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Lifestyle and home remedies
By Mayo Clinic staffIf fecal incontinence is due to a problem that can't be completely corrected, you may still be able to limit the number of accidents you have by taking better control of your bowel movements. You can start by making changes in your diet:
- Watch what you eat. Keep a list of what you eat for a week. You may discover a connection between certain foods and your bouts of incontinence. Once you've identified which foods are problems for you, stop eating them and see if your incontinence improves. Foods that can cause diarrhea or gas and worsen fecal incontinence include spicy foods, fatty and greasy foods, cured or smoked meat, carbonated beverages, and dairy products (if you're lactose intolerant). Caffeine-containing beverages and alcohol also can act as laxatives, as can products such as sugar-free gum and diet soda, which contain artificial sweeteners.
- Eat smaller meals. Try to eat several small meals throughout the day, rather than three large ones, because large meals sometimes trigger bowel contractions that may cause diarrhea.
- Eat more fiber. Fiber helps makes stool soft and easier to control. Fiber is present in fruits, vegetables, and whole-grain breads and cereals. Aim for 20 to 30 grams of fiber a day, but add it to your diet slowly. Too much fiber all at once can cause bloating, gas or even diarrhea.
- Drink more water. To keep stools soft and formed, drink at least eight glasses of liquid, preferably water, a day.
In addition to managing fecal incontinence through changes to your diet, you can help avoid further discomfort by keeping the skin around your anus as clean and dry as possible. To relieve anal discomfort and eliminate any possible odor associated with fecal incontinence:
- Wash with water. Gently wash the area with water after each bowel movement — do this by using wet toilet paper, showering or, better yet, soaking in a bath. Soap can dry and irritate the skin. So can rubbing with dry toilet paper. Pre-moistened, alcohol-free towelettes or wipes may be a good alternative for cleaning the area.
- Dry thoroughly. Allow the area to air-dry after washing. If you're short on time, you can also gently pat the area dry with toilet paper or a clean washcloth.
- Apply a cream or powder. Moisture-barrier creams help keep irritated skin from having direct contact with feces. Ask your doctor to recommend a product. Be sure the area is clean and dry before you apply any cream. Nonmedicated talcum powder or cornstarch also may help relieve anal discomfort.
- Wear cotton underwear and loose clothing. Tight clothing can restrict airflow, making skin problems worse. Change soiled underwear quickly.
When medical treatments can't completely eliminate incontinence, products such as absorbent pads and disposable underwear can help you better manage the problem. You can purchase incontinence products at drugstores, supermarkets and medical supply stores. If you use pads or adult diapers, be sure they have an absorbent wicking layer on top. Products with this layer wick moisture away from your skin.
