The psychological impact of faecal incontinence

Faecal incontinence is a distressing condition that has both physical and psychological impacts. Stigma surrounds the condition, which means it is often unreported by patients, and health professionals do not enquire about symptoms. People living with faecal incontinence can experience social isolation because of the unpredictable nature of the condition. This leads to the fear of having accidents in public, which creates anxiety and depression, as well as affecting relationships and having economic implications. Assessments and treatment options generally focus on the physical symptoms of faecal incontinence, which are important to provide patients with coping strategies. However, individuals with faecal incontinence also require support around the psychological impact to improve their quality of life. Thus, management options should include practical support as well as addressing the psychological impact through screening, questioning and signposting to support services. Continence training for health professionals will help to support them in asking questions around symptoms and encourage more patients to access support for faecal incontinence as awareness will help to reduce the stigma associated with it.