Constipation and faecal incontinence are two common problems that have a significant impact on quality of life. The day can become timetabled around how long a person may need to spend in the bathroom, where the nearest bathroom is, and social activities may be declined due to fear of an accident. People may feel embarrassed or assume bowel problems are something they simply have to live with.
Physiotherapists who work in pelvic health discuss bowel concerns every day. There is no judgement, and these issues are recognised medical conditions that deserve assessment and treatment. Consulting a pelvic health physio can be the first step in stopping your bowels ruling your life.
Constipation
Constipation is very common in Australia, affecting up to 1 in 5 adults and 1 in 10 children. It can involve infrequent bowel movements, hard or lumpy stools, excessive straining, or a feeling of incomplete emptying. Chronic constipation can significantly impact quality of life, leading to discomfort, bloating, abdominal pain, and frustration.
Management of Constipation
- Consult your GP to rule out any illness that may be causing the constipation.
- “Optimise the stool”. The aim is for the stool to be “soft and sausage like”. The first step in achieving this is having the right balance of fibre in your diet. A dietitian can help you with this. The next step is to consider supplements or laxatives. Be guided by a health professional in understanding which to choose.
- Physiotherapy – this can include techniques to improve relaxation and coordination of the pelvic floor muscles as well as education on optimal toileting habits and positioning
Faecal Incontinence
Faecal incontinence refers to the accidental loss of stool or difficulty controlling bowel movements. Some people experience occasional leakage, while others may struggle with urgency and not reach the toilet in time. Faecal incontinence is surprisingly common in Australia, affecting approximately 5% to 10% of the population.
Management of Faecal Incontinence
- Consult your GP to rule out any illness that may be causing the faecal incontinence
- “Optimise the stool” – it is much easier to control a stool that is firm and formed than soft blobs or runny. This may involve dietary changes or the addition of supplements to bulk the stool.
- Physiotherapy – this can include pelvic floor muscle training to improve strength and control as well as strategies to manage urgency and improve confidence.
When Should You See Your Doctor?
While physiotherapy can play an important role in managing bowel dysfunction, it is important to consult your doctor if you experience:
- Blood in your stool
- Unexplained weight loss
- Persistent abdominal pain
- A sudden change in bowel habits
- Symptoms that are worsening or not improving
- A family history of bowel cancer
These symptoms may require further medical investigation.
You Don’t Have to Manage It Alone
Constipation and faecal incontinence are common, treatable conditions. Seeking help early can improve symptoms, restore confidence, and help you return to the activities you enjoy. If bowel issues are affecting your daily life, a pelvic health physiotherapy assessment may be an important first step towards better bowel health.
Contact our team on 9907 0321 or book online to take that first step.
By Louise Henderson
APA Titled Physiotherapist (Continence and Women’s Health)
Total Physiotherapy Manly Vale
