Fecal incontinence (FI) affects nearly 8% of adults worldwide, yet many people suffer in silence due to embarrassment, confusion, or the belief that nothing can be done. This episode is here to change that.

We're joined by Dr. John William Blackett, gastroenterologist and lead author of "Fecal Incontinence in Adults: New Therapies," published in The American Journal of Gastroenterology. Dr. Blackett offers a compassionate, patient-centered overview of FI, including common causes, diagnostic testing, and the full range of treatment options available today—highlighting newer and emerging therapies.

If you've experienced unexpected leakage, urgency, staining, or difficulty controlling bowel movements—or if you support someone who has—this conversation provides clarity, reassurance, and practical guidance. Effective treatments exist, and help is available.

This episode is produced in collaboration with the American College of Gastroenterology Patient Care Committee.

Living with IBS-C isn't just about managing physical symptoms, it's also about navigating the fear, worry, and emotional toll that often come with the condition. In this powerful episode, host Jacqueline Gaulin is joined by Dr. Sarah Ballou, clinical psychologist and Director of the GI Psychology Service at Beth Israel Deaconess Medical Center, to explore how fear shows up along the IBS-C journey and what you can do to face it with confidence and support.

In this episode, you'll learn:

• The most common fears IBS-C patients experience and how they influence daily life and treatment decisions
• Why fear can sometimes hold you back from finding relief
  Practical tools to help you feel more in control, confident, and hopeful
• How to talk openly with your provider about the fears that affect your care

Whether you're newly diagnosed or feeling stuck after years of symptoms, this episode offers real-world guidance, emotional validation, and a reminder that you're not alone on this journey.

This episode is sponsored by Ardelyx.

In this follow-up to one of our most popular episodes, host Jacqueline Gaulin welcomes back Dr. Mark Pimentel, Executive Director of the Medically Associated Science and Technology (MAST) Program at Cedars-Sinai, to dive deeper into the science behind SIBO (Small Intestinal Bacterial Overgrowth) and IMO (Intestinal Methanogen Overgrowth).

Dr. Pimentel answers listener questions and explains how these complex conditions relate to IBS-D and IBS-M, why methane and archaea matter for gut health, and how motility and the Migrating Motor Complex (MMC) play a crucial role in prevention and treatment. You'll also learn about the latest insights and therapeutic approaches that can help patients find lasting relief.

Produced in collaboration with the American College of Gastroenterology's Patient Care Committee, this evidence-based discussion helps you better understand the "why" behind SIBO and IMO—and what steps you can take toward better gut health.