Physiotherapy for Faecal Incontinence

What is it?

Faecal incontinence is the inability to control bowel matter or wind. The severity varies from smearing to entire bowel evacuation. Factors that can affect bowel control and stool type (which can make it easier or more difficult to control) include but are not limited to fluid intake, diet, exercise routine, positioning on the toilet, and anatomical limitations such as haemorrhoids or pelvic organ prolapse.

Who does it affect?

Faecal incontinence affects both men and women. People who have had surgery relating to bowel concerns are at higher risk. 3rd and 4th degree tears in childbirth (Obstetric Anal Sphincter Injuries (OASIS)) increase the risk of faecal incontinence due to the impact they have on the bowel control mechanism.

How can it be treated?

Faecal incontinence is treated by managing the causative factors relevant to the client – dietary intake, fluid intake, exercise modification, creating a bowel routine, optimal positioning on the toilet and managing any anatomical factors either with conservative management or from a medical point of view.

What can Embodied Confidence by Leonie Mills Physio do for me?

Leonie will ask for your history and establish the risk factors that are relevant for you. With your consent, a comprehensive assessment is completed to determine the treatment required. The team at Leonie Mills Physio will support you to make lifestyle changes as needed, as well as guide you to access any further medical support. You will likely be provided with an individualised program for pelvic floor muscle training to build up the muscular component of bowel control.