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Common causes of having to wipe again later include chronic diarrhea, constipation, hemorrhoids, Crohn's disease, and the skin of the anus sticking to the stool. Leaky gut, also known as fecal incontinence, can make it difficult to clean the anorectal area after a bowel movement. It is important to practice good anal hygiene by avoiding soaps that can reduce the natural oils protecting the anus, instead using aqueous cream or a soap-free cleanser. Vigorous wiping with toilet paper should be avoided to prevent skin inflammation or infection. Fecal incontinence can be caused by diarrhea, constipation, muscle or nerve damage, with causes such as aging or childbirth. It is important to speak to a doctor about any embarrassing issues related to fecal incontinence.