3. Urgency and Incontinence: The Impact of Severe Ulcerative Colitis on Bowel Control
A sense of urgency and loss of bowel control are common and distressing symptoms of severe ulcerative colitis. This can manifest as a sudden, uncontrollable need to have a bowel movement, often accompanied by cramping and abdominal pain. In some cases, individuals with severe UC may experience fecal incontinence, which is the involuntary leakage of stool. These symptoms can significantly impact a person’s daily life, causing embarrassment, social isolation, and anxiety.
The urgency and incontinence associated with severe ulcerative colitis can be attributed to the inflammation and damage to the colon lining, which impairs its ability to absorb water and maintain normal bowel function. Additionally, the frequent bowel movements and diarrhea can further irritate the colon, leading to increased urgency and discomfort.
Managing urgency and incontinence in severe UC involves a combination of medication, dietary changes, and behavioral strategies. Medications that control inflammation and reduce diarrhea can help alleviate urgency and improve bowel control.
Patients may also benefit from implementing a low-fiber diet, avoiding foods that can exacerbate diarrhea, and practicing relaxation techniques to help manage stress and anxiety associated with their condition. In some cases, pelvic floor exercises or biofeedback therapy may be recommended to improve muscle strength and control around the rectum, helping to reduce episodes of incontinence. (3)
