New objective scoring system to clinically assess fecal incontinence

Table 4 Detailed description of different types of incontinence [it was also translated into the local language (Hindi)]

Incontinence	Description
Urge	Whenever there is an urge to pass motion, normally, a person can hold the motion for a few minutes. In urge IC, the person faces difficulty holding the motions whenever there is an urge of passing motions. Although the motion does not come out, the feeling and fear that it will come out force the patient to rush to the toilet
Stress	Whenever there is an increase in pressure inside the tummy like in coughing or lifting weights, a person with normal anal sphincters can tighten his sphincters and hold the motions. A person can hold the motion for a few minutes. In stress IC, on increasing the pressure inside the tummy like in coughing or lifting weights, a little bit of motion or flatus leak from the anus
Mucus	A person with normal anal sphincters has a good anal tone due to which no leakage of mucus (normally present in the rectum as there is saliva in the mouth) occurs. However, in a person with weak sphincters, some mucus may leak out into the area around the anus spontaneously
Flatus	A person with normal anal sphincters has a good anal tone due to which he/she has control over the passage of gas/flatus. The person can hold the gas/flatus for some time. However, in a person with weak sphincters, gas/flatus may leak out of the anus with the person having no control over it
Liquid	A person with normal anal sphincters has a good anal tone due to which no leakage of liquid stool occurs. However, in a person with weak sphincters, some amount of liquid stool may leak out into the area around the anus spontaneously
Solid	A person with normal anal sphincters has a good anal tone due to which no leakage of solid stool occurs. However, in a person with weak sphincters, some amount of solid stool may leak out into the area around the anus spontaneously