WHAT IS IT?
Fecal incontinence occurs when there is any involuntary loss of stool - even traces on your underwear count if you are wiping well after a visit to the bathroom!
The pelvic floor muscles may be weak and/or hypotonic; muscles in this state will be less likely to be able to firmly close the anus and limit the stool from passing at an inopportune moment. In addition, if your muscles are hypotonic, they might also be sitting lower in the body, creating an angle between the rectum and the anus that further decrease the efficiency of being able to hold in your stool.
Another possible situation is that your rectum might be overly active when it senses stool arriving in the area. Typically, when the stool arrives in the rectum, it stretches out the walls and this triggers some reactions, including contractions of the rectal walls to help expel the stool. Occasionally, these reactions can happen at inappropriate times, stimulating an urge that is either intense or, in combination with any pelvic floor muscle dysfunction, may lead to incontinence.
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