Sievering Clinic

Competence Centre for Minimally Invasive Medical Services

Stool Incontinence

Stool incontinence is the uncontrollable discharge of gas, mucus, liquid stool or solid components. It means that you cannot restrain the emptying of the bowel arbitrary. Although faecal incontinence is common, many patients do not go to the doctor for a long time, although they could have been helped. First, the doctor can find out what is the cause of incontinence. There are several medications that help. Sometimes surgery is the best way to remedy this. The most common causes of sphincter incontinence are changes in the region of the anal canal, often accompanied by nervous disorders in this region.

These include:

  • Sphincter injury
  • Previous operations
  • Birth

Grades of stool incontinence

Grade 1 Gincontinence for gas, no stool smearing
Grade 2 loss of control for wind and liquid to mushy stool
Grade 3 Permanent lubrication chair

Causes of stool incontinence

  • Diarrhoea
  • Age
  • Childbirth
  • Diabetes
  • Rectal trauma
  • Severe constipation


History and physical examination
When asked about the medical history do not miss drugs. Gives the experienced examiner already crucial clues to the possible cause and the severity of the illness and decide the further course study.
Proctologic Investigation
Includes not only the visit and the finger test, but also an endoscopic examination with the Proctoskope.
Pressure measurement of sphincter apparatus
Radiographic examination of the emptying process
Differential diagnosis
Severe generalized muscle wasting is also seen as part of a number of degenerative neurological and muscle diseases and in cardiac failure.


  • Pelvic floor exercises
  • Biofeedback
  • Lots of fibre in the diet:
    • Vegetables
    • Salad
    • Fiber-rich fruits (eg oranges, pineapple)
    • Bananas
  • Strengthen your abdominal muscles through simple gymnastic exercises: Lie on your back, legs tighten, lay hands on the neck, torso erect.
  • Take 2 x daily 1-2 tablespoons flax seeds (or flax seeds, brown seeds), not crushed, not ground , for example, when added to yogurt, butter, milk, cereal, applesauce, mashed potatoes, etc. Flaxseed bread is not enough! The grains contained therein are burned, they no longer swell. Shredded flaxseed also has no effect, because flax seed swells only as long as the fibrous capsule is intact!
  • Go to the toilet when you feel the urge to defecate, make it short, drain, and wash up