Evaluation and treatment for loss of bowel control, in Seattle, Washington
Bowel Control
Difficulty controlling gas or stool is common and rarely discussed. It has identifiable causes and real treatment options.


What can cause loss of bowel control
- Prior injury to the anal sphincter, including from surgery or childbirth
- Chronic diarrhea or constipation
- Nerve or muscle changes related to aging
- Certain neurological conditions
The right treatment depends on the cause, which is why evaluation comes before any treatment plan.
What it actually feels like
- The area is numbed with topical and local anesthesia before anything begins.
- Nitrous oxide is available if you want additional comfort during the procedure itself.
- Most patients describe pressure rather than pain, with manageable soreness for a day or two afterward.
- No sedation is used, so you will never need a driver.


How bowel control is treated
- Dietary and medication management as a starting point
- Pelvic floor physical therapy and biofeedback training
- Sphincter repair, in select cases involving injury
Most treatment plans start with the least invasive option and build from there, based on what your evaluation finds.

Your visit
- A private conversation about your symptoms and history
- An exam to help identify the underlying cause
- A treatment plan based on what's found
You'll leave your first visit understanding what's likely causing your symptoms and what the next step looks like.


What it costs
Evaluation and treatment for bowel control can be covered by insurance, depending on your plan. Our billing team confirms your benefits before your visit.
Performed by Dr. Kratz, in our Seattle office
Every exam and treatment plan is with Dr. Kratz directly.

Common questions
Is this a normal thing to bring up?
Does this always come from childbirth?
Is surgery required?


Connected to your care
Bowel control problems are closely related to broader pelvic floor dysfunction, whether or not childbirth was the original cause.
You don't have to keep living with this.
Call or text for a private consultation and a clear plan.