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During the course of our lives foods which previously were well tolerated, may become irritating to the gut, resulting in urgent and strong contractions which cannot be controlled by the anal sphincter. History – Careful attention to the origin of the problems, and investigation of current diet and fluid intake. Pelvic floor strengthening exercises – Individual, personalized prescription of exercises. Under normal circumstances this is not a problem, because if no toilet is available, it is easy enough to defer opening the bowels. This can occur at any time and causes severe embarrassment and results in social problems for school aged children and acute anxiety for adults.

The anal sphincter (opening to the bowel) is designed to control the emptying of a solid mass at an appropriate time. It can cause a blockage anywhere in the bowel and liquid can overflow around this blockage. The effect on individuals of this soiling is to limit their activities so as to remain close to home. However, if the bowel action becomes very strong and urgent, and no toilet is available soiling accidents occur. Especially in children this can cause great anxiety and fear related to doing poos, and it can become a big problem at home and at school.

This liquid cannot be controlled because the anal sphincter is designed for retaining solids, not liquids. It then appears there is a problem with diarrhoea, however, the primary cause is constipation.

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