Faecal Incontinence

Definition
Faecal incontinence is the involuntary loss of stool (solid or liquid) or gas. It can occur occasionally, such as with loose stools, or more frequently, ranging from mild staining to full bowel accidents. Faecal incontinence may significantly affect comfort, confidence, and quality of life.

Symptoms

• Unintentional leakage of stool, from minor smearing to larger amounts

• Inability to control wind or gas

• Urgency to open bowels with little or no warning

• Difficulty wiping clean after a bowel motion

• Soiling of underwear or pads

• Anxiety or avoidance of social situations due to fear of accidents

Who is Most Affected?
Faecal incontinence is more common in:

• Women after childbirth, especially with perineal tears or forceps delivery

• Older adults with reduced muscle tone or nerve sensitivity

• People with chronic constipation or diarrhoea

• Individuals with pelvic floor dysfunction or rectal prolapse

• Post-surgical patients and those with neurological conditions

Common Causes

• Pelvic floor or anal sphincter weakness

• Nerve damage from childbirth, surgery, or neurological disease

• Rectal prolapse or loss of rectal sensation

• Chronic constipation or bowel irritants

• Post-radiation or surgical changes affecting control

Management Approaches
Pelvic Floor Osteopathy can support people with faecal incontinence by:

• Strengthening pelvic floor and anal sphincter muscles

• Bowel retraining to improve routine and urge control

• Manual therapy for pelvic and scar tissue mobility

• Education on bowel habits, toileting posture, and diet

• Relaxation and coordination training to enhance muscle control

Key Point
Faecal incontinence is common but highly manageable. With targeted pelvic floor assessment, retraining, and supportive care, many people experience significant improvement in control and confidence.