Fecal Incontinence

At the height of a flare, this can be very common.

I never found good wearable pads. The "Depends" type were padded in front and the seat was too thin.

I found low doses of Immodium more useful, but this has to be done with care. Stop if there is not some daily BM.

Rectal meds to treat the rectum can help with the urgency. But, warm mucus with blood is like a butt bomb. It just pushes out. As the bleeding gets under control some accidents stop.

good luck

So I have severe Pancolitis that is only moderately in control at this point, so the aforementioned "butt bombs" are a reality as are an occasional full uncontrollable blow out. In all cases, Depends have been acceptable to catch it all - even high volume. The challenge is when that happens how to effectively remove the Depends after a full blow out without creating a ridiculous biohazard - in most instances simply ripping each side and then folding over a lined trash can does the trick. I've gotten way beyond the "am I really having to wear a diaper in public" mental hurdle. I don't leave home without it and in many instances, I don't have to use it, but it's also helpful when a "butt bomb" masks itself as mere passing of gas and lowers the annoyance of dealing with destroyed underwear. I'm a 185lb male 49year old, so if it holds what I have... it should work for others I'd think, but I can't comment with respect to depends for females - perhaps it's a different fit

Hello beccak, "Wet Gas" & "Sharts" are common when the rectum is inflammed. Fecal incontinence is different; it's involuntary evacuation - and accidents do happen for some with active UC.
The continual production of inflammatory fluids at the rectum is a huge nuisance.** Whether it appears as wet gas, or an uncontrollable 24/7 ooze - here are a few things that help contain and manage the slimy yuk & yuky slime.

Cut cotton flannel "tucks" from old bed sheets into 2" x 2" pieces. Fold in half and tuck into the outer anal rim. Discard in trash - don't flush for obvious reasons.

Additionally, wear panty shields. Look for long & thin pads. Discard in trash, don't flush. To maximize aeration, while at home try thin cotton terry washcloths rolled up like a crepe and tuck along the centerline fold of the perineum. Keep the air-able roll in place with snug cotton panties. Take care to hold on to the cloth when you drop the trousers to sit on the toilet - again don't flush for obvious reasons. Machine wash with your undies; pre-wash by hand if/when needed.

Try wet wipes for more effective cleanup when changing. Less expensive and more gentle unscented baby wipes are also not flushable.

Hope these ideas help you figure out what works best for you.

** Rectal mesalamine preparations (suppository or enema) can substantially reduce inflammation and the production of the said fluids in the rectum and sigmoid colon. Some people also get anti-inflammatory benefit from rectal preparations of adrenocortical steroids (Pred).

As other have said, it is not normal to have fecal incontinence and accidents on a long term basis as a UC patient (you should not accept that is normal, and say "c'est la vie" and ignore it entirely). We can have that problem temporarily when we're flaring severely. Usually we get on prednisone and it can quickly tame accidents within a few weeks time, and we adjust our other medications and dosages to get off of the pred. We can have flares from hades, I had one that lasted over a year, during which we have accidents while we fail meds, and try new meds over, and over again. I was on pred for that full year, and had my unfair share of accidents during it (while lowering pred dosage to see if a new treatment worked; it didn't). Remicade ended up being my solution to it, and I found a remission and no longer worry about accidents.

Get aggressive in treating your UC flare. What you're doing now is clearly not working. Mix it up, try stronger medications, and more medications simultaneously. Having regular accidents is an awful quality of life over the long-term. Try biologics, and every med you can to resolve your flare. If nothing works there's always surgery to get your life back.