A.Every patient is different, as is the speed at which food passes through their GI tract. Sometimes bulking up the stool can work. I have had limited success using slippery elm and Acetylator by Vetri Science. Since one of our specialties over the last three decades has been rectal surgery by freezing, I have seen more cases like this than the average veterinarian. With some, I have had good success with sedating or using general anesthesia, and gently and gradually stretching out and breaking down any strictures that might be causing the incontinence. This should only be done by a veterinarian experienced in this kind of procedure. If the incontinence is neurological of functional, try acupuncture as a possible treatment.