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Fecal incontinence

Fecal incontinence is the inability to control bowel movements, causing unexpected stool leakage. It can range from occasional minor leaks to complete loss of bowel control. Though it’s often considered embarrassing, it’s a common and treatable condition-you are not alone, and help is available.

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Common Causes

Fecal incontinence may result from:

Symptoms

If you’re experiencing these symptoms, a comprehensive evaluation can help determine the cause and best treatment.
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Treatment Options

Our approach is personalized and compassionate, aiming to restore your bowel control and
improve your quality of life. Treatments include:

Dietary & Lifestyle Changes

High-fiber diet to regulate stool consistency

Medications

Pelvic Floor Therapy & Biofeedback

Specialized physical therapy to strengthen pelvic muscles and improve coordination. Biofeedback uses sensors and visual cues to help retrain muscle function.

Minimally Invasive Procedures

- Sacral Nerve Stimulation (SNS):
A pacemaker-like device stimulates nerves that control the bowel, restoring function

- Solesta® Injections:
A gel injected into the anal canal to improve closure and reduce leakage.

Surgical Options

In more severe or refractory cases, surgery may be recommended:

Constipation Evaluation

Modern Testing. Personalized Solutions. Better Outcomes.
Understanding Chronic Constipation

Constipation is more than just infrequent bowel movements. If you’re straining, feeling incomplete evacuation, or using laxatives regularly, you may have chronic constipation, a condition that often has underlying causes that can and should be identified.

At our practice, we specialize in a comprehensive, evidence-based evaluation of constipation- including the latest in diagnostic testing, such as Anorectal Manometry – to uncover the root cause and create a customized treatment plan.

Why a Full Evaluation Matters

Chronic constipation can be caused by a variety of conditions, including:
A proper workup ensures you get the right treatment instead of just treating symptoms.

Our Constipation Work-Up Includes:

1. Detailed Medical History & Symptom Assessment

We’ll begin with a comprehensive consultation to understand your bowel habits, diet, activity level, and medication use. You’ll be asked about:

2. Physical & Rectal Exam

A gentle and thorough rectal exam can reveal structural abnormalities or signs of pelvic floor dysfunction.

3. Anorectal Manometry (Performed in-office)

Anorectal manometry is a quick, painless test that measures:
Why It Matters: Many patients with constipation have pelvic floor dysfunction, which cannot be diagnosed with X-rays or colonoscopy. Manometry provides critical, actionable information that guides treatment.

4. Balloon Expulsion Test

Often done along with manometry, this test checks your ability to expel a water-filled balloon — a simple, real-time assessment of pelvic floor function.

5. Colon Transit Studies (if needed)

In some cases, we may use a radiopaque marker test or wireless motility capsule to measure how quickly stool moves through your colon.

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Accepting New Patients. All Major Insurance Accepted. Self Pay Accepted.

Encourage Early Testing with Anorectal Manometry

Many patients suffer for years with ineffective treatments. Anorectal manometry helps:
Understanding Chronic Constipation

Symptoms That Warrant Testing

You may benefit from manometry and a full constipation workup if you have: