Fecal incontinence.

Medical Therapy: 1. Dry Fiber: take dry Metamucil or Citrucel, 2 tablets twice a day, and increasing up to 2 tablets four times per day. 2. Antidiarrheal Agents: even if you do not have diarrhea, you need to add these agents to the dry fiber. Options include kaopectate, Immodium, Lomotil (prescribed) or Tincture of Opium (prescribed). Take immodium 1 tablet twice a day, and increase up to 2 tablets four times per day. 3. Rectal Evacuation: after a bowel movement, use of the agents can wash out residual stool left behind, giving a period of leakage free time. Agents include enemas, laxatives, or suppositories. Try taking an enema or glycerol suppository after your usual bowel movement, hold it as long as possible, then evacuate your bowels. 4. Biofeedback: this is one-on-one treatment by physical therapists who specialize in bowel and urine control problems. Studies suggest that between 64%-89% of people will benefit. 5. Anal Plug: this is a plug the patient places into the anus to block the anus. Most patients are unable to tolerate the presence of an anal plug.