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Q: Soiling Underwear
asked by: airborne912 on February 20th, 2007
New User
I’m a 35year old male and for the last 3 years I have been soiling my underwear and its progressively getting worse. It started out with an occasionally accident about once a month but now its happening once or twice a week and sometimes more. I have been to two doctors that tried different treatments such as impaction and constipation etc. I’ve had X rays etc but nothing works or appears to be faulty that the doctors could find. The problem is I constantly feel like I need to go to the toilet but majority of the time nothing happens so allot of the time I ignore the feeling until its to late and it is coming out. When I was young, up until about 13 I regularly soiled my underwear at school but had no problem after that except the occasional accident until 3 years ago when things changed. I have found ways of hiding the facts but there must be a solution to my problem.
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critical care RN
replied on February 20th, 2007
Experienced User
Soiling
airborne912 ; It could be a simple case of a week or inadequate rectal sphinter muscle. They can fix this surgically. I am wondering if the soiling is from diarrhea as well? Although it might be embarrassing to have soiled underwear is not going to cause any harm other than frustration. You can try a small panty liner in your underwear to absorb the leaking stool.
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airborne912
replied on February 21st, 2007
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Soiling Underwear
Hi critical care RN. No I don’t think the soiling isn’t from diarrhea because they are always solid and I was treated for both over a period of time but neither helped at all. Maybe the inadequate muscle is the issue given that I soiled my underwear almost daily when I was young up until I was about 13. Back then I didn’t realize I needed to go to the toilet until it was already too late. However both doctors seem to think that area is ok.

Is it possible for your nervous system to just lose contact with parts of your body? The reason I ask is although I constantly feel the need to go. I never seem to know when it is definitely time to find a toilet and majority of the time it just comes out.

I have found that wearing 2 or 3 pairs of underwear and a pad works ok but the pad often only stops some of the soiling in my underwear.
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Jaydensmommy
replied on February 28th, 2007
Advanced Support Team
What does your diet consist of?? I think that may play a big part in it.....or recreational drugs?? That can have a huge affect.
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dannyboygirl
replied on March 1st, 2007
Experienced User
Someone once told me that their child when he was 8 use to hold his bowels in school til he got home so for about 5 hrs daily. When he reached 11 he had bowel problems and couldn't hold it longer than a 2 secs...No lie.. Its sad that kids us to make fun of other kids about poopin in school so now he has a bowel problem...It made his muscles weak from holding it all the time...Im going to try to contact her and see if she can help...Sorry wasn't much help good luck
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exxon
replied on May 17th, 2007
New User
Hi mate

I can relate to your problem. I would heartily recommend
1. this article showing you exercises to control your sphincter muscles:
http://www.stmarkshospital.org.uk/Document .aspx?DocumentId=86
2. Moist toilet paper
3. Loperamide diarrhea pills which are a lot cheaper if bought in bulk from the States on the Web (but stick to a limit of 6 a day).

Regards
Exxon
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fiona05
replied on May 17th, 2007
Supporter
i think you should have been referred to a specialist. didn't your doctor refer you?
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tyciol
replied on May 18th, 2007
New User
Definately something to talk to your doctor about. The ideas about physical damage incurred in youth is something to look into, as hopefully there is a method of recuperating from it. While normally more of an unconscious contraction, perhaps there are ways to strengthen the muscles through synergism of contracting nearby more active muscles. For example, by practising squatting techniques under moderate weight, the gluteal muscles will contract, and they are superfical to the sphinctor.

I think there could be psychological conditions related to many cases of related maladies for this. Subtle body language is often related to emotions after all. For example, someone might associated clenchin or unclenching muscles in that region negatively or positively.

Are you aware of when this happens, a sudden loss of control? If so it could be valuable to review any common occurances preceding it if there is some sort of cause common to all. If it's more of a subtle accumulation you're generally not conscious of, it can be harder to pinpoint. Alterations in posture or mannerism or habit or activity could still affect it maybe?
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