Worsening fecal incontinence

[MountainLake622]

I've managed heavy urinary incontinence pretty well with for several years now with medication and diapers.

However, over the last year or so I have had more and more issues with fecal incontinence. I have urgency issues similar to my urinary incontinence where I just can't get to the bathroom in time. Normal bowel movements, not diarrhea.

The second thing is even with normal bowel movements (on the toilet) I have sometimes significant liquidy discharge in the back of my diaper by the end of the day. I don't know if I just notice it because I'm wearing an absorbant diaper or if it's something else. Maybe the diaper just wicks fluids and this is normal? I used to have similar problems when I wore white underwear.

Anyway, I have both my regular and urology annual visits coming up but I just wanted to put this out there to see if others have had similar or suggestions.

Also, is this something my urologist will likely be able to address or should I expect to be referred to a gastrointestinal doc.

Thanks all!

 

[ThatFLGuy]

I have an extensive history of the last few years with bowel incontinence.

First, yes get a gastroenterology appointment. (Ask about an Anorectal manometry test, that will tell the doctor what your rectal muscles are doing or not doing. It is not a bad test and done right in the office)

Your primary care doctor might recommend seeing a colorectal surgeon. They can check a few things for you.

Your issue sounds a bit like mine. I have pelvic floor instability that has gotten worse.

Rectal spasm, bowel accidents..ECT.

Also just seeing a pelvic floor physical therapist is a good idea.

Hope this helps a bit. I am on here all the time. Feel free to reach out.