Why does Faecal Incontinence occur?
Maintaining control over your bowel movements is a complex process that relies on the coordinated function of the nervous system, rectum, and anus. When any part of this system is disrupted, faecal incontinence can occur. That’s why identifying the underlying cause is such an important step in finding the right treatment.
Some of the most common causes of faecal incontinence include:
Anal sphincter damage – often linked to a severe tear during childbirth or trauma.
Weak pelvic floor muscles, which provide essential support for bowel control.
Previous surgeries, such as rectal, anal, prostate, or gynaecological procedures, that may affect bowel function.
Chronic constipation, which can stretch and weaken the anus over time.
Stool build-up in the rectum, leading to overflow leakage.
Overuse of laxatives, which can disrupt normal bowel control.
Small intestinal bacterial overgrowth (SIBO), which may cause diarrhoea and urgency.
Irritable bowel syndrome (IBS), especially when diarrhoea-predominant.
Stress and anxiety, which can worsen symptoms and bowel urgency.
By understanding the cause—whether structural, functional, or lifestyle-related—patients and healthcare professionals can work together to develop the most effective management plan.
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