Dr. Mohammed Hatem Alsubaih · Consultant Colorectal Surgeon

CLINICAL DECISION PATHWAY

Fecal incontinence analysis

Leakage type, awareness, stool consistency, prior surgery and prolapse.

Red flags firstDecision-changing questionsPattern-based resultNext step

For adults: educational guidance to understand your next step and prepare for examination. An urgent warning appears immediately; you may continue documenting your history, but do not delay urgent care to finish the questionnaire.

Tool limits: Structures clinical reasoning, priority and missing information. It does not diagnose disease or choose an operation.

BEFORE YOUR VISIT

Bowel leakage deserves a conversation

Use simple words: gas, liquid or solid stool, and whether you feel an urge beforehand. Describe effects on leaving home, work and sleep, even if the amount is small. State your visit goal: going out confidently, reducing urgency, or understanding changes after surgery. The app does not turn answers into a validated severity score.

What will you take away?

A next-step guide, discussion points, preparation list and a summary to copy or save for any clinician you choose.

You control sharing

No account, name or intimate images. Answers are temporary within the page. Booking does not send answers; sharing is your choice.

Question guide: how each answer changes the differential

Sudden onset with leg/perineal weakness/numbness or urinary retention?

This question helps identify stool/urgency, sphincter injury, neurological, overflow or prolapse-related mechanisms.

What leaks?

This question helps identify stool/urgency, sphincter injury, neurological, overflow or prolapse-related mechanisms.

How does it occur?

This question helps identify stool/urgency, sphincter injury, neurological, overflow or prolapse-related mechanisms.

Frequency?

This question helps identify stool/urgency, sphincter injury, neurological, overflow or prolapse-related mechanisms.

During sleep?

This question helps identify stool/urgency, sphincter injury, neurological, overflow or prolapse-related mechanisms.

Marked urgency even without leakage?

This question helps identify stool/urgency, sphincter injury, neurological, overflow or prolapse-related mechanisms.

Major effect on work/social life?

This question helps identify stool/urgency, sphincter injury, neurological, overflow or prolapse-related mechanisms.

Typical stool consistency?

This question helps identify stool/urgency, sphincter injury, neurological, overflow or prolapse-related mechanisms.

Severe constipation/impaction with liquid leakage around stool?

This question helps identify stool/urgency, sphincter injury, neurological, overflow or prolapse-related mechanisms.

Rectal prolapse/lump or incomplete emptying?

This question helps identify stool/urgency, sphincter injury, neurological, overflow or prolapse-related mechanisms.

Any blood in stool, weight loss or a new persistent bowel habit change?

This question helps identify stool/urgency, sphincter injury, neurological, overflow or prolapse-related mechanisms.

How long has leakage been present?

This question helps identify stool/urgency, sphincter injury, neurological, overflow or prolapse-related mechanisms.

Did it start after surgery, childbirth or neurological illness/injury?

This question helps identify stool/urgency, sphincter injury, neurological, overflow or prolapse-related mechanisms.

Have you had anal or rectal surgery?

This question helps identify stool/urgency, sphincter injury, neurological, overflow or prolapse-related mechanisms.

Difficult vaginal delivery, 3rd/4th degree tear or forceps?

This question helps identify stool/urgency, sphincter injury, neurological, overflow or prolapse-related mechanisms.

Neurologic disease/spine injury/neuropathy?

This question helps identify stool/urgency, sphincter injury, neurological, overflow or prolapse-related mechanisms.

Prior pelvic radiation?

This question helps identify stool/urgency, sphincter injury, neurological, overflow or prolapse-related mechanisms.

Do you use laxatives or medicines that worsen diarrhea?

This question helps identify stool/urgency, sphincter injury, neurological, overflow or prolapse-related mechanisms.

Prior manometry or endoanal ultrasound?

This question helps identify stool/urgency, sphincter injury, neurological, overflow or prolapse-related mechanisms.

Sources and how they are used

Guidelines and official patient information support the medical principles. Question wording and priority categories are educational adaptations, not a society-validated instrument. No ASCRS, ECCO or NICE endorsement is claimed. Referral and testing systems vary by country. Reference-link checks: 9 September 2026; this is not human clinical review or clinical performance validation.

Privacy and assessment scope

Questions run on this page without requiring your name, phone number or intimate images. You may add a first name for the displayed report; it stays on your device and is not sent to AI. Optional AI assessment sends your answers and text to Cloudflare only with your consent; files are sent when you request extraction. Remove identifiers before upload. The app creates no permanent medical record and no clinician reviews the output. Answers do not persist after reload and are not sent automatically to the clinician. WhatsApp is an external service; the booking button does not attach medical answers. Saved or copied reports contain health information: review them and choose who to share them with.

App files may be cached locally for offline use; this does not include assessment answers. Hosting services process ordinary web requests under their policies. Guidance is automated education, not a diagnosis, prescription or clinician-issued report.