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Which one sounds like you?
Biofeedback treats two very different-feeling problems, using two different training approaches. Choose the one closer to your experience.
Constipation & incomplete emptying
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Dyssynergic defecation
This is when the muscles around your anus don't relax when you try to go, sometimes they even tighten instead, or your abdominal muscles can't generate enough coordinated push. The result is stool that's difficult to pass, even if your diet and fibre intake are fine.
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Fewer than 3 bowel movements a week
Excessive straining, every time
Feeling like you haven't fully emptied
Needing to manually help stool out
Hard, painful stool, bloating, or anal pain
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Your training pathway
Correct sitting posture and breathing on the toilet
Learning to push from your abdomen, not by straining
Learning to feel and trigger anal muscle relaxation
Coordinating the push and the relax together
Reducing excessive straining over time
Practising the technique for real, sitting on the toilet
Locking in stool consistency and a reliable routine
Faecal incontinence
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Faecal incontinence
This is the accidental passing of poo or gas. It shows up in a few different ways: feeling the urge but not making it in time (urge incontinence), no warning at all (passive incontinence), or leakage/staining after an otherwise normal bowel motion (seepage).
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Sudden urgency with little or no warning
Leakage when passing wind
Accidents you weren't aware of until after the fact
Underwear staining after a normal motion
Avoiding travel, exercise, or social plans because of it
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Your training pathway
Building strength in the muscle that holds stool in
Building endurance so it can hold for longer
Isolating that muscle, without straining your stomach
Timing drills, so the muscle responds on cue
If needed, re-training your body's warning signals
Real-world strategies for urgent moments (pacing, pre-emptive squeezing, riding out an urge)
What results can I expect?
Biofeedback is one of the most evidence-backed treatments for these conditions, in both clinic and at-home settings [1-8].
75-90%
long-term symptom relief across published outcomes
4-6 weeks
typical program length, ~10 min/day at home
0
significant side effects reported
1. Rao et al. 2015. Neurogastroenterology & Motility, 27(5), pp.594-609.; 2. Chiarioni et al. 2006. Gastroenterology 130: 657–64.; 3. Bartlett et al. 2011. Dis Colon Rectum 54: 846–56.; 4. Chiarioni et al. 2010 Gastroenterology 138: 1321–9.; 5. Rao et al. 2018. The lancet Gastroenterology & hepatology, 3(11), pp.768-777.; 6. Xiang et al. 2021. Neurogastroenterology & Motility, 33(11), p.e14168.; 7. Bartlett et al. 2015. Journal of Clinical Gastroenterology, 49(5), pp.419-428.; 8. Zhou et al. 2024. Plos one, 19(9), p.e0311134.
Common questions
No. The sensor is small and soft. Most people describe the sensation as unusual at first, not painful.
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Does it hurt?
Will I need the device forever?
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No, the whole point of the program is to teach your body the correct pattern so you can eventually do it without any device at all. That's what the "practice in real life" week is for.
Can I do the entire program from home?
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Yes. The Ins&Outs device is designed for self-guided home use, with optional Telehealth check-ins if you'd like clinical guidance along the way - you don't need to attend a clinic in person.
Is this confidential and private?
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Yes. Consults are one-on-one and can be done entirely by phone or video. The device itself is designed for private, independent use at home.
What if the program doesn't work for me?
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If you've purchased the device directly, it's covered by a 30-day money-back guarantee. If your consult suggests biofeedback isn't the right fit, we'll tell you plainly and point you toward what is.
