Accidental Bowel Leakage - Adults

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Are inserts advised?

Postby Guest Posts on Wed Sep 04, 2019 1:51 pm

Does exercise squats weaken sphincter and should be avoided? Are inserts advised?
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Re: Are inserts advised?

Postby Debbie Gordon on Thu Sep 05, 2019 10:26 am

Thank you for posting a question.

Squats are an effective exercise and should not weaken the anal sphincter if performed correctly.

They should be performed without putting undue pressure on the pelvic floor. If you already have a weak pelvic floor (e.g having problems with bladder / bowel control or prolapse) or if you are using weights that are too heavy for you whilst performing squats, then you may find that any symptoms of a weak pelvic floor worsen.

I would advise that you speak to a personal trainer regarding your technique and if you are experiencing problems with a weak pelvic floor you would benefit from focusing on strengthening your pelvic floor before resuming squats. Your GP could refer you to your local Continence Service or Specialist Physiotherapist for pelvic floor rehabilitation.

You don't mention if ABL is a problem or if you are hoping to prevent it happening. If you are experiencing ABL then inserts may help you to manage the symptoms.
Debbie Gordon
Independent Specialist Physiotherapist in Bladder & Bowel Health
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Re: Are inserts advised?

Postby Sharon Holroyd on Mon Sep 09, 2019 1:36 pm

Generally squats do not cause weakened sphincters although if a weakness is already present in the pelvic floor or sphincter, this type of exercise can make the symptoms seem worse. We would normally advise a structured course of exercises to improve the tone and tolerance of the muscles and sphincters. High impact exercises / activities can be reintroduced @ 8 weeks after the structured exercises. the use of inserts / or plugs will also be considered as these can allow someone to enjoy their leisure pursuits without worrying about leakage
Sharon Holroyd
Lead CNS Calderdale Bladder and Bowel Service
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