Health News and Information

No one likes to lose the ability to control the passage of urine or faeces (develop incontinence). In our society, many people who develop these symptoms feel ashamed and embarrassed and may even want to keep it a secret. These feelings are understandable, but not appropriate. It is not your fault if you can’t control your bowel or bladder. These symptoms deserve as much attention as any other and you should not feel ashamed to ask for it.

Incontinence falls into two quite different groups. Firstly, there is loss of control of urine or faeces coming through the normal passages. Secondly, there is loss of control of urine or faeces because it is coming away through a passage that doesn’t normally exist. This may be a passage created by your cancer (a fistula) or an artificial opening made surgically (a stoma).

Let’s talk first about incontinence where urine or faeces is coming through the normal passages. This can basically develop for three different reasons, one or more of which could be operating in your case. Firstly, when you can’t tell when your bladder or bowel is full. Secondly, when you can’t control the muscles that empty the bladder or bowel. Thirdly, when the lining of the bladder or bowel is so inflamed that the muscle responsible for emptying it goes into spasm which you cannot control (urge incontinence).

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