What Doctor Treats Fecal Incontinence? A Physician's Compassionate, Evidence-Based Guide

By Dr. Ritha Belizaire

Quick Insights

What doctor treats fecal incontinence? Colorectal surgeons and some gastroenterologists most often treat fecal incontinence, a condition where the body loses control over bowel movements. Specialized care improves outcomes and helps restore confidence.

Key Takeaways

• Up to 14% of adults experience fecal incontinence during their lifetime, making it more common than many realize.
• Initial evaluation may start with your primary care doctor, but targeted care from a colorectal specialist leads to better results.
• Causes range from muscle injury after childbirth, nerve problems, or chronic illnesses like diabetes.
• Advanced treatments—such as minimally invasive nerve therapies—help most patients regain bowel control and return to normal activities.

Why It Matters

Living with fecal incontinence can quietly erode confidence, relationships, and independence. Knowing the right doctor to see allows you to address embarrassment and uncertainty, opening the path to proven solutions and regaining your freedom—so you can get back to the moments that matter most.

Introduction

As a board-certified colorectal surgeon specializing in sensitive conditions like fecal incontinence, I know that even asking "what doctor treats fecal incontinence?" feels daunting.

Fecal incontinence is the unintentional loss of stool—a condition that can quietly take charge of your calendar and, sometimes, your confidence. It impacts physical health by triggering skin breakdown or infections, but perhaps even more importantly, it disrupts cherished routines, social gatherings, or simply the comfort of leaving the house in Houston without worry.

You're not alone; up to 14% of adults experience this struggle at some point. Research shows that colorectal specialists with minimally invasive expertise guide patients towards safe solutions, as the right physician makes all the difference—sometimes in just one appointment.

Living with worry, setbacks, or embarrassment isn't your only option; let's explore the compassionate answers and discreet treatments available for you.

What Doctor Treats Fecal Incontinence?

If you're wondering what doctor treats fecal incontinence, the answer is clear: a colorectal surgeon or, in some cases, a gastroenterologist. These specialists have advanced training in the complex anatomy and function of the rectum, anus, and pelvic floor.

While your primary care physician may start the evaluation, I've found that patients see the best results when they're referred early to a board-certified colorectal surgeon—especially if symptoms are persistent or severe.

From my perspective as a board-certified colorectal surgeon, accurate diagnosis is critical—many patients are told they have hemorrhoids when it's actually rectal prolapse or even early-stage colorectal cancer.

Who should you see first?

• Start with your primary care physician for an initial discussion.
• If symptoms persist, ask for a referral to a colorectal surgeon or gastroenterologist.
• For complex or long-standing issues, a colorectal surgeon is the most specialized choice.

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. Many individuals may delay seeking care, potentially due to embarrassment, and may be unaware of the effective treatment options available that could restore their confidence much sooner.

According to the Mayo Clinic, initial evaluation often begins with your primary care physician, but targeted referral to a specialist leads to more effective treatment and faster relief.

Understanding Fecal Incontinence

Fecal incontinence means the involuntary loss of stool—sometimes just a small leak, sometimes a full accident. It's not just a "bathroom problem"; it can disrupt your social life, travel plans, and even your sense of independence. I always reassure my patients that this is a medical condition, not a personal failing.

The causes are varied, from weakened muscles after childbirth to nerve injuries or chronic illnesses. Many people are surprised to learn that up to 14% of adults will experience this at some point. The good news? Most people improve with the right treatment and support.

Is Fecal Incontinence Permanent?

Fecal incontinence is rarely a life sentence. Most cases improve significantly with treatment, especially when the underlying cause is addressed. According to the Mayo Clinic, while some causes—like severe nerve damage—may be long-lasting, the majority of patients regain control with a combination of therapies.

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.

In my experience, early intervention and a tailored plan make all the difference. I've seen patients go from planning their day around the nearest restroom to confidently enjoying outings with family and friends.

Common Causes and Why Accurate Diagnosis Matters

Fecal incontinence can sneak up for many reasons. The most common culprits include:

• Muscle injury (often after childbirth or surgery)
• Nerve damage (from diabetes, spinal injuries, or aging)
• Chronic diarrhea or constipation
• Rectal prolapse (when the rectum slips out of place)
• Radiation or inflammatory bowel disease

Getting the diagnosis right is crucial. In clinical practice, some patients diagnosed with IBS or attributed symptoms to normal aging have been found to have underlying muscle or nerve issues that are treatable.

Accurate diagnosis also helps rule out rare but serious causes, like tumors or advanced rectal prolapse. If you're dealing with leaks, don't settle for vague answers—ask for a specialist's opinion.

When to Seek Medical Attention

If you experience sudden loss of bowel control, blood in your stool, or severe abdominal pain, see a physician immediately. These symptoms may signal a more serious condition that needs urgent care.

How Is Fecal Incontinence Diagnosed?

Initial Clinical Assessment

Diagnosis starts with a conversation—yes, even the awkward details. I ask about your symptoms, medical history, and any triggers. A gentle physical exam follows, focusing on the strength and coordination of your anal muscles.

Your primary care physician may begin this process, but a colorectal surgeon brings advanced tools and experience to the table. According to the Mayo Clinic, a stepwise approach—starting with history and exam, then moving to specialized tests—yields the most accurate results.

Small Bowel Follow Through & Other Tests

While "small bowel follow-through" is a term you might hear, it's not a standard test for fecal incontinence. Instead, I use:

• Anorectal manometry (measures muscle strength)
• Endoanal ultrasound (visualizes muscle tears)
• MRI or nerve studies (for complex cases)

If you've been told you need a small bowel follow-through, ask your physician if it's truly necessary for your symptoms. Most often, targeted anorectal testing gives us the answers we need.

I've found that combining these tests with a compassionate, open conversation helps patients feel seen—not just scanned.

Treatment Options: Conservative to Advanced

Diet and Lifestyle Changes

The first step is often the simplest: adjust your diet and daily habits. Adding fiber, staying hydrated, and avoiding trigger foods can make a world of difference. The Mayo Clinic recommends these changes as the foundation of treatment for most patients.

I always start here, because small tweaks can sometimes lead to big improvements—no surgery required.

Pelvic Floor Therapy

Pelvic floor exercises (think "Kegels for your bottom") help strengthen the muscles that keep everything in place. In my practice, I often refer patients to specialized pelvic floor therapists for biofeedback and guided training.

Biofeedback isn't a first-line treatment, but it can be helpful for certain patients, especially when paired with other therapies. See clinical guidelines on biofeedback.

Injectable Bulking Agents & Sacral Neuromodulation

For those who need more than lifestyle changes, minimally invasive options are available. Injectable bulking agents are tiny "fillers" placed in the anal canal to help close small gaps—often done right in the office by a colorectal surgeon or gastroenterologist.

Sacral neuromodulation (SNM) is a game-changer for many. It's a small device, like a pacemaker for your bottom, that helps "retrain" the nerves controlling bowel movements. According to the Cleveland Clinic, SNM is FDA-approved and considered a leading surgical option for those who don't respond to conservative measures.

I've seen patients regain their freedom and confidence with SNM—sometimes after years of frustration.

For specific cases, Axonics sacral neuromodulation therapy offers advanced treatment options for those dealing with fecal incontinence.

Other Neuromodulation Approaches

Percutaneous tibial nerve stimulation (PTNS) is another option, using gentle electrical pulses to improve nerve function. Recent research supports its use for select patients.

Surgical Options

When all else fails, surgery may be needed to repair damaged muscles or correct rectal prolapse. I always discuss the risks and benefits in detail, making sure you feel comfortable and informed every step of the way.

Explore the range of specialized colorectal care offered for more comprehensive details on various treatment options.

Why Choose a Colorectal Surgeon?

Choosing a colorectal surgeon means you're seeing a physician with years of extra training in the delicate art of bowel control. I'm board-certified in both general and colorectal surgery, which means I've spent years mastering the nuances of these conditions.

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. Research shows that seeing the right specialist leads to faster, more effective results—especially for complex or stubborn cases.

In my practice, I offer same-day and next-day appointments, advanced diagnostics, and minimally invasive treatments—all in a setting designed for your dignity and comfort. I believe that compassionate care and technical expertise go hand in hand.

Dr. Ritha Belizaire's Approach in Houston

At Houston Community Surgical, I blend advanced technology with a warm, judgment-free environment. My approach is simple: listen first, then tailor a plan that fits your life and goals.

In clinical practice, some physicians offer in-office procedures under nitrous oxide for patient comfort, and in Houston, some surgeons perform sacral nerve stimulator trials in the clinic setting. My team and I are committed to fast access, clear communication, and helping you feel at ease—even when discussing the most sensitive topics.

If you're not local, I also provide virtual second opinions, so you can get expert guidance no matter where you are.

What Our Patients Say on Google

Patient experiences are at the heart of everything I do as a physician. When someone walks into my Houston office feeling anxious or uncertain, my goal is to provide not just answers but genuine reassurance and support.

I recently received feedback that captures what we aim to provide for every patient who trusts us with their care:

"My experience was wonderful! Dr. Belizaire and her team was very informative, comforting, and above all very very professional. I couldn't have gotten a better doctor! I would classify Dr. Belizaire as Superior in her area of expertise. Before the surgery Dr. Belizaire help me to relax by giving the assurance she was going to take care of the issue I was having. I actually came into the center scare, but after I talked to the Surgical Team, I felt relaxed, confident and ready. I couldn't have gotten a better Doctor than Dr. Belizaire. Thanks you for fixing my condition I dealt with for 3 years. I feel great!" — Jean

You can read more Google reviews here.

Stories like this remind me why compassionate, expert care matters—especially for sensitive conditions like fecal incontinence. Your comfort and confidence are always my top priorities.

Fecal Incontinence Care in Houston

Living in Houston means you have access to advanced, specialized care for fecal incontinence right in your own backyard. The city's diverse population and active lifestyle can sometimes make bowel control issues feel even more isolating, but you're not alone—and you don't have to travel far for expert help.

As a board-certified colorectal surgeon practicing in Houston, I understand the unique needs of our community. From same-day appointments to in-office procedures under nitrous oxide, my team is dedicated to making care accessible and discreet for every Houstonian.

Environmental factors and lifestyle can add extra challenges for those managing fecal incontinence, but with tailored treatment plans and local resources, most patients regain their confidence and freedom. Whether you're seeking minimally invasive solutions or a second opinion, you'll find compassionate, evidence-based care right here.

If you're in Houston and ready to take the next step, schedule a same-day consultation. Relief is closer than you think.

Conclusion

If you're still wondering what doctor treats fecal incontinence, the answer is clear: a board-certified colorectal surgeon like me offers the most specialized, compassionate care. In summary, early referral to a colorectal specialist leads to faster relief, accurate diagnosis, and access to advanced treatments—whether you're dealing with muscle injury, nerve issues, or chronic conditions.

My expertise in sacral neuromodulation, rectal prolapse, and colorectal cancer means I can tailor minimally invasive solutions, including in-office procedures under nitrous oxide, to help you regain control and confidence.

Don't let embarrassment or uncertainty keep you from living fully in Houston. If you're ready to stop missing out on life's moments, call 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 help is always within reach.

As a board-certified general and colorectal surgeon, I'm here to help you feel comfortable, cared for, and back to your best self. For more on why specialist care matters, see this comprehensive overview from the Cleveland Clinic.

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 doctor treats fecal incontinence, and why see a specialist?

A board-certified colorectal surgeon or gastroenterologist is best equipped to treat fecal incontinence. I recommend seeing a specialist because accurate diagnosis and advanced treatments—like sacral neuromodulation—can restore bowel control and quality of life. Most patients see improvement with the right care, and early intervention often leads to better outcomes.

Where can I find minimally invasive fecal incontinence treatment in Houston?

You can find minimally invasive options, including sacral neuromodulation and in-office procedures under nitrous oxide, at my Houston practice. I offer same-day and next-day appointments to help you get answers quickly and discreetly. My goal is to make every patient feel comfortable, respected, and confident in their care.

How do you help patients feel comfortable during sensitive exams or treatments?

I understand that discussing and treating fecal incontinence can feel embarrassing or stressful. That's why I offer a warm, judgment-free environment and use nitrous oxide for in-office procedures to ease anxiety. My approach is always patient-centered, focusing on dignity, clear communication, and making sure you feel safe every step of the way.

Before concluding, I invite you to subscribe to my colorectal health newsletter to stay updated on the latest treatments and insights.