What Is Can't Control Bowels? The Answer Might Surprise You

By Dr. Ritha Belizaire

Quick Insights

What is can't control bowels? It refers to the loss of voluntary control over bowel movements, known medically as fecal incontinence. This condition often results from nerve, muscle, or tissue issues, and can severely affect daily life and self-confidence. Immediate physician evaluation is crucial for improving symptoms and preventing long-term complications. Learn moreon prevalence and definition.

Key Takeaways

• Up to 18% of older adults report problems with bowel control, particularly as they age.
• Main symptoms include sudden urges, leakage, or accidents before reaching a restroom.
• Emotional distress and social isolation are common effects that many patients feel too embarrassed to discuss.
• Modern treatments ranging from pelvic therapy to minimally invasive nerve stimulation offer hope and help restore dignity.

Why It Matters

Losing control of your bowels isn't just a physical challenge it deeply impacts independence, emotional well-being, and social life. Understanding "can't control bowels" empowers you to seek compassionate, effective care and reclaim confidence so isolation, fear, and stigma no longer dictate your daily choices.

Introduction

As a board-certified colorectal surgeon serving Houston, I know that talking about "can't control bowels" is never easy. Can't control bowels is the sudden or ongoing loss of voluntary bowel control what we call fecal incontinence (involuntary leakage of stool).

This condition affects not just your body but your dignity, independence, and ability to enjoy favorite activities. Even the fear of an accident can feel overwhelming especially for older adults who want to stay active and engaged.

Having worked with many patients facing this challenge, I've seen how much courage it takes to ask for help, and why prompt, discreet care matters. Research shows thatup to 18% of older adults experience symptoms that disrupt daily life so you're not alone in Houston if you're struggling.

If you've felt embarrassed, anxious, or cut off from what matters most, you're in the right place for clarity, compassion, and hope.

Can't Control Bowels? You're Not Alone

Losing control of your bowels can feel like your dignity has packed its bags and left the building. If you're reading this, you might be wondering if you're the only one who's ever had to plan outings around restroom locations or carry a "just in case" change of clothes. Let me assure you: you are not alone.

Fecal incontinence (the medical term for not being able to control bowel movements) is more common than most people realize, especially as we age. Studies show that up to 18% of older adults experience some form of bowel control problem, but embarrassment keeps many from seeking help.

The stigma is real many of my patients have told me they felt too ashamed to even mention it to their closest friends, let alone a physician. In my surgical practice, I often see patients who've spent years silently coping with bowel issues, not realizing how treatable their condition actually is.

Understanding the stigma and embarrassment

The emotional toll of "can't control bowels" is often heavier than the physical symptoms. People worry about accidents in public, social isolation, and losing independence. I've seen firsthand how this fear can shrink someone's world, making them avoid travel, family gatherings, or even a simple walk in the park.

Research highlights that the psychological impact of fecal incontinence can be profound, leading to distress and social withdrawal according to IntechOpen. From my perspective as a board-certified colorectal surgeon, addressing these fears with empathy and openness is the first step in treatment.

In my practice, I make it a priority to create a safe, judgment-free space. I want you to know that talking about bowel control is just another part of taking care of your health no different than discussing blood pressure or cholesterol. The first step to regaining control is breaking the silence.

What Causes Loss of Bowel Control?

If you're asking, "Why can't I control my bowels?" you're already on the right track. There are many reasons this can happen, and understanding the cause is key to finding the right solution.

What are the causes of bowel control loss? Bowel control loss can result from weakened muscles, nerve damage, chronic diarrhea, constipation, or injury to the anal area. Sometimes, it's a combination of these factors. In my experience, precise diagnosis is critical to effectively addressing these issues.

Temporary vs. persistent incontinence causes

There are two main types of fecal incontinence: temporary and ongoing. Temporary loss of control often follows a bout of severe diarrhea or a stomach bug—think of it as your digestive system staging a brief rebellion.

Ongoing (chronic) incontinence is usually linked to issues like weakened pelvic floor muscles, nerve injury (from childbirth, surgery, or diabetes), or chronic constipation that stretches and damages the rectal tissues. According to the Mayo Clinic, both types are common, and the underlying causes can often be improved with the right approach asoutlinedby Mayo Clinic.

Who is at risk for fecal incontinence?

Anyone can develop bowel control problems, but certain groups are at higher risk:

• Older adults (muscles and nerves naturally weaken with age)
• Women (especially after childbirth or pelvic surgery)
• People with chronic diarrhea or constipation
• Those with nerve disorders (like diabetes or multiple sclerosis)

Having treated hundreds of patients with fecal incontinence, I know that restoring bowel control goes beyond physical function it's about giving patients their freedom and dignity back. The good news? Most causes are treatable, and you don't have to accept accidents as a "normal" part of aging.

Common Symptoms and When to Seek Help

Fecal incontinence, the inability to control bowel movements, can vary from occasional leakage to complete loss of control. Some individuals experience sudden, uncontrollable urges, while others have accidents without warning.

Certain symptoms necessitate immediate medical attention:

• New or worsening incontinence accompanied by severe abdominal pain
• Presence of blood in the stool
• Unexplained weight loss

Maintaining a detailed diary of symptoms can assist physicians in identifying the underlying cause. This diary should include:

• Frequency and timing of incontinence episodes
• Stool consistency (e.g., loose, formed, hard)
• Associated symptoms such as pain, bloating, or urgency

By systematically recording these details, patients can provide valuable information that aids in accurate diagnosis and effective treatment planning.

How Is Bowel Incontinence Diagnosed?

Getting to the bottom of "can't control bowel movements" starts with a thorough evaluation. I know it can feel awkward, but rest assured—diagnosing bowel incontinence is a routine part of my job.

What to expect during your first visit

During your first appointment, I'll ask about your symptoms, medical history, and any previous surgeries or injuries. A gentle physical exam helps assess muscle strength and nerve function. Most patients are surprised at how straightforward and respectful the process is.

Diagnostic tools and testing

Depending on your symptoms, I may recommend:

• Anorectal manometry (measures muscle strength)
• Endoanal ultrasound (looks for muscle tears)
• Nerve studies • Stool tests or colonoscopy (to rule out other conditions)

Clinical guidelines recommend a structured approach to diagnosis, ensuring we don't miss any underlying issues as outlined in Karger's clinical guidelines. In my practice, I tailor the workup to each patient—sometimes a simple exam is enough, while other times, advanced testing is needed to guide the best treatment.

Modern Treatments That Restore Control

Here's the good news: you don't have to live with bowel leakage or "can't control diarrhea." Modern treatments are more effective and less invasive than ever before.

How is bowel incontinence treated?

Treatment depends on the cause and severity, but options include lifestyle changes, pelvic floor therapy, medications, and advanced procedures.

Lifestyle and dietary changes

Small changes can make a big difference:

• Increase fiber and fluids to prevent constipation
• Avoid foods that trigger diarrhea (caffeine, alcohol, dairy, fatty foods)
• Exercise regularly to strengthen pelvic muscles

Research shows that reducing constipation and controlling diarrhea can significantly improve symptoms according to Mayo Clinic.

Advanced procedures (Nerve stimulators, etc.)

For persistent symptoms, I offer advanced options like sacral nerve stimulation—a minimally invasive procedure that gently stimulates the nerves controlling your bowels. This can be life-changing for patients who haven't found relief with other treatments.

While many clinics treat symptoms in isolation, I've found that combining diagnostic precision with surgical expertise leads to more lasting relief—especially for complex or overlapping conditions. You can learn more about this advanced treatment for fecal incontinence through Axonics sacral neuromodulation.

Minimally invasive options

Other minimally invasive treatments include:

• In-office bulking agent injections (to help the anal muscles close more tightly)
• Biofeedback and pelvic floor retraining
• Nitrous oxide for comfort during procedures

Best practice guidelines now recommend these less invasive approaches as first-line options for many patients according to ACG Guidelines. I've found that offering these treatments in a comfortable, supportive setting makes a world of difference for my patients.

For those worried about insurance or coverage, it's helpful to know that most major plans recognize fecal incontinence as a treatable medical condition as outlined by Anthem.

Why See a Colorectal Surgeon for Bowel Leakage?

You might wonder, "Can't my regular physician handle this?" While primary care physicians are a great starting point, a board-certified colorectal surgeon brings specialized expertise in diagnosing and treating complex bowel control problems.

I've spent years focusing on the nuances of pelvic floor disorders, nerve injuries, and minimally invasive procedures. This means I can offer advanced solutions for colorectal care like nerve stimulators or in-office treatments—that aren't available in most general clinics.

My goal is always to restore your independence and dignity with the least disruption to your life.Research shows that quality-of-life improves significantly when patients receive expert, tailored care as reported in The Lancet.

Fast, Compassionate Care in Houston

When you're struggling with "can't control bowels," waiting weeks for an appointment is simply not acceptable. That's why I offer same-day and next-day visits at Houston Community Surgical, with virtual second opinions for those outside the area. Schedule a same-day consultation to experience fast and compassionate care.

My approach is simple: treat every patient with respect, listen without judgment, and provide the most effective, least invasive solutions available. I know how much courage it takes to reach out, and I'm here to make the process as comfortable as possible.

Having helped many patients regain control and confidence, I can say that fast, compassionate care truly changes lives. If you're ready to take the first step, I'm here to help.

What Our Patients Say on Google

Patient experiences are at the heart of everything I do as a colorectal surgeon. When someone takes the time to share their journey, it reminds me why compassionate, timely care matters so much especially for conditions as sensitive as "can't control bowels."

I recently received feedback that captures what we aim to provide for every patient who walks through our doors:

"Dr. Ritha had me come in to her medical practice office as new patient within two hours. She was very kind, humble, listened to my medical problem and acted fast to diagnose my medical problem. She makes you very comfortable and describes the process and procedures you need. Very knowledgeable and very sharp. Her office location next to imaging center, where I was able to do cat scan within two hours after seeing her. Amazing doctor." — Wally

You can read moreGoogle reviewshere.

Stories like this reinforce my commitment to making every patient feel heard, respected, and cared for no matter how personal or urgent their concern may be.

Bowel Incontinence Care in Houston

Living in Houston means you have access to advanced, physician-led care for bowel incontinence right in your own backyard. Our city's diverse population and vibrant lifestyle can make managing "can't control bowels" especially challenging whether you're navigating busy commutes, enjoying local cuisine, or staying active in the community.

At Houston Community Surgical, I see firsthand how local factors like our love for spicy foods or the demands of a bustling city can influence symptoms and treatment choices. Having an office conveniently located next to an imaging center means you can get answers and relief quickly, without the hassle of multiple appointments across town.

If you're in Houston and struggling with bowel control, know that you're not alone and expert help is close by. Call 832-979-5670 for a same-day or next-day appointment, or ask about virtual second opinions if you're outside the area. Your comfort and confidence are always my top priorities.

Conclusion

If you're struggling with can't control bowels, you're not alone and you don't have to accept embarrassment or isolation as your new normal. In summary, loss of bowel control can deeply impact your confidence and daily life, but modern, minimally invasive treatments like sacral neuromodulation and in-office procedures under nitrous oxide can restore both comfort and dignity.

As a board certified general and colorectal surgeon, I specialize in helping patients in Houston and beyond regain control, whether you're facing fecal incontinence, rectal prolapse, or colorectal cancer.

If you're ready to stop missing out on life's moments, call my office at 832-979-5670 for a same-day or next-day appointment. Not in Houston? I also offer virtual second opinions at www.2ndscope.com so expert, compassionate care is always within reach. Let's work together to help you feel confident and comfortable again. To stay updated and informed, feel free to subscribe to mycolorectal health newsletter.

This article is for educational purposes only and should not be used as a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment options. Never disregard professional medical advice or delay in seeking it because of something you have read in this article.

Frequently Asked Questions

What should I do if I can't control my bowels?

If you can't control your bowels, don't wait schedule an appointment with a board-certified colorectal specialist. Early evaluation helps identify the cause and opens the door to effective, minimally invasive treatments. Many patients see significant improvement with lifestyle changes, pelvic therapy, or advanced procedures tailored to their needs.

Where can I find fast, compassionate care for bowel incontinence in Houston?

You can call my Houston office at 832-979-5670 for same-day or next-day appointments. I offer discreet, judgment-free care and advanced treatments right here in the city. For those outside Houston, virtual second opinions are available, so you can get expert advice no matter where you live.

How do you help anxious patients feel comfortable during sensitive procedures?

I use a gentle, respectful approach and offer in-office procedures under nitrous oxide to ease anxiety and discomfort. My goal is to make every patient feel safe, heard, and at ease so you can focus on getting better without added stress or embarrassment.