Bowel Concerns

Practical care for constipation, straining, bowel urgency, and pelvic floor coordination.

Service Overview

Bowel function depends on coordination between the colon, pelvic floor, abdominal wall, and nervous system. The pelvic floor muscles need to relax at the right time to allow a bowel movement.

Constipation, straining, urgency, and bowel leakage can have many causes. Pelvic floor physical therapy may help address muscle coordination, toileting mechanics, and daily habits that contribute to symptoms. It is not a substitute for medical evaluation of underlying digestive conditions.

Symptoms and Concerns

  • Constipation or infrequent bowel movements

  • Straining or feeling like you cannot fully empty

  • Bowel urgency or difficulty controlling gas

  • Fecal leakage or accidents

  • Pain with bowel movements

  • Avoiding activities because of bowel symptoms

How Pelvic Floor Physical Therapy May Help

  • Review bowel habits, fluid and fiber intake, and daily routine

  • Assess pelvic floor relaxation and coordination

  • Teach toileting posture and breathing strategies

  • Address abdominal, hip, and spine movement patterns

  • Develop a manageable home program

  • Coordinate with your gastroenterologist or primary care provider when needed