Fecal Incontinence: The #1 Answers for Your #2 Problem

Let's tackle a fundamental issue for seniors - bowel incontinence. Many people are behind in knowing about it, or fear they'll be the rump of a joke if they bring it up. It may be a cheeky subject, butt let's get to the bottom of it. So take a seat while we answer your #1 questions about #2 problems. 

Overview & Prevalence of Fecal Incontinence

Simply put, fecal incontinence is the involuntary loss of control of liquid or solid stools. The term can otherwise be defined as bowel incontinence or fecal incontinence. While this can occur as an infrequent session of diarrhea for some, many individuals suffer from recurring daily fecal incontinence.

When looking at individuals under the age 65, only about 1% suffer from fecal incontinence, whereas the percentage increases to 4%-7% of people over the age 65. It is also more common for women over age 65 to have problems rather than men and is interesting to note that the prevalence of fecal incontinence can reach up to 50% in elderly nursing homes.

Fecal Incontinence Causes

There are a variety of different reasons bowel incontinence may occur. Some of them include:

• Constipation
• Diarrhea
• Muscle damage
• Nerve damage
• Gynecological, rectal, or prostate surgery
• Stress of an unfamiliar place
• Long-term laxative use

Treatments for Bowel Incontinence

Many individuals are hesitant to talk to their health care provider about fecal incontinence because they feel embarrassed, but it is recommended individuals do so since there are treatments available. Some of the simplest things can help to reduce fecal incontinence.

Firstly, we want to discuss diet. Many individuals might ask “what diet helps fecal incontinence?” It is common that food choices that are spicy, fatty, and greasy can cause bowel incontinence, as well as dairy products and food that contains sweeteners. Alcohol and caffeine may also increase fecal incontinence.

In order to reduce the risk of fecal incontinence, individuals should minimize these food options, while also increasing their fibre intake by consuming fibre rich foods or supplements. In addition, it is vital individuals are getting plenty of water to drink.

Next up, we need to mention bowel retraining and pelvic floor exercises. Yet another good reason to speak to your doctor; your healthcare provider can recommend different exercises in order to strengthen the sphincter and pelvic floor muscles.

In addition to the previous treatments there are also surgery options for fecal incontinence, although we recommend talking to your healthcare provider before considering any surgery. Some of these can include decal diversion, injection treatment, a sacral nerve stimulator, an artificial bowel sphincter, a rectal sphincter repair, or a gracilis muscle transplant.

Products for Bowel Incontinence

It may be difficult to know where to start when you or a loved one is managing fecal incontinence, but at Healthwick we offer a variety of products that can assist with bowel incontinence.

Briefs for Bowel Incontinence

We suggest brief (aka diaper) options over pullup underwear because the tabs on the diapers make changing easier. A few brief options to choose from are:

	TENA ProSkin™ Ultra Briefs provide reliable protection for individuals managing moderate to heavy bladder and bowel incontinence. With high absorbency, hook tab fasteners, and a soft backsheet, they are designed for comfort, dignity, and leak security throughout extended wear. Ideal for everyday or overnight use, they can be refastened multiple times for a custom fit.
	Tranquility Premium OverNight Underwear offers maximum overnight protection with a Peach Mat core that absorbs between 2.5–4.75 cups of fluid, depending on size. Designed for uninterrupted sleep, it features a full-rise waist panel for a secure fit and tear-away side seams for easy removal. Blue leg elastics and inner leg cuffs provide added leakage protection for a dry and restful night.
	NorthShore Supreme Briefs deliver top-tier absorbency and containment in a classic tab-style design. They’re ideal for users seeking reliable, secure protection with features that support both comfort and skin health. Perfect for overnight use, extended wear, or those with limited mobility.

Underpads

Individuals might also want to look into underpads (aka soaker pads/absorbent sheets). These provide cost-effective, multipurpose absorbent sheets to be used for urinary and bowel incontinence management. Here are two of our favourite disposable and reusable options:

	Designed for comfort and security, Prevail Super Absorbent Underpads provide dependable leak protection wherever needed. Whether used on beds, wheelchairs, or recliners, these pads stay in place and keep moisture under control. Perfect for home care or clinical environments.
	Tranquility Heavy-Duty Underpads Tranquility Heavy-Duty Underpads deliver robust protection with a large 30" x 36" surface and the ability to absorb up to one quart of liquid. Designed with an extra-strong, cloth-like backsheet, they resist tearing even during repositioning. Ideal for extended use and “airing” individuals in bed, these pads offer comfort, durability, and peace of mind.

Ointments and Creams

It is common individuals managing incontinence may develop rashes or redness due to diaper use. 

	Cleanses, moisturizes, and soothes in one step No-rinse formula is convenient for incontinence care and bedridden individuals Fragrance-free and suitable for sensitive skin Dermatologically tested and approved by the Skin Health Alliance Easy-to-use pump bottle offers hygienic and efficient application
	Contains dimethicone to moisturize and soothe dry, irritated skin. Resists wash-off, reducing the need for frequent reapplication. Breathable formulation maintains skin comfort during extended use. Compatible with adhesives and CHG prep, making it suitable for clinical settings. Hypoallergenic and fragrance-free, ideal for sensitive or allergy-prone skin. Non-greasy texture absorbs quickly and won’t leave residue.
	Calmoseptine Ointment Forms a protective moisture barrier to guard against irritation and skin breakdown. Provides a cooling sensation with menthol to relieve discomfort and itching. Promotes healing with zinc oxide and helps prevent secondary infections. Suitable for treating diaper rash, skin folds, minor wounds, and burns. Latex-free and safe for use on infants, children, and adults.

Swim Diapers

Healthwick also carries a variety of swim diapers to cater to bowel incontinence. In regards to swim diapers, individuals have the option of disposable, or washable briefs.

Introducing the SOSecure Containment Swim Brief. This unisex undergarment provides superior protection and is very discreet. Incontinence is a common condition…don’t let it keep you out of the pool. The SOSecure Containment Swim Brief (also known as a swim diaper or swim nappy) is an innovative design with a focus on practicality, durability and comfort. Considered the best design available, the brief is used by Occupational Therapists, Physiotherapists and caregivers all over the world.

Tranquility Swimmates Disposable Swim Underwear Tranquility Swimmates are the first disposable swim underwear designed for discreet bowel containment that won't swell in water. Ideal for pool use, these garments are worn under a swimsuit and feature tear-away side seams for quick, hygienic disposal. Comfortable and form-fitting, they offer security and confidence for aquatic activities.

We understand fecal incontinence can make some individuals hesitant to swim, but you shouldn’t let it keep you out of the pool. Check out our previous blog post 3 Myths about Swimming and Incontinence to learn more.

It may be a touchy subject, but it is vital that individuals understand bowel incontinence is not something to be embarrassed about. Healthwick experts are here to assist with all incontinence needs. We offer a variety of products to help you or your loved one feel confident and protected in daily life.