Hello, Welcome to HealthCareMagic. There are many potential causes of fecal incontinence like diarrhea (possibly due to an infection or IBS) or impacted stool (due to severe constipation, often seen in people of your age group) or inflammatory bowel disease (Crohn s disease or ulcerative colitis). More than one cause for fecal incontinence is a strong possibility. A lot of cases of bowel incontinence, occur without a clear cause. You will need to see a Gastroenterologist and discuss your entire medical history. During a physical examination, a the GI may check the strength of the anal sphincter muscle using a gloved finger inserted into the rectum. Some of the tests that may be needed which are stool testing and endoscopy. Anorectal manometry. A pressure monitor is inserted into the anus and rectum. This allows measurement of the strength of the sphincter muscles. Endosonography. An ultrasound probe is inserted into the anus. This produces images that can help identify problems in the anal and rectal walls. Nerve tests. These tests measure the responsiveness of the nerves controlling the sphincter muscles. They can detect nerve damage that can cause bowel incontinence. Often, more than one treatment method may be required to control symptoms. Diet change: eat 20 to 30 grams of fiber per day. This can make stool more bulky and easier to control. Avoid caffeine. This may help prevent diarrhea. Drink several glasses of water each day. This can prevent constipation. Medications. Try these medicines to reduce the number of bowel movements and the urge to move the bowels: Imodium Lomotil Hyoscyamine Methylcellulose can help make liquid stool more solid and easier to control. For people with a specific cause of diarrhea, such as inflammatory bowel syndrome, other medications may also help. Surgery may be recommended for people whose bowel incontinence is not helped by noninvasive treatments. Hope this helps. Regards,