If you are having trouble controlling your bowels, your healthcare professional will:
- ask questions about
- how often and when loss of bowel control happens
- the conditions that occur with the loss of control
- check for hemorrhoids and other conditions
- suggest seeing a specialist, such as a gastroenterologist, proctologist, or colorectal surgeon, if necessary
Tests
A specialist may use some of the following tests:
- Sigmoidoscopy. This test involves insertion of a flexible tube fitted with a camera-like device into the rectum to find problems that may contribute to fecal incontinence.
- Anal manometry. This test involves using a pressure-sensitive tube to check how tightly the sphincter muscles close, and how well they respond to nerve signals.
- Endorectal ultrasound. A probe goes into the rectum to create a sonogram (it uses sound waves to create a picture). The purpose is to look for problems in the deeper tissues that are not visible on a camera.
- Anal electromyography. Electrodes are used to test the muscles for scar tissue in the pelvic floor and rectal sphincters.
- Proctography (also known as defecography). Liquid barium goes into the rectum using a small tube. It shows how much stool your rectum can hold and also how well it empties when you use a special toilet.
These tests may not be good for people with cognitive problems because they may not be able understand directions during the tests.
Last Updated December 2022