Managing Bowel Incontinence

Not being able to control a bowel movement from the rectum – has many causes. Some of these include:

• Weakness of the anal muscle
• Dementia
• Mobility problems
• Nervous system disorders
• Mental confusion

Other factors include:

• Long-term use of laxatives
• Not enough fluid or fiber intake
• Lack of exercise
• Hemorrhoids
• Sedation
• Very hard stool/severe constipation (may cause leakage)

• Losing control of a bowel movement or blockage of bowel contents.
• Symptoms may include:
  • Nonstop oozing of loose stools
  • Loss of appetite
  • Cramping

• Color, looseness, and odor of the stool
• Abdominal discomfort, cramping, or bloating
• Medications and diet history
• Changes in activity level
• Skin problems in the affected area
• Concerns and thoughts from either the patient or caregiver

• Know the person’s bowel history, which includes the usual routine, time of day, following a meal, etc.
• Ask your healthcare team about strategies to reestablish a routine and predictable schedule for elimination.
• Plan a bowel retraining program that is easy and fits into the person’s lifesty Your nurse can help with this.
• Take in enough fluids and fiber, if poss
• Determining types of fluids and fiber sources pleasing to the patient.
• Provide ample time and privacy during toilet
• Keep skin clean and dry to prevent breakdown and odors.
• Avoid baby powder and cornstarch – use protective barrier creams.
• Wear loose-fitting clothing to allow for airflow.
• Control odors with fresh air and room deodorize
• Wear protective garments.
• Avoid foods that act as laxatives; these include caffeine, alcohol, diet soda, and artificial sweeteners.
• Talk to your nurse for additional information.