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Exercises to strengthen and tighten your anal sphincter may help treat bowel incontinence (fecal incontinence) or reduce your chance of leaking stool or gas in the future. Not unlike your thighs or biceps, your anal sphincter is composed of thick bands of muscle. And not unlike these other muscles, the muscles that control your bowel can be strengthened through exercise. With regular practice, the exercises could help to build up your muscles. Check with your health professional to see if these exercises will help you. There are specific exercises that focus on the anal sphincter muscle. These involve contracting and releasing the anal sphincter muscle. When you start performing sphincter exercises, note how long you can maintain a single muscle contraction. After you gather this information, you and your doctor can use it to establish a sphincter exercise schedule. the limited number of identified trials together with methodological weaknesses of many do not allow a definitive assessment of the role of anal sphincter exercises and biofeedback therapy in the management of people with faecal incontinence. We found some evidence that biofeedback and electrical stimulation may enhance the outcome of treatment compared to electrical stimulation alone or. You should not need to hold your breath when you tighten the muscles! Kegel exercises can help maintain normal, healthy sphincter function. When inserting a butt plug, one should be gentle, use plenty of lubrication, start with smaller sizes, and exercise patience. While medical data is sparse, some recommend not leaving a butt plug inserted for longer than two to three hours.