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Mike James, I agree. To some, the act or even just thinking or considering going to a doctor can be more fearful than the bad news or diagnosis they might receive. Even if it's good news. I've had patients/clients who saw doctors as a last resort upon pain of death! Others it was a fear of being seen down belo. Especially the older female clients. Showing up in a diaper, even in front of medical professionals, is a huge issue. So, as you said, many do not see a doctor or even report their new issues of incontinence, especially bowel incontinence. Many seek advice online, but I feel like some go online knowing they will be urged to seek medical help. It's like getting a pep talk. "If enough people tell me to go, then maybe I'll go". I completely see the other side too. It can become too repetitive to constantly read the words, "see a doctor". But this is from those who have gotten help from a doctor. To the newbie, it's good advice. To the experienced, it's old news. But we can't assume who is new or experienced, who has seen a doctor and who hasn't. So we go with the safe answer, the one answer that may annoy some, but can never be a wrong one. Go see a doctor.