Brief Answer:
Sphincter weakness.
Detailed Answer:
Hi, Thanks for writing to us,
I went through your query and understood your concerns.
When you have the urge to have a bowel movement, the anus, rectum, sphincters, pelvic muscles, and nervous system must function together to hold a bowel movement in place until you reach a toilet. If one of these is injured or weakened, you may experience
fecal incontinence. You must also be able to recognize when you feel the urge to have a bowel movement.
Probable cause in your condition would be
nerve damage from
hemorrhoid .
resulting in weakness of muscle around anus.
Endo anal
ultrasound and defecography helps to know strength of anal sphincter.
Bowel incontinence often occurs because the rectal sphincter is less able to handle large amounts of liquid stool. Often, simply changing the diet may reduce the occurrence of bowel incontinence.
Adding bulk to the diet may thicken
loose stool and decrease its amount. Increasing fiber (30 grams daily) from whole-wheat grains and XXXXXXX adds bulk to the diet.
Bowel training teaches you to strengthen the muscles that control when stool is released. It also trains the bowels to release stool at certain times.
If you do not respond to medications or other treatment,I recommend
neuromodulation. This treatment changes or affects the nerves in the bowel and
pelvic floor. Neuromodulation can be done in the office with regular visits or it may be performed by implanting a device like a pacemaker in your buttock.
Surgical method for sphincter repair are last option in uncontrolled cases.
Hope this information is helpful, feel free to ask further query.
Regards