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Fecal Incontinence
At GastroDoxs in Houston, Dr. Nghia Nguyen offers personalized, compassionate treatment for fecal incontinence. Using advanced diagnostics and tailored therapies—from diet and pelvic floor exercises to minimally invasive procedures—she empowers patients to regain bladder control and confidence, improving daily life.
Dr. Nghia Nguyen, DO, is a board-certified gastroenterologist providing advanced digestive care in the Greater Houston area. He earned his medical degree from the Texas College of Osteopathic Medicine and completed both his Internal Medicine residency and Gastroenterology fellowship at the University of Texas at Rio Grande Valley. Dr. Nguyen specializes in treating conditions such as acid reflux, irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), and liver disorders.
What Is Fecal Incontinence?
Fecal incontinence is the inability to fully control bowel movements, leading to unexpected stool leakage. It can range from minor spotting to complete loss of control, impacting daily activities and self-confidence.
Common Causes and Risk Factors
Muscle or nerve damage from childbirth or anorectal surgery
Aging—pelvic floor muscles weaken over time
Chronic diarrhea or constipation
Nerve disorders such as diabetes or multiple sclerosis
History of anal fissures, hemorrhoids, or pelvic radiation
Other factors like obesity and smoking
Signs and Symptoms
Sudden, uncontrollable urge to have a bowel movement
Unexpected stool leakage or soiling
Frequent wiping or changing of clothing
Irritation or soreness of the skin around the anus
How Dr. Nghia Nguyen Diagnoses Fecal Incontinence?
Dr. Nguyen uses a step-by-step approach:
Medical History and Physical Exam
She reviews your bowel habits, diet, exercise routine, past surgeries or childbirth history, and any episodes of diarrhea or constipation. A gentle digital and pelvic exam assesses sphincter tone and pelvic floor muscle strength.
Anorectal Manometry
This test measures the strength, coordination, and sensitivity of your anal sphincter muscles and rectum to detect any functional abnormalities.
Endoanal Ultrasound
An internal ultrasound probe produces high-resolution images of the anal sphincter complex, identifying tears, scarring, or muscle defects.
Defecography
Dynamic X-ray imaging during simulated bowel movements.
Evaluates pelvic floor motion, rectal emptying, and any structural issues.
Additional Testing (If Needed)
In select cases, electromyography (EMG) assesses nerve function, or colonoscopy rules out other colorectal conditions.
Treatment
Our Team offers a full range of care for fecal incontinence.
1. Lifestyle and Diet Modifications
Eat more fiber to make stool easier to pass
Drink 6 to 8 glasses of water each day
Establish bowel training by using the bathroom at set times
Practice Kegel exercises and use biofeedback to strengthen pelvic muscles
2. Medications
Anti-diarrheal agents to reduce loose stools
Stool softeners to prevent straining during bowel movements
Topical creams and barrier ointments to protect and soothe irritated skin
3. Minimally Invasive or Advanced Procedures
Sacral nerve stimulation to improve reflex control of bowel muscles
Injectable bulking agents to enhance anal sphincter closure
Sphincteroplasty surgery to repair weakened or torn muscles when indicated
Dr. Nghia Nguyen, DO, is a board-certified gastroenterologist providing advanced digestive care in the Greater Houston area. He earned his medical degree from the Texas College of Osteopathic Medicine and completed both his Internal Medicine residency and Gastroenterology fellowship at the University of Texas at Rio Grande Valley. Dr. Nguyen specializes in treating conditions such as acid reflux, irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), and liver disorders.
Frequently Asked Questions
What is the ICD-10 code for fecal incontinence?
The code is R15.9 for unspecified fecal incontinence.
What causes fecal incontinence?
It can result from muscle damage, nerve injury, ongoing diarrhea or constipation, or difficult childbirth.
Are there exercises that help?
Yes. Kegel exercises and biofeedback therapy can improve pelvic floor strength and control.
Can it cause urinary leaks too?
Yes. Weak pelvic muscles can affect both bowel and bladder control, leading to urinary leaks.
When should I see a doctor in Houston?
If you experience stool leaks, sudden urgency, or skin irritation around the anus, don't wait. Early treatment works best.
Is treatment covered by insurance?
Most insurance plans cover testing and treatment for fecal incontinence, and our team helps you verify your benefits.
