Mrs Browning is reassured that the colonoscopy results and changes in her bowel habits are most likely due to decreased gut motility that occurs as a normal part of ageing. She has been given specific advice on increasing the amount of fibre in her diet and the importance of increasing her water intake in line with this. 

Mrs Browning’s incontinence problems were related to the constipation. After increasing the fibre and water in her diet and regularly performing the pelvic floor exercises, both the constipation and incontinence have markedly improved and are no longer a concern for Mrs Browning or affecting her quality of life.