Sometimes damage to the muscles of the anal sphincter is accidentally caused during childbirth, especially if forceps were needed to help the baby to be born. sometimes exercises will help regain the function of the damaged muscles. If the damage to the muscles is extensive, an operation may be needed to repair them. (See Anal sphincter exercises leaflet ) /patient-information-leaflets
Constipation
Constipation without bowel leakage is a subject in its own right and there is not space to deal with it here. Mild constipation will often respond to changes in diet, such as adding more fibre and fluids, or to gentle medication such as Fybogel, Movicol or Regulan and to an increase in exercises. Severe constipation needs professional advice.
See inflammatory bowel disease below.
IBD includes ulcerative colitis, crohn's disease and other less common diseases involving inflammation of the lining of the bowel wall. Diarrhoea is often associated with IBD, especially in the acute phase. This can cause tremendous urgency and accidents from the bowel if the toilet is not reached in time. Further information is available from the National Association for Colitis and Crohns Disease. Please also see St Marks website for IBD.
IBS is a common problem, affecting up to one in five of the population. Most commonly it causes abdominal discomfort, with an alteration in bowel habit (diarrhoea or constipation, or alternating between diarrhoea and diarrhoea). People with associated diarrhoea IBS may have difficulty getting to the toilet in time, or difficulty controlling wind. There is not one simple treatment for IBS, but some medications, diets or complimentary therapies are helpful for some people. Furthe rinfomation is abailable in the UK from the IBS network (theibsnetwork.org) and in the USA from the International Foundation for Functional Gastrointestinal Disorders.
Bowel control is a major concern for many people with spinal cord injury. There are often problems both with emptying the bowel and with control. Detailed advice is available on a site we have developed for the Spinal Injuries Association.
See inflammatory bowel disease above.