![]() Generally, reduced blood supply to the brain is caused by episodes of low blood pressure. Remember – you can do these exercises wherever you are.There are a number of different causes of reduced blood supply to the brain. Continue to do them a few times each day to ensure that the problem does not come back. Once you have regained control of your bowel, don’t forget your exercises.Watch your weight extra puts strain on the muscles.But remember that you cannot hold your tightest squeeze for very long, so you are better to use a gentle squeeze that you can hold for longer. Use your muscles when you need them, pull up the muscles if you feel the urgency and that you are about to leak.Or look at the area in a mirror you should see the anus pucker up as you squeeze it. You should feel a gentle lift and squeeze if you are exercising the right muscle. If you are unsure that you are exercising the right muscle, put a finger on the anus as you squeeze to check.Get into the habit of doing your exercises with things you do regularly every time you touch water if you are at home or every time you answer the phone if you are at the office… whatever you do often.But quite soon they should become easy to do wherever you are. At first it is probably a good idea to set aside some time for these exercises and really concentrate on getting them right.Now take your lift just to the first floor. You cannot hold that level of squeeze for very long as the muscle tires easily and will not get you safely to the toilet. When you squeeze as tightly as you can it rises up to the third floor. If you are relaxed your lift is resting on the ground floor. Next imagine your sphincter muscle is a lift. You should not need to hold your breath when you tighten the muscles! You are now exercising your anal sphincter. You should be aware of the skin around the back passage tightening and being pulled up and away from your chair. Your buttocks, tummy and legs should not move at all. You should be able to feel the muscle move. Try squeezing and lifting the muscle as tightly as you can, as if you are really worried that you are about to leak. To do this you must squeeze the muscle around the back passage. Now imagine that you are trying to stop yourself passing wind from the bowel. Sit comfortably with your knees slightly apart. It is important to learn to do the exercise in the correct way, and to check from time to time that you are still doing them correctly. Some people find that a small amount of a stool is passed with wind. You may also find that you leak during strenuous exercise, lifting heavy weights or when you walk any distance. This may be a small or a large amount and may last only a few minutes, or several hours. This often makes it difficult to wipe clean, and you may find that you leak for a while after opening your bowels. If the muscles have become damaged or weak, they may not close immediately or completely after you have been to the toilet. You can then wipe clean and there is no further leakage. Normally, the sphincter muscles ‘snap shut’ after you have finished opening your bowels to close off the back passage. ![]() When you pass a stool, there is usually some residue of the stool left behind in the anal canal (see diagram). If you have weak muscles you may leak gas, liquid or stools. Sometimes there is no obvious reason why. ![]() This may be because of childbirth, constipation and straining or general wear and tear. If these muscles are damaged or weakened they may not close properly and either or both of these sphincter muscles can become weak. This squeezing moves the stool back into the rectum, where it waits until you get to the toilet. ![]() If it is stool, you squeeze your external sphincter to stop it from coming straight out.
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