CONT03 Poor Bowel Control - A4 - April 2023-F - LR

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POOR BOWEL CONTROL

These muscles may become weak because of:


Poor bowel control is common Ö giving birth
and it can be helped Ö getting older
Ö some types of surgery such as for haemorrhoids
(piles)

What is poor bowel control? Ö radiation therapy.

People with poor bowel control may have bowel Control of the pelvic floor muscles can also be
accidents with bowel motions passed at the wrong affected by a number of brain or nerve problems
time or in the wrong place. They may also pass wind such as stroke, Parkinson’s and dementia.
when they do not mean to.
Bowel urgency and diarrhoea

Is poor bowel control common? Diarrhoea means passing loose bowel motions. This
can mean you need to rush to the toilet.
About one in twenty people has poor bowel control,
occurring in both men and women. It can occur at Loose bowel motions make it harder to hold on until
any age, but is more common as you get older. you get to the toilet.

Often people with bowel control problems also have Diarrhoea has many possible causes, including:
poor bladder control. This means they may wet Ö use of laxatives, especially if overused or used
themselves. incorrectly
Ö bowel or stomach infection such as
What causes poor bowel control? gastroenteritis
Ö bowel diseases such as diverticulitis, Crohn’s
Weak muscles
disease, ulcerative colitis and irritable bowel
Your pelvic floor muscles extend in and around your syndrome
anus (back passage). Ö some antibiotics
These muscles help you to control when you need Ö food allergies or intolerances e.g. wheat, gluten,
to empty your bowels and help you hold on until you lactose, dairy and fructose.
get to the toilet. They also help to stop passing wind.
It is recommended you see your doctor about this
If these muscles are weak, you may: problem.
Ö not be able to hold on well
Ö need to rush to the toilet to empty your bowels.

National Continence Helpline 1800 33 00 66 • continence.org.au


POOR BOWEL CONTROL

Constipation Ö checking how you sit on and use the toilet. Sit on
the toilet with your knees bent up a little higher
Bowel motions can sometimes get clogged in the
than your hips. Rest your forearms on your thighs
lower bowel. In severe cases, liquid can leak out
around the clogged mass. This can cause you to soil Ö pelvic floor muscle training to help make your
yourself. pelvic floor muscles stronger
Ö referral to a continence service or specialist
What should you do about poor doctor.
bowel control?
There are many causes of poor bowel control. A
careful check is needed to find the causes. The check Correct toilet position
can also find those things that make it worse. If you
have bowel accidents talk to your doctor. - Knees higher than hips.
- Lean forward and put
You should also let your doctor know if you have:
elbows on your knees.
Ö a change in your normal bowel habits, including:
- Bulge out your
− going to the toilet more often abdomen.
− having loose bowel motions
- Straighten your spine.
− straining to pass hard bowel motions.
©Continence Foundation of Australia
Ö pain or bleeding from the anus (back passage)
Ö a feeling that your bowel is never quite empty
Ö dark or black bowel motions
Ö weight loss that you can’t explain.
Your doctor may:
Ö ask you some questions Call the National Continence
Ö do a physical examination Helpline on 1800 33 00 66 (free call)
Ö ask you to keep a diary of your bowel habits for a Speak with a nurse continence specialist for free
few days and confidential advice on resources, details for
Ö ask you to keep a list of what you eat and drink local continence services, products and financial
for a few days assistance.
Ö send you for an x-ray or tests. For more information, you can
How can poor bowel control be also visit:
helped? continence.org.au
toiletmap.gov.au
Loss of bowel control is a warning sign and not a health.gov.au/bladder-bowel
disease in itself. The right care will depend on what is
causing the problem.
This fact sheet is intended as a general overview only and is not a
Care may include: substitute for professional assessment and care.
This fact sheet is available in other languages from continence.org.au
Ö getting constipation under control
Ö getting diarrhoea under control
Ö checking the medicines you take
Ö getting a script for medicine:
− to firm up your motions, or
− to settle your bowels.
Ö ensuring a good bowel routine
Ö making sure you are:
− eating the right type and amount of fibre
CONT03 April 2023

− drinking the right type and amount of fluid.

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