Stool Leakage

Status
Not open for further replies.

Wuggle

Est. Contributor
Messages
269
Role
  1. Adult Baby
  2. Diaper Lover
  3. Little
  4. Incontinent
Hi guys, it's been a while since I posted here, but a new thing came up recently and I could use your advice. I've been significantly constipated for years now (my diet isn't great; I have sensory issues with a lot of food thanks to my autism) and that constipation has occasionally led to loose watery stools seeping around the hard stool blockage and creating some nontrivial urgency. There have been a number of instances in which I didn't make it to the bathroom in time and left a mess in my underwear. It's never been bad enough to get all the way through my pants, but my episode today left a mark that could be seen on the outside of my underwear.

At this point I'm looking for advice on how to move forward. I never wanted to go to the doctor about it before because it was too embarrassing, but by this point I've reached an impasse. I was in my office today when the accident occurred, but if I'd been out in the field like I often am, things could have gotten really unpleasant. How should I go about bringing it up with my doctor, and until I can find a way to fix it, what products would you recommend? I bought some protective pads, but they're for bladder leakage; I couldn't find anything for bowel. Does it particularly matter? Thanks everyone.
 
Never had this trouble myself, but your doctor is trained in this stuff. It won't be the first time someone has come to them with 'bum trouble', and it won't be the last.

As for how to bring it up, I know it's embarrassing, but maybe just say "I'm having some issues with stuff in the bathroom" and take it from there?

If you pop "Bowel incontinence pads" into google, it'll bring up some. They're shaped more like an hourglass or a butterfly than the regular ones. (I'm guessing so you can tuck them up where they need to go?) I'm not bowel IC, but maybe there are some others here who are that can be more helpful about what will work.
 
Well in my humble opinion its definitely time to bite the bullet and contact the doc ASAP , & how you should approach this with them is very simple JUST as you did in here hon straight up and al in so to say (the more info you give the experts the better they can find a way to help you )

Also in the meantime i strongly suggest you start to wear proper protection dear as the pads wont help what you need is similar to my wearing im afraid (see my sig ) DONT think of pull ups diapers as they are not made for and wont work for fecal IC .As for the specific brands do a search in youre country's diaper brand and what they are designed for ( Fecal IC ) & you will find it. Look for high absorbency. For instance Northshore https://www.northshorecare.com/ is a brand that has comed up in similar discussions in here
 
Last edited by a moderator:
Its time to see your doctor, he may send you to a specialist but while you are waiting I would recommend wearing a full taped diaper like BetterDry they are designed for both bowel and blader issues. Plastic pants will also be of help as they will help hide the smell for a bit and will catch any leakage from the diaper.

I have had a few bowel accidents and the betterdry diaper has held up I wear 24/7 for a bladder issue and when the occasional bowel issue happens I am glad I am wearing the proper protection, See your doctor and be honest with him and do not be afraid or embarrassed about talking about incontinence issues for him its just another day at the office.
 
Well if you go to the doctor there are a number of stool softeners that are non addictive and non habituating , until then use a decent diaper and plastic pants , the diaper will contain the mess and the plastic pants will help delay and control odor ,realisticaly if you treat the constipation you can keep this from happening alltogether and stop or delat some serious consequences like rectal fissures , hemorhoids, the soiling of your pants is actualy the least of the unpleasant effects of constipation and to be honest blow by constipation like your having realy signals impaction which in many people require medical intervention because its very painfull to resolve , i have IBS-C, with OIC at times I have literaly been unable to move my bowels and had to dig it out manually disempacting myself, my colorectal specialist is in awe , because most people require general anesthesia for a doctor to do it , I have fortunately gotten past the hard part ,having had such advanced fissures that weren't healing surgery was the last option (A common side effect of heemorhoids and fissure surgery is complete incontince due to damage of the sphincter ).
This is the "fun" and games you can avoid by biting that bullet and seeing your doctor about the constipation ,i use a combination of several medications to control mine ,and actually just added another one aimed at giving me a better quality of life , of all things I have been prescribed medical marijuana, as a guy who is incontinent of both bladder and bowel ,i walk a tightrope regulating the constipation to a level where i can use the toilet but not so much so that my body can release stool at will, at this point I have a predictable bowel movement ,i can be put on the commode and wait for it to happen ,be re diapered and strapped back into my chair or bed, yes unplanned bowel movements happen once in awhile and are easily handled by my aide ,for me its big deal though because i am unable to shower or bathe or easily cleanup so I need an "adult" to handle that type of work.

Sent from my SM-T810 using Tapatalk
 
Thanks guys, I appreciate all your responses. I did go and see my doctor today, and it was super awkward but she was very professional. She sent me for a GI x-ray which did show some impaction. She also put me on Miralax, a stool softener, and we're going to see if that does anything, but if it doesn't, she's going to send me to a GI specialist.

Thanks also for the advice on the protection. It seems the consensus here is that diapers are really the only safe option, which makes sense. I like wearing them when I'm home alone, but it's going to take some adjustment to be comfortable wearing them in public, especially at my job. Anyway, I'll keep you updated as things progress.
 
Glad your saw your doctor, Wearing diapers inpublic is scary at first as we over worry about who may hear or see the diaper, The reality is most people do not notice I think after 3.5 years of being diapered only a few people have said any thing and both were supportive after they found out. It was my backpack that gave me away both times as they wondered why I needed to take it with me to the bathroom.

Donot worry about being diapered just carry on with your day as you normally would and trust hour diaper to do its job if needed (thats why we recommend premium diapers like Betterdry) after 3.5 years of being diapered 24/7 I have stopped stressing about my diapers and what people may or may not say. Wearing diapers inpublic gets Easier every day

Remember you are not alone in dealing with incontinence issues
 
You have done well my dear, We just have to wait and see and hope that things will get better

Reg the diapers I agree at the moment this is the best option for you to be able to continue and get some kind of "normal " life And as Rob says you`l soon enough gonna get comfy with the extra protection and al the rest , i hardly even think that i actually do have them on me now to be honest been 24 /7 now for nearly 1,5 years ) also DONT forget to bring a pre packed diaper bag (us women can easily disguise this with av extra large handbag )

And finally Just because youre in diapers DONT mean you can't wear pretty underwear just maybe not strings and so on ( i wear pretty underwear on top of my diapers every day) & pretty short skirts etc.... (again i wear short skirts every day during summer )

Good luck and please do keep us updated were right here and youre NOT alone
 
Last edited by a moderator:
I take generic Miralax on a regular basis because I've essentially inherited my father's bowel problems and am pretty much chronically constipated. I too eat a crumby diet that probably plays a role. It's given me chronic fissures that refuse to heal, so bleeding with a bowel movement is pretty normal for me. I can't seem to quit ripping them open again by scratching/wiping too hard, and I refuse to see a doctor about it because my primary-care physician is a man and I have a hang-up about being examined in sensitive areas by males.
 
KimbaWolfNagihiko said:
I take generic Miralax on a regular basis because I've essentially inherited my father's bowel problems and am pretty much chronically constipated. I too eat a crumby diet that probably plays a role. It's given me chronic fissures that refuse to heal, so bleeding with a bowel movement is pretty normal for me. I can't seem to quit ripping them open again by scratching/wiping too hard, and I refuse to see a doctor about it because my primary-care physician is a man and I have a hang-up about being examined in sensitive areas by males.
I am not a doctor nor play one on TV , this is meant to be informative .

The last line of defense on healing fissures and bleeding is a petroleum jelly product made at a compounding pharmacy it's active medication component is actualy a calcium channel blocker medication Verapamil ( though it has many names Ca lan, Isoptin ,Verapamil and a host of otheres )that was my last option before surgery , applied three times a day with a my gloved finger they went away in about 8 months , i think to have that ointment made was maybe 6 bucks that my insurance covered 100% , maybe talk to your pcp he can read about it in literature if hes not familiar and save you the awkward new encounter.

Sent from my SM-T810 using Tapatalk
 
Thanks guys, your support is appreciated :) Kimba, I have the same issues with men touching me, getting too close, or being left alone in a room with a man I don't know. It's why I specifically requested a female physician when I joined my current practice; there was absolutely no way I was letting any man anywhere near any part of my body.

Tomorrow's Saturday, so I think I'll bite the bullet and go to Walmart or something and pick up the Miralax and some proper diapers. I know the store brands are usually pretty crappy, but I don't live alone, and can't risk anyone else finding a delivery. Can you make recommendations on store brands? Do you prefer pullups that you have to remove your pants to take off, or tapes which are hard to get on by yourself?
 
If you have a medical supply store nearby you may be able to find some premium brand there, just make sure it's med supply store that has them and not just one that only specializes in heavy equipment. That's how I found my Molicare Slip Maxis, and Tranquility ATNs are also a decent mid tier option and you can pay with cash at most of these places for discrete transactions.
 
Order better quality diapers ie Betterdry dry 24/7’s and have them shipped to the local post office or held at your local ups depot, retail locations like walmart tend to only stock the cheaper diapers that really do not work well.
 
Tetra said:
... there are a number of stool softeners that are non addictive and non habituating ...

Tetra, are you able to elaborate on the above? Do you mean taking some tablets would make the bowels just not work without the tablet - ie it begins to rely on the tablet causing the peristalsis action to void?

I do know there was one case recently here in Aus where a lady died because she was addicted to a particular brand of laxative tablet, and was taking massive amounts of them per day.
 
ozziebee said:
Tetra, are you able to elaborate on the above? Do you mean taking some tablets would make the bowels just not work without the tablet - ie it begins to rely on the tablet causing the peristalsis action to void?

I do know there was one case recently here in Aus where a lady died because she was addicted to a particular brand of laxative tablet, and was taking massive amounts of them per day.

I've heard that as well. If you use stimulant laxatives to force yourself to go too much eventually you quit being able to go on your own.

https://www.mayoclinic.org/diseases-conditions/constipation/in-depth/laxatives/art-20045906

That's got a bit about it down in the 'risks' section.
 
As far as I am aware, Miralax is safe to take on a regular basis because it works differently than stimulant laxatives. My father ended up in the hospital with impaction, and was told to take it everyday.
 
Al i know and what ive red is that ANY kind of laxative are ONLY meant for shorter periods as if overused sed pre described issues will occur. This sed if a doctor describes this for a patient on a permanent basis then it shouldn't be a problem, doing so without the Ok from a doctor is NOT recommended
 
It not that it cancels peristaltic activity , but it slows you down so much it's absurd , your bowel movement become something i can only describe as hard potters clay in texture(clay becomes "workable" by using water to lubricate and the spiking on the wheel along with various pressures allow you to form it) and about the size of small stones stuck together,you became filled with these until you feel like moving your bowels and with great effort, exhaustive effort you can painfully pass a 4 or 5 of these Stone sized pellets ( if you have ever seen rabbit turds scale it up a bit to human size and thats what you have)so of course with your system slowed that much and not eliminating them much they become harder and more stuck together everyday and become even harder to pass ,psyllium husk like Metamucil type products bulk up the stool and will make the situation worse , saline laxatives can not possibly draw enough water in the bowel to soften it , stimulant laxatives will liquiefy the contents of your upper bowel ( stimulant laxatives continue to stimulate until eliminated from the body, so imagine severe cramps that double you over) as the liquid stool tries to find its way around all that impacted stool that is constpating you, till your soiling yourself unfortunately your having a really bad few days from that stimulant but net result is 0 because all your doing is churning over what you last ate and not getting much nutrition .
Lubricant such as mineral oil enema can not penetrate the stool and yes it will make it slippery , doesn't make it any easier and eventually you will just be leaking oil all the time ( also it's realy realy bad idea to use mineral oil with a stimulant like Senna , theres an interaction that causes the mineral oil to seperate and not stay emulsified that makes it kinda like sludge , that can potentially cause a blockage, this was the life of many pain patients stool softeners like Colace can help temporarily for short time but if used daily it rapidly loses effectiveness and for those of us with permanent problems it's of little value. ( opiate medications are potentially god sent in relieving certain pain ,but causes the most wicked constipation you can imagine to the 10 th power ) the only way to treat this was not ideal however was the "gold standard" of treatment that helped was Lactulose , Chronulac, Christalose it has lots of names all over the world ! It is a snythetic sugar derived from Lactose in milk , it is a common food additive and sweetner (anybody whos ever pigged out on "sugar free" candy like gummy bears or gummy worms and then found a nearby toilet your best friend ,thats why !) It is a sugar not absorbed by the body , while body is breaking it down it forms alot of gas , draws liquid into the stool ,causes gas so it thins and softens the stool ,and anything that creates gas also activates the gut so now you have an activated gut and thinner stool that has less transit time that rather than causing blow by diarrhea around the impacted mass of constipation it's like bulldozer and pushes that hard stool out(they are hard to find but there are suppositories called Cee too that when used will releive occasional constpation because they create gas that fills the rectum and promotes bowel movement), if you take it three times a day you will have three or more soft stools a day ,and even though it softens the stool and has a laxative action it's not habit forming,because you don't develope a flaccid bowel that depends on a laxative to trigger it , because it's laxative and stool softening action is a secondary action .it is used as laxative stool softener often by doctors , because it works that way,it's very safe and effective and in large amounts it's only side effect is needing diapers so why not use it to your advantage( and in this particular group I don't think diapers are much of an issue) .if i failed to address anyones question my apologies and just ask anything I didn't answer.
You can also take large doses hourly to trigger a fast massive dump and then back off it to the normal three times a day to keep the system unblocked.there is a range in teaspoons to use , it is commonly used in school age kids afraid of the school bathrooms because it's sweet it agrees with kids , pediatricians who get constipated kids all the time because the child doesn't want to use the toilet at school, will have parents give a spoonful before breakfast ,because the more someone resists going the more it's gonna force the issue so around 12:30 1:00 the child soils themselves in class ,it doesn't take that happening many times before the child is raising there hand when they need to go because they know what happens if they don't and you can just taper off giving it to them,of course a kid doesn't know the cause and effect, but the fear of that happening keeps them motivated.
In the US for some dumb reason it requires a prescription so you don't have to eat alot of gummy bears [emoji23] but the rest of the world it's over the counter.there is one actual use medically for it in certain type of encephalopathy because it removes excess amonia from the blood , if you have a liver problem you take hi doses and need diapers , if its the first time you have had this type of encephalopathy generaly your comatose and they give it rectaly by retention enema,and once our conscious again they start you on it orally ,it doesnt have any sort of laxative action unless taken orally .
I have IBS-C compounded to unreal proportions by the opioids , this was the only thing that helped until about 2 years ago , because of the drug problem thats sweeping the globe you all have probably heard Narcan, Naltrexone mentioned on the news as a drug that will reverse opiates effects ,many OD of heroin or fentanyl has been saved using this drug , the opiate OD basicly tells your body you don't need to breathe and your heart stops .
But 2 years ago a new formulation they named Movantik came out , it is only active in the bowel and unblocks the Mu opioid receptor that cause constipation so between the lactulose and Movantik , i still get my pain control it does not effect that, but it unblocks that receptor in the bowel , and the lactulose handles the IBS-C ,The only caveat to lactulose is you need to find the right amount for you ,because too much even the continent folks will need diapers, since its not actually a laxative it does something that no laxative does ,which is the more you try and hold it the less choice you have , an actual laxative promotes/encourages a bowel movement , lactulose will make you have one without a vote if you try and hold it .
Since its a sweet syrup with a little bit of nutty taste I drink alot of decaff coffee instead of splenda(T1 diabetic) three times a day i sweeten my coffee with it.

Miralax as has been mentioned is beleived to be safe for long term use it contains an ion that is poorly absorbed by the body, if any of you are old enough or unlucky enough to have had to undergo a colonoscopy Miralax is what you used to empty yourself out , Go-lytely is same stuff , many doctors do the bowel cleansing that way pour half a bottle of Miralax into 32 oz of Gatorade drink chase with another 32 oz of Gatorade and pray you got the optional seat belt for your toilet because your gonna need it . For some reason I can't tolerate it, I have tried drinking it and even had the hospital inject it into a naso gastric tube same result it hits my stomache and i vomit .there are certain medications commonly available that do the same thing,one of them strangely is an anti-emetic they tried giving me.

CuddleWoozle said:
I've heard that as well. If you use stimulant laxatives to force yourself to go too much eventually you quit being able to go on your own.

https://www.mayoclinic.org/diseases-conditions/constipation/in-depth/laxatives/art-20045906

That's got a bit about it down in the 'risks' section.



Sent from my SM-T810 using Tapatalk
 
Last edited:
"Heavy equipment" I like that they are DMERS
Durable medical equipment retailers & suppliers although with what's been happening with insurance reimbursement and competitive bidding schemes most places would sell goats and lawn mowers if they could make a buck off it, the internet is killing retail anything .under these competitive bidding programs that the government is phasing into Medicare/Medicaid programs medical supply stores have to sell for the same cost as the lowest internet price, internet medical products can be sold so cheap because they don't have overhead like a retailer has , once you buy it there done with you ,made there money and are on to the next guy ,however in the real life you have labor costs like delivery, setup, maintenance & repair , and for things like "heavy equipment" you cant buy repair parts unless you are authorized reseller of that company and have a doctors order for the repair and prior authotization from the insurance for payment , so business are getting desperate to have cash & carry sales to help cover the loses coming from other parts of the business ,it gets more difficult everyday .

If you look at the wasteland being created in ordinary retail by the internet it's spreading into the medical sector as well !
Whoever thought best buy would stop selling CD/DVD or companies like circuit city , radio shack,sears, JC Penny, Macys, toys R us , would be dead or dieing?

That's coming to a business near you soon !brick & mortar is becoming a four letter word. The "rules" of running a succesful profitable business are changing.
SnowPrincessSophie said:
If you have a medical supply store nearby you may be able to find some premium brand there, just make sure it's med supply store that has them and not just one that only specializes in heavy equipment. That's how I found my Molicare Slip Maxis, and Tranquility ATNs are also a decent mid tier option and you can pay with cash at most of these places for discrete transactions.

Sent from my SM-T810 using Tapatalk
 
Status
Not open for further replies.
Back
Top