This is Dr. David
what sleep medication are you taking? Ambien?
have you had a sleep evaluation by a sleep doctor?
Anorectal manometry and anal ultrasound are the most useful tests outside of research protocols to investigate fecal incontinence.
these tests can tell if your anal sphincter muscle is working properly and if there is something mechanically affecting the anus
you should talk to your doctor about these tests and see if you can get them to get more information about what is going on
this is a good article
let me know if you have other questions.
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