What Causes Uncontrollable Leakage From Anus After Defication?

Posted on Mon, 5 May 2014

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Mon, 5 May 2014 Answered on

Wed, 21 May 2014 Last reviewed on

Question : 15 - 20 min. After defication, uncontrollable leakage like di area. No blood. Recent colonoscopy was negative. Some very small hemorrhoids. Doctor did not recommend surgery. Is this normal? Yes I'm a bit overweight. 50 yrs old 240 lbs.
Thank you, XXXXXXX

Answered by Dr. Dr. Klerida Shehu (4 hours later)

Brief Answer:
Further tests are needed...

Detailed Answer:
Hi there XXXXXXX

I have gone through your medical history carefully. I am happy that your recent colonoscopy was normal.

To my impression, it might be anal incontinence (early stages). I recommend to run anal manometry to evaluate the status of anal sphincter.

I also suggest to do rectal endoscopic ultrasound (EUS) to evaluate the structure around annus.

Depending on the tests results, specific treatment will be advised.

Hope it was of help! Do write me back if you need further clarifications!
Dr.Klerida

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar