Astha Bhatt Colorectal Surgeon Fort Lauderdale Broward County Pompano Beach
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Fecal incontinence treatment & specialist in florida

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

Common Causes of Fecal incontinence

Fecal incontinence may result from:
  • Muscle or nerve damage (often from childbirth, surgery, or aging)
  • Chronic constipation or diarrhea
  • Hemorrhoids
  • Neurological conditions (e.g., diabetes, multiple sclerosis, stroke)
  • Pelvic floor dysfunction

Symptoms of Fecal incontinence

  • Sudden urges to defecate with little warning
  • Inability to reach the bathroom in time
  • Leakage during physical activity
  • Soiling without awareness (passive incontinence)
  • Frequent gas or bloating
If you’re experiencing these symptoms, a comprehensive evaluation can help determine the cause and best treatment.
Symptoms
Proctologist in Fort Lauderdale, FL, Pompano Beach, FL, Deerfield Beach, FL, Wilton Manor, FL, Oakland Park, FL, Davie, FL, Plantation, FL, Coral Springs, FL, Margate, FL, Coconut Creek, FL and surrounding area of Broward County, Florida

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Treatment Options for Fecal Incontinence

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

Dietary Lifestyle

Dietary & Lifestyle Changes

High-fiber diet to regulate stool consistency

  • Fluid intake adjustments
  • Bowel training techniques
  • Avoidance of trigger foods (e.g., Caffeine, spicy foods)
Medications

Medications

  • Anti-diarrheal agents (e.g., loperamide)
  • Stool bulking agents (e.g., psyllium)
  • Topical creams to protect the skin
Biofeedback

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

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.

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Surgical Options

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

  • Sphincter repair surgery
  • Colostomy (rare and for specific cases)
Constipation Evaluation

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:

  • Slow transit colon
  • Pelvic floor dysfunction (dyssynergia)
  • Rectocele or rectal prolapse
  • Functional outlet obstruction
  • Neurologic disorders or medication side effects
A proper workup ensures you get the right treatment instead of just treating symptoms.
Why a Full Evaluation Matters

Our Constipation Work-Up Includes:

Detailed Medical History Symptom Assessment

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:
  • Frequency of bowel movements
  • Stool consistency (using the Bristol Stool Chart)
  • Use of laxatives, enemas, or digital evacuation
  • Sense of incomplete emptying
Physical & Rectal Exam

2. Physical & Rectal Exam

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

3. Anorectal Manometry (Performed in-office)

Anorectal manometry is a quick, painless test that measures:
  • Anal sphincter strength
  • Rectal sensation and reflexes
  • Coordination of muscles during straining (dyssynergia diagnosis)
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.
  • Performed conveniently in-office
  • No anesthesia required
  • Takes less than 30 minutes
  • Covered by most insurance plans
Balloon Expulsion Test

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.
Colon Transit Studies if needed

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.

Proctologist in Fort Lauderdale, FL, Pompano Beach, FL, Deerfield Beach, FL, Wilton Manor, FL, Oakland Park, FL, Davie, FL, Plantation, FL, Coral Springs, FL, Margate, FL, Coconut Creek, FL and surrounding area of Broward County, Florida

Proctologist near me Broward County

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

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Encourage Early Testing with Anorectal Manometry

Encourage Early Testing with Anorectal Manometry

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

Understanding Chronic Constipation

  • Avoid unnecessary medications or surgery
  • Diagnose dyssynergia, which responds well to pelvic floor physical therapy
  • Guide biofeedback therapy for long-term relief
  • Improve patient outcomes through targeted treatment

Symptoms That Warrant Testing

You may benefit from manometry and a full constipation workup if you have:
  • Frequent straining or incomplete evacuation
  • Daily or weekly use of laxatives/enemas
  • Bloating or abdominal discomfort
  • Hard or pellet-like stools
  • A sense of blockage during bowel movements
  • History of pelvic surgery or childbirth trauma
Symptoms That Warrant Testing
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