is essential. Make sure to breathe deeply and relax your abdominal, buttock, and thigh muscles while contracting your pelvic floor muscles. Avoid holding your breath or bearing down, as this can increase pressure on the pelvic floor.
Find the Right Position:
Experiment with different positions to find the most effective way to contract your pelvic floor muscles. You can try lying down, sitting, or standing. Some people find that contracting the muscles is easier when sitting on a hard surface or leaning against a wall.
Focus on Full Contraction:
Ensure that you fully contract your pelvic floor muscles during each repetition. Imagine you're lifting the muscles up and inward. It might help to visualize trying to stop the flow of urine and prevent passing gas simultaneously.
Maintain a Consistent Routine:
Consistency is key. Aim to perform your pelvic floor muscle exercises at the same time every day. This helps build a habit and ensures that you don't skip sessions. Try setting reminders on your phone or associating the exercises with a daily activity, such as brushing your teeth.
Gradually Increase Intensity:
Over time, you can increase the intensity of your Kegel exercises. Try holding each contraction for a longer count, or experiment with faster repetitions (squeeze and lift for one second, then relax for one second). Varying the pace and duration of contractions can help improve overall pelvic floor muscle control.
By incorporating these tips into your routine, you can effectively train and control your pelvic floor muscles, which will significantly help in managing bowel control issues and improving your overall quality of life. Remember, results may take time, so be patient and consistent with your efforts.
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Consult a doctor about fecal incontinence
If you are experiencing fecal incontinence, it is important to consult a doctor. Fecal incontinence is the loss of control of gas or poop, which can cause distress and discomfort. It is often a sign of an underlying condition, and a doctor can help diagnose and treat the issue.
Fecal incontinence can be caused by various factors, including constipation, diarrhea, muscle damage, or nerve damage. It can also be a result of prior surgeries or procedures. During your consultation, the doctor will ask about your symptoms and perform a physical and rectal exam. They may recommend tests such as anorectal manometry to assess the strength of your anal sphincter muscles and their coordination with your rectum.
Based on the diagnosis, your doctor can suggest treatments to improve your symptoms. Simple treatments such as diet changes, medicines, bowel training, and exercises to strengthen your pelvic floor muscles can be effective. Biofeedback therapy, for instance, can help you learn exercises to strengthen your pelvic floor muscles and improve your bowel control. Additionally, your doctor can recommend ways to manage anal discomfort and cope with fecal incontinence, such as using moisture-barrier creams and non-medicated powders.
It is essential to remember that fecal incontinence is a common issue, and you should not feel embarrassed or ashamed to seek help. Talking openly and honestly with your doctor will enable them to provide the best treatment options for your specific condition.
In summary, consulting a doctor about fecal incontinence is crucial to identifying the underlying cause and determining an appropriate treatment plan. With their expertise, you can effectively manage and treat the condition, improving your overall well-being and quality of life.
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Frequently asked questions
If you are experiencing fecal incontinence, it is best to consult a doctor. They may recommend treatments such as dietary changes, medicines, bowel training, or exercises to strengthen your pelvic floor muscles.
If there is no bathroom nearby, you can try clenching your butt cheeks together to keep your rectum muscles tense and prevent accidental bowel movements. You can also try standing or lying down, as these positions may "trick" your body into not going.
Yes, there are a few products that may help. You can try wearing absorbent pads or disposable underwear, as well as taking non-prescription flatulence medication to weaken the smell of any accidental bowel movements.
Wear breathable underwear made from absorbent materials such as cotton. Avoid wearing tight pants or underwear made from nylon or polyester, as these materials can hold moisture against your skin.











































