What causes loss of bladder or bowel control and what should I do?

Symptom Database

Loss of bladder or bowel control, also known as urinary incontinence and fecal incontinence, can be a distressing and embarrassing condition that affects many individuals. It can significantly impact a person’s quality of life and daily activities. Understanding the causes of bladder or bowel control loss and knowing what steps to take can help manage and treat this condition effectively.

What Causes Loss of Bladder Control?

Bladder control problems, commonly referred to as urinary incontinence or bladder leakage, can have various causes. Some of the most common factors contributing to this condition include:

  • Weak pelvic floor muscles: The pelvic floor muscles play a crucial role in controlling bladder function. Weakness in these muscles can lead to involuntary urine leakage.
  • Hormonal changes: Hormonal imbalances, particularly in women during menopause, can affect bladder control.
  • Nerve damage: Conditions such as diabetes, multiple sclerosis, or spinal cord injuries can damage the nerves responsible for bladder control.
  • Urinary tract infections: Infections in the urinary tract can cause temporary bladder control issues.
  • Obstruction: Blockages in the urinary tract, such as kidney stones or tumors, can disrupt normal bladder function.

Treatment for Bladder Control Loss

Managing and treating bladder control loss depends on the underlying cause. Here are some effective strategies:

  • Pelvic floor exercises: Strengthening the pelvic floor muscles through exercises like Kegels can improve bladder control.
  • Lifestyle changes: Avoiding bladder irritants like caffeine and alcohol, maintaining a healthy weight, and quitting smoking can help manage incontinence.
  • Medications: Certain medications can help relax the bladder muscles or reduce urinary frequency.
  • Medical devices: In some cases, a healthcare professional may recommend the use of devices like a pessary or urethral insert to support the bladder.
  • Surgery: In severe cases, surgical interventions may be necessary to correct underlying issues causing bladder control loss.

What Causes Loss of Bowel Control?

Bowel control loss, also known as fecal incontinence or bowel leakage, can have various causes. Some common factors contributing to this condition include:

  • Weak anal sphincter muscles: The anal sphincter muscles are responsible for controlling bowel movements. Weakness in these muscles can lead to involuntary bowel leakage.
  • Nerve damage: Conditions like multiple sclerosis, spinal cord injuries, or nerve damage during childbirth can affect bowel control.
  • Chronic constipation: Long-term constipation can weaken the muscles and nerves in the rectum, leading to bowel control issues.
  • Rectal prolapse: When the rectum protrudes through the anus, it can cause difficulty in controlling bowel movements.
  • Diarrhea: Chronic diarrhea can contribute to bowel control loss due to the increased urgency and difficulty in controlling bowel movements.

Treatment for Bowel Control Loss

Managing and treating bowel control loss depends on the underlying cause. Here are some effective strategies:

  • Dietary changes: Consuming a high-fiber diet and staying hydrated can help regulate bowel movements and prevent constipation.
  • Bowel training: Establishing a regular bowel routine and practicing techniques like biofeedback can improve bowel control.
  • Medications: Certain medications can help regulate bowel movements and reduce bowel leakage.
  • Surgery: In some cases, surgical interventions may be necessary to correct underlying issues causing bowel control loss.
  • Use of absorbent products: Wearing absorbent pads or underwear can provide a sense of security and manage bowel leakage.

It is important to consult a healthcare professional for an accurate diagnosis and personalized treatment plan. They can assess the underlying causes of bladder or bowel control loss and recommend appropriate interventions.

Remember, loss of bladder or bowel control is a common condition that can be managed and treated effectively. With the right strategies and support, individuals can regain control over their bodily functions and improve their overall quality of life.

Haroon Rashid, MD
Rate author
Urgent Care Center of Arlington, VA