Irritable bowel syndrome causing fecal incontinence should be treated aggressively for the primary condition, along with symptomatic treatment of fecal incontinence. The causes of irritable bowel syndrome are mainly psychosomatic disorders as the most common. The diarrhea type is the most common, in addition to the constipation type and mixed type. The most important treatment is to relieve doubts and improve confidence. It is possible to receive professional treatment from a psychiatrist. Pharmacological treatment can be prescribed to use antidiarrheal drugs loperamide, difenocoumarol, montelukast, etc., analgesic and antispasmodic pivoxyl bromide, but also moderate use of psychotropic drugs, such as amitriptyline, etc.. It is recommended that when the symptoms of irritable bowel syndrome fecal incontinence are serious, timely to the regular hospital, identify the cause of the disease, and comply with the doctor’s instructions reasonable use of medication.