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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why Am I Unable To Control Bowel Movements?

I am unable to control my bowel movements at times. If I don t go to the bathroom right away, I am unable to control it. Why is this happening? I am 54 years old, female. I am a diabetic, taking medications, and I have it under control. I like going for walks after dinner, but most of the time I have to cut it short because of the need to go the the bathroom. Please help.
Thu, 29 Sep 2016
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted the history about a 54 year old female with known diabetes and have developed incontinence and urgency to pass motion.
The most probable cause can be one or the combination of the following:
- Due to diabetes the anal sphincters can become lax and hence the problem.
-There may be colitis and mucus which makes control difficult.
I would advise you the following in such a situation:
Get a clinical evaluation, examination and per-rectal digital as well as anoproctoscopy examination to know the tone of the anal sphincters and any ano-proctitis.
Colonoscopy helps further to know the cause.
Control of diabetes is very important.
Medications for the primary disease if any.
Symptomatic treatment.
Avoid foods and beverages that cause such a problem.
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Why Am I Unable To Control Bowel Movements?

Hi. Thanks for your query. Noted the history about a 54 year old female with known diabetes and have developed incontinence and urgency to pass motion. The most probable cause can be one or the combination of the following: - Due to diabetes the anal sphincters can become lax and hence the problem. -There may be colitis and mucus which makes control difficult. I would advise you the following in such a situation: Get a clinical evaluation, examination and per-rectal digital as well as anoproctoscopy examination to know the tone of the anal sphincters and any ano-proctitis. Colonoscopy helps further to know the cause. Control of diabetes is very important. Medications for the primary disease if any. Symptomatic treatment. Avoid foods and beverages that cause such a problem.