Every Time I Pee Poop Comes Out: Houston Specialist Guide

June 18, 2025

Essential Medical Insights: Why Every Time I Pee Poop Comes Out

By Dr. Ritha Belizaire

Quick Insights:

What is "every time I pee poop comes out"? This describes passing stool while urinating, often due to pelvic floor issues or a rare bladder-bowel connection, and may require urgent expert evaluation for proper care according to leadingmedicalsources.

Key Takeaways:

Fecal incontinence is a primary cause, resulting from weak muscles or nerve damage in the pelvic area.
Rare conditions like an enterovesical fistula can allow stool to leak into the bladder, posing serious risk.
Some colorectal surgeries or cancers may trigger changes, increasing the likelihood of stool leakage with urination.
If you feel embarrassed or isolated, know that these symptoms are treatable with today's minimally invasive therapies.

Why It Matters:

Facing "every time I pee poop comes out" can deeply affect your dignity, social life, and emotional health. Understanding the causes helps you reclaim control, find relief, and avoid unnecessary suffering. Prompt action preserves your confidence and safeguards your quality of life—you're not alone, and compassionate help is available.

Introduction

As a board-certified colorectal surgeon, I've seen just how distressing "every time I pee poop comes out" can be—especially when you're looking for answers and dignity.

This symptom, known medically as fecal incontinence or potentially a bladder-bowel connection, means stool is passing during urination. It's not a typical hassle; it disrupts comfort, confidence, and outings with friends. For many people in Houston, this brings embarrassment and anxiety, making it easy to delay medical help.

Every time I hear this concern, I want you to know: you're not alone, and there are real answers. Research from leading medical organizations confirms that these symptoms may stem from weakened pelvic floor muscles, nerve problems, or rare medical connections—each deserving prompt evaluation by a skilled physician.

Don't wait in silence—early, compassionate care leads to solutions and can help restore your quality of life.

Why Am I Noticing Poop When I Pee?

Noticing stool when you urinate can feel like your body is playing a cruel joke, but it's a real medical symptom that deserves attention. This isn't just a quirky plumbing issue—it's your body's way of waving a red flag. The most common reason is a breakdown in the pelvic floor muscles or nerves, which normally keep things running in separate lanes. When these muscles weaken or nerves misfire, stool can slip out when you least expect it—even during urination.

From my perspective as a board-certified colorectal surgeon, accurate diagnosis is paramount here. Many patients are perplexed by such symptoms, often attributing them to unrelated issues until evaluated professionally.

Embarrassed by Your Symptoms? You're Not Alone.

Let's be honest: talking about poop and pee in the same sentence isn't anyone's idea of fun. But you're not alone. In clinical practice, physicians often encounter patients who have endured bowel issues for years without seeking treatment, unaware of the available and effective interventions. I see patients every week who are mortified by these symptoms, and I always remind them—this is a medical issue, not a personal failing. From my experience, the sooner you bring it up, the sooner we can get you back to living life without fear of accidents.

Sometimes, the cause is more serious, such as an uncommon connection between the bowel and bladder. This is called an enterovesical fistula—a tunnel that shouldn't exist, letting stool sneak into the bladder. If you notice brownish urine, bubbles in your pee, or a foul odor, don't brush it off. These are signs your body needs a professional's help. Timely and expert medical attention is crucial when these symptoms arise, as untreated fistulas can lead to serious complications. Discover specialized colorectal care services today.

When Is This Symptom an Emergency?

If you're reading this and feeling a surge of panic, take a breath. Most cases aren't emergencies, but some warning signs mean you should act fast. If you experience symptoms such as fever, stool in your urine, or other concerning changes, seek medical attention promptly. As a colorectal surgeon, I always advise patients to err on the side of caution. Consulting early can prevent complications and provide peace of mind.

Signs You Should Seek Immediate Medical Attention

Sudden, complete loss of bowel or bladder control
High fever with chills
Severe abdominal or back pain

Red Flags: When to Call 911

Inability to urinate or pass stool at all
Confusion, weakness, or fainting
Severe pain with vomiting

When to Seek Medical Attention

If you notice stool in your urine, persistent leakage, or new bowel changes, see a physician right away. These symptoms can signal a serious underlying problem. Prompt evaluation can ensure a correct diagnosis and appropriate treatment plan, often sparing patients from prolonged distress.

Common Causes: From Fecal Incontinence to Rare Fistulas

Let's pull back the curtain on what might be causing this distressing symptom. The most common culprit is fecal incontinence—when the muscles or nerves that control your bottom aren't working as they should. According to the Mayo Clinic, fecal incontinence can result from childbirth, aging, nerve damage, or even chronic constipation, and it's more common than you might think. Accurate diagnosis is crucial in distinguishing between conditions with similar presentations, necessitating nuanced clinical evaluation.

Fecal Incontinence

Fecal incontinence means you can't always control when stool comes out. This can happen if the muscles around your anus are weak or if nerves are damaged. I've seen this in patients after surgery, with diabetes, or following a tough childbirth. Sometimes, even a stubborn case of constipation can stretch things out and lead to leaks. Restoring control isn't just about the physical aspect; it's about reclaiming one's dignity and normalcy, something I've worked towards with countless patients.

Enterovesical (Bladder-Bowel) Fistula

Now for the rare but serious: an enterovesical fistula. This is a tunnel between your bowel and bladder, letting stool or gas pass into your urine. It's not common, but when it happens, you might notice brown, cloudy urine, bubbles, or even a foul smell.

According to Health.com, up to 78% of people with this condition notice feces in their urine. In my practice, I've seen this most often in people with diverticulitis, Crohn's disease, or after certain surgeries. Accurate, thorough evaluation is key to confirming and managing such complex cases. Learn more about Axonics sacral neuromodulation for treatment.

Other Potential Causes

Other causes include rectal prolapse (when the rectum slips out of place), colorectal cancer, or the after-effects of pelvic radiation or surgery. Cancer Research UK notes that bowel changes, including incontinence, can occur after treatment for colorectal cancer. If you've had recent surgery or cancer treatment, mention this to your physician. Tailored treatments exist, and outcomes improve with early professional intervention.

How Doctors Diagnose the Problem

When you come to see me, I start with a detailed conversation—no judgment, just facts. I'll ask about your symptoms, medical history, and any recent surgeries or illnesses. Then, I perform a gentle exam to check muscle strength and look for physical changes. Precision in diagnosing is as much about asking the right questions as it is about assessments.

What to Expect at Your Appointment

Expect questions about when the symptoms started, how often they happen, and what makes them better or worse. I may ask you to keep a diary of your bathroom habits for a week or two. This helps me spot patterns and tailor your care. Maintaining comprehensive medical records can help identify underlying factors and inform precise treatment decisions.

Key Tests and Examinations

Depending on your story, I might order tests like:

Anorectal manometry (measures muscle strength)
Endoscopy (looks inside your bowel)
Imaging (CT scan or MRI)
Urine tests

Diagnosing an enterovesical fistula can be tricky and sometimes takes months. Health.com explains that imaging and endoscopic tests are often needed to confirm the diagnosis. A comprehensive evaluation is crucial in determining the most effective treatment approach.

Treatment Options Tailored for You

The good news? Most causes of "every time I pee poop comes out" are treatable. I always start with the least invasive options and build from there. Early intervention not only enhances treatment efficacy but also significantly improves quality of life, a cornerstone of my own practice philosophy.

Lifestyle and Diet Changes

Simple changes can make a big difference. Adjusting your diet, increasing fiber, and managing constipation are often the first steps. The Mayo Clinic recommends starting with these basics before moving to more advanced therapies. I've seen patients regain control just by tweaking their routines.

Minimally Invasive Procedures

If lifestyle changes aren't enough, I offer in-office treatments like biofeedback therapy or injections to strengthen the anal muscles. For some, sacral nerve stimulation—a procedure that uses gentle electrical pulses to improve nerve signals—can be life-changing. Cleveland Clinic reports that sacral nerve stimulation reduces incontinence episodes for many patients. In my practice, I've seen patients go from daily accidents to weeks without a single issue.

Advanced Surgical Solutions

For severe cases, surgery may be needed. This could mean repairing a fistula, correcting rectal prolapse, or even reconstructing the anal muscles. I use minimally invasive techniques whenever possible, which means less pain and faster recovery. My goal is always to get you back to your life with dignity and confidence.

Why Early Specialty Care Is Essential

Seeing a board-certified colorectal surgeon isn't just about fancy titles—it's about getting the right diagnosis and the best treatment, fast. I bring years of specialized training and a toolbox of advanced options, from in-office procedures to robotic surgery. The Cleveland Clinic highlights that specialty care offers rapidly advancing solutions, including robotic and in-office interventions that generalists may not provide.

In my experience, early intervention leads to better outcomes and fewer complications. You deserve care that's both compassionate and cutting-edge.

Comprehensive, collaborative care means I work closely with your other physicians to address every aspect of your health. Whether you need pelvic floor therapy, medication, or surgery, I coordinate your care so nothing falls through the cracks.

What Our Patients Say on Google

Hearing directly from patients is one of the most meaningful parts of my work as a colorectal surgeon. Real experiences help others feel less alone and more empowered to seek answers.

I recently received feedback that captures what we aim to provide in every visit—clear communication, comfort, and a sense of partnership in your care journey.

"I met with Dr. Belizaire for an upcoming surgery. I can't speak enough about how relatable Dr. Belizaire is and comfortable I felt with her explanation of the plan and her responses to my questions."
— Mlyn

If you'd like to see more honest feedback from people who have walked this path, you can read more patient experiences on Google .

Stories like this remind me why compassionate, clear care is so important—especially when facing symptoms as personal as "every time I pee poop comes out."

Expert Colorectal Care in Houston

Navigating symptoms like stool leakage during urination can feel overwhelming, but you don't have to do it alone—especially here in Houston. Our city is home to a diverse community, and I understand how local factors like diet, lifestyle, and even our famously spicy cuisine can play a role in digestive health.

At Houston Community Surgical, I offer same-day and next-day appointments for urgent concerns, so you can get answers quickly and discreetly. My practice is dedicated to providing advanced, minimally invasive treatments right here in Houston, from in-office procedures to complex surgical solutions. Schedulea same-day consultation to take the first step towards relief.

Whether you're dealing with fecal incontinence, a rare fistula, or changes after cancer treatment, you'll find expert care tailored to your needs. I work closely with other Houston physicians to ensure you receive comprehensive, coordinated support.

If you're in Houston and struggling with these symptoms, don't wait—call 832-979-5670 to schedule your visit. For those outside the area, virtual second opinions are also available, so help is always within reach.

Conclusion

If you're searching for answers to "every time I pee poop comes out," know that you're not alone—and you don't have to live with the embarrassment or discomfort. In summary, this symptom is often caused by treatable conditions like fecal incontinence or, rarely, a bladder-bowel connection. Early, expert care can restore your confidence and help you reclaim your daily life.

As a board-certified general and colorectal surgeon, I specialize in compassionate, minimally invasive solutions—including sacral neuromodulation, robotic surgery, and office-based procedures under nitrous oxide for anxious patients. Research confirms that most causes of stool leakage with urination are highly treatable with prompt, specialized care.

If you're in Houston, call 832-979-5670 for a same-day or next-day appointment. Not local? I offer virtual second opinions at www.2ndscope.com. Don't let embarrassment keep you from answers—take the first step toward comfort and confidence today.

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 every time I pee poop comes out?

If you notice stool passing when you urinate, it's important to see a physician promptly. This symptom can be caused by treatable issues like fecal incontinence or, rarely, a bladder-bowel connection. Early evaluation helps identify the cause and start the right treatment, often improving both comfort and quality of life.

Where can I find expert help for this problem in Houston?

You can schedule a same-day or next-day appointment with me at Houston Community Surgical. I offer advanced, minimally invasive treatments for sensitive colorectal conditions, and I'm committed to making you feel comfortable and respected from your very first visit. Virtual second opinions are also available if you're outside Houston.

How do you help patients feel less anxious about sensitive exams or procedures?

I understand that discussing and treating these symptoms can feel embarrassing. That's why I offer office-based procedures under nitrous oxide for added comfort and relaxation. My approach is always compassionate and judgment-free, so you can focus on getting better without added stress or worry.

For more insights and updates on colorectal health, subscribe to mycolorectalhealth newsletter.

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Choosing a Fecal Incontinence Specialist: Your Guide to Expert Care

By Dr. Ritha Belizaire • June 16, 2025

What Is a Fecal Incontinence Specialist? The Answer Might Surprise You By Dr. Ritha Belizaire Quick Insights: A fecal incontinence specialist is a medical expert who diagnoses and treats bowel leakage (accidental loss of stool). They address underlying causes like muscle weakness or nerve problems. Medical studies highlight the importance of prompt, specialized care to restore dignity and prevent worsening issues. Learn more from Mayo Clinic . Key Takeaways: Fecal incontinence can result from weak pelvic floor muscles, nerve damage, or chronic conditions like diabetes. Up to 15% of older adults are affected, but most never seek help due to embarrassment. Treatments range from diet changes and pelvic floor therapy to advanced options like sacral nerve stimulation. Seeing a specialist improves your comfort, privacy, and chances of a life-changing result when previous treatments failed. Why It Matters: Living with fecal incontinence causes stress, isolation, and anxiety about leaving home. Understanding that compassionate, proven help exists empowers you to reclaim confidence and enjoy social moments again, without the fear and shame you may have felt for years. Introduction As a board-certified colorectal surgeon serving Houston, I've seen how distressing fecal incontinence can upend daily life and independence. A fecal incontinence specialist is a physician with advanced training in diagnosing and managing accidental bowel leakage—a condition where control over bowel movements is lost, often due to weak muscles, nerve damage, or illnesses like diabetes. It's more common than you'd guess, affecting up to 15% of older adults, yet embarrassment keeps most people silent and suffering. Addressing this vulnerable topic takes equal amounts of expertise and empathy. My focus is blending cutting-edge approaches—like sacral nerve stimulator trials or in-office treatments under nitrous oxide—with care that puts dignity and comfort first. Research from leading institutions highlights that prompt specialist care not only improves symptoms, but also restores confidence and social connection. You don't have to keep staying home or making backup plans—for many in Houston, real relief can start today. What is Fecal Incontinence? Fecal incontinence—sometimes called bowel leakage—is the accidental loss of stool or gas. It's not just a minor inconvenience; it can disrupt your social life, confidence, and even your willingness to leave home. The most common culprits are weakened pelvic floor muscles, nerve damage (often from childbirth, surgery, or diabetes), and chronic constipation. You might notice: Sudden urges you can't control Leaking when you cough, laugh, or exercise Trouble making it to the bathroom in time Ongoing skin irritation around the anus In my experience, many patients feel embarrassed or alone, but you're far from it. Up to 15% of older adults deal with some form of bowel incontinence. I always remind my patients: this is a medical condition, not a personal failing. When to Seek Medical Attention If you experience sudden, severe loss of bowel control, blood in your stool, or new weakness or numbness in your legs, contact a physician immediately. These symptoms may signal urgent medical issues. Why See a Fecal Incontinence Specialist? You might wonder, "Why not just talk to my regular physician?" While primary care physicians are a great starting point, a fecal incontinence specialist—like me—brings advanced training in the complex anatomy and function of the pelvic floor, rectum, and nerves. I use specialized tools and tests to pinpoint the root cause, not just treat the symptoms. Seeing a specialist means: Faster, more accurate diagnosis Access to advanced treatments (like sacral nerve stimulation or in-office procedures) A care plan tailored to your unique needs and comfort level I've found that many patients have tried over-the-counter remedies or even prescription medications with little relief. As a board-certified colorectal surgeon, I can offer options that go beyond the basics, including minimally invasive procedures and therapies you won't find at a general clinic. My goal is to restore your dignity and help you get back to living life on your terms. Meet Your Care Team When you come to Houston Community Surgical, you're not just seeing me—you're meeting a team dedicated to your comfort and privacy. As a dual board-certified colorectal surgeon, I work closely with pelvic floor therapists, nurse practitioners, and support staff who understand the sensitive nature of bowel incontinence. Who treats fecal incontinence? Fecal incontinence is best managed by a team that may include: Colorectal surgeons (like me) Gastroenterologists Pelvic floor physical therapists Nurse practitioners with GI expertise Nutritionists I coordinate your care so you never feel lost in the shuffle. My team and I are committed to making every visit as stress-free as possible, from your first call to your last follow-up. Diagnosis and Evaluation Getting to the bottom of bowel leakage starts with a detailed conversation—no judgment, just honest talk. I'll ask about your symptoms, medical history, and any previous treatments. Then, I use specialized tests to pinpoint the cause: Anorectal manometry (measures muscle strength) Endoanal ultrasound (looks for muscle tears) Nerve studies Stool tests and bloodwork According to clinical g uidelines , a thorough evaluation is essential for choosing the right treatment path. In my practice, I've seen how a careful, stepwise approach can uncover issues that might be missed in a rushed visit. My goal is to make sure you feel heard and understood every step of the way. Treatment Options for Fecal Incontinence There's no one-size-fits-all solution for bowel leakage. I tailor every plan to your needs, starting with the least invasive options and moving up only if necessary. Here's a quick overview: Diet and lifestyle changes Pelvic floor therapy Medications Advanced procedures (like sacral nerve stimulation) What are the main treatments for fecal incontinence? The most effective treatments include: Dietary adjustments (fiber, fluid management) Pelvic floor exercises and biofeedback Medications (anti-diarrheals, bulking agents) Sacral nerve stimulation (a "pacemaker" for your bowels) Surgery for severe cases I always start with conservative measures, but for those who need more, advanced therapies can be life-changing. Long-term studies show significant improvement in symptoms and quality of life with these approaches. Diet and Lifestyle Remedies Simple changes can make a big difference. I often recommend: Increasing fiber to firm up stool Avoiding trigger foods (like caffeine or spicy meals) Scheduling bathroom visits Using skin barriers to prevent irritation Conservative measures are the first step for most patients as supported by expert guidelines . In my experience, these changes alone can bring significant relief for many. Pelvic Floor Therapy Pelvic floor therapy involves exercises and sometimes biofeedback to strengthen the muscles that control bowel movements. I work with specialized therapists who guide you through: Kegel exercises Biofeedback sessions Electrical stimulation (when needed) This approach is especially helpful for those with muscle weakness or after childbirth. I've seen patients regain control and confidence with just a few weeks of dedicated therapy. Medications Medications can help by firming up stool or reducing urgency. Common options include: Anti-diarrheal drugs (like loperamide) Fiber supplements Bulking agents Newer therapies are emerging, and I stay up-to-date on the latest research as highlighted in recent systematic reviews . I always discuss potential side effects and tailor choices to your lifestyle. Surgical and Advanced Treatments For persistent cases, advanced options may be needed. These include: Sacral nerve stimulation (a minimally invasive "pacemaker" for the bowels) Sphincter repair surgery Injectable bulking agents Sacral neuromodulation is now considered a first-line surgical option for many patients according to clinical guidelines . Long-term studies show significant improvement in symptoms and quality of life with this approach. In my practice, I offer in-office procedures under nitrous oxide for comfort, and I've seen patients who thought they'd "tried everything" finally find relief. For some, surgery is the best path, especially if there's a clear muscle tear or severe nerve injury. I always explain the risks and benefits in plain language, so you can make an informed choice. FAQs About Fecal Incontinence Specialists Is radiofrequency energy treatment recommended for fecal incontinence? No, radiofrequency energy delivery is not recommended for treating fecal incontinence according to expert guidelines. What are the success rates for sacral nerve stimulation? Success rates for sacral neuromodulation vary, but studies show 20.9% to 87.5% of patients experience significant improvement in long-term outcomes . How do I know if I need to see a specialist? If you've tried basic treatments without relief, or your symptoms are affecting your quality of life, it's time to see a physician with advanced training in bowel control. Are there risks with advanced treatments? All procedures carry some risk, but I take every precaution to minimize complications. I'll walk you through what to expect and answer all your questions. Can fecal incontinence be cured? While not every case is "cured," most patients see major improvements with the right combination of therapies. My goal is always to help you regain control and confidence. What if I'm too embarrassed to talk about it? You're not alone—many people feel this way. I create a judgment-free space where you can share your concerns openly. Remember, this is a medical issue, not a personal flaw. Patient Success Stories Many of my patients arrive feeling hopeless, convinced nothing will help. I've seen firsthand how the right diagnosis and a personalized plan can turn things around. One woman told me she finally attended her granddaughter's recital without fear—something she hadn't done in years. Research and Resources If you want to dig deeper, I recommend these trusted resources: Mayo Clinic: Fecal Incontinence Overview PubMed: Long-term Outcomes of Sacral Nerve Stimulation ASCRS Clinical Guidelines AJG: New Therapies for Fecal Incontinence ScienceDirect: Surgical and Advanced Treatments Get Expert Help for Fecal Incontinence You don't have to keep suffering in silence. I offer same-day and next-day appointments , and for those outside Houston, virtual second opinions are available at www.2ndscope.com . According to the Mayo Clinic, prompt specialist care can dramatically improve symptoms and restore your quality of life as outlined in expert guidance . If you're ready to take the next step, I'm here to help—no judgment, just answers. What Our Patients Say on Google Patient experiences are at the heart of what I do—every story shapes how I approach care, especially with sensitive issues like fecal incontinence. It's not just about medical expertise; it's about making you feel heard, respected, and comfortable from the very first visit. I recently received feedback that captures what we aim to provide in our Houston practice. This reviewer shared: "I met with Dr. Belizaire for an upcoming surgery. I can't speak enough about how relatable Dr. Belizaire is and comfortable I felt with her explanation of the plan and her responses to my questions." — Mlyn You can read more patient ex periences on Google . Hearing that patients feel at ease and fully informed is the best endorsement of my approach. If you're struggling with bowel leakage, know that compassionate, judgment-free care is possible—and you don't have to face it alone. Fecal Incontinence Specialist Care in Houston Living in Houston means you have access to advanced, compassionate care for fecal incontinence right in your own backyard. Our city's diversity brings a wide range of health needs, and I see firsthand how lifestyle, diet, and even Houston's famously spicy cuisine can play a role in bowel health. Houston's large medical community allows for seamless collaboration with pelvic floor therapists, nutritionists, and other specialists—all under one roof at Houston Community Surgical. Whether you're navigating busy city life or caring for family, I make it a priority to offer same-day and next-day appointments so you don't have to wait for answers. If you're in Houston and struggling with accidental bowel leakage, don't let embarrassment keep you from getting help. Call 832-979-5670 to schedule a confidential consultation, or visit us for a personalized care plan that fits your lifestyle . Your comfort and confidence are just a phone call away. Conclusion If you're searching for a fecal incontinence specialist, know that you're not alone—and you don't have to keep missing out on life's moments. In summary, prompt, compassionate care can restore your confidence, dignity, and daily comfort. As a board-certified general and colorectal surgeon, I offer advanced treatments like sacral neuromodulation, minimally invasive procedures, and even in-office care under nitrous oxide for those who feel anxious. My focus is always on your comfort and privacy, whether you're dealing with bowel leakage, rectal prolapse, or colorectal cancer. If you're in Houston, call 832-979-5670 for a same-day or next-day appointment. Not local? I also offer virtual second opinions at www.2ndscope.com—so expert help is always within reach. Don't let embarrassment keep you from relief; together, we can help you reclaim your confidence and quality of life. For more on treatment options and outcomes, see this compr ehensive Mayo Clinic overview . Before you leave, consider subscribing to my colorectal health newsletter to stay updated on the latest treatments and tips. 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 does a fecal incontinence specialist do? A fecal incontinence specialist is a physician with advanced training in diagnosing and treating bowel leakage. I use specialized tests to find the root cause and offer a range of treatments—from dietary changes and pelvic floor therapy to advanced procedures—so you can regain control and confidence in your daily life. Where can I find a fecal incontinence specialist in Houston? You can find expert care for fecal incontinence right here in Houston at my practice, Houston Community Surgical. I offer same-day and next-day appointments, plus virtual second opinions for those outside the area. My goal is to provide fast, compassionate help so you don't have to wait for relief. How do you help patients feel comfortable during sensitive exams or treatments? I understand that discussing and treating bowel issues can be embarrassing or stressful. That's why I offer a judgment-free environment and, for those who feel anxious, in-office procedures under nitrous oxide. My approach is always focused on your dignity, privacy, and comfort—every step of the way.

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