Fecal incontinence is involuntary loss of stool. Anal incontinence is involuntary loss of gas or stool. Fecal or anal incontinence can be diagnosed on physical exam, and also by women having a history of soiling their underwear. Fecal incontinence can be treated with dietary modifications to optimize stool consistency, pelvic floor physical therapy to strengthen the pelvic floor and anal sphincter (both strength and coordination), or by sacral neuromodulation. Risk factors for fecal incontinence include obstetric birth injury, anal/rectal trauma, diabetes, connective tissue disorders, and neurological conditions such as multiple sclerosis.
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