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A weak anal sphincter is when the internal and or external anal sphincter muscles are weakened or damaged. The anal sphincters (internal and external) are rings of muscle at the opening of the anus. The sphincters keep the anus closed as stool gathers in the rectum. Ultimately the pressure on the rectum wall leads to the internal anal. The internal anal sphincter is an involuntary muscle, which means you cannot consciously control it. Similar to your beating heart and your diaphragm, this muscle does its job every second of the day without you having to think about its function. The internal sphincter is programmed to stay shut, which is why most adults do not leak stool while they sleep. Your internal sphincter is an involuntary muscle that wraps around your anus. You can develop abnormal weakness in either the internal or external sphincter for reasons that include age-related wear and tear,. Your doctor will place a specialized probe in your anus or place a sensing device called an electrode near your anal opening. Weakness around the anus, and this may lead to rectal prolapse or anal sphincter weakness. A rectal prolapse can occur when the normal support for the rectum becomes weak and the rectal lining (or even some of the rectum itself) starts to fall down through the anus. This is more likely to happen when straining to have a bowel movement. The external anal sphincter (or sphincter ani externus) is a flat plane of skeletal muscle fibers, elliptical in shape and intimately adherent to the skin surrounding the margin of the anus. The external anal sphincter measures about 8 to 10 cm in length, from its. These involve contracting and releasing the anal sphincter muscle. There are several different positions to do these exercises, such as sitting, standing and lying down. A healthcare professional, such as a continence physiotherapist or specialist continence nurse, will guide you through these routines and help you to keep track of your progress. The anal sphincter muscles can be strengthened without surgery through the use of exercises (pelvic muscle retraining). If this is not successful, then surgery may be needed to tighten the anal sphincter muscles. The external anal sphincter muscles are made of the same kind of muscle as those in a persons arms and legs. The anal canal can tell you if it is gas or stool waiting to come. These muscles also get weaker with age due to general wear and tear and changes in hormone levels.

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