Children who cannot control their bowel movements often have many different problems. Most of the time, the problem is because of a digestive system malformation or disease, a spinal problem, or constipation.
Depending on the child’s problem, a bowel management program can:
Patients who are referred to the Nationwide Children’s Hospital Center for Colorectal and Pelvic Reconstruction (CCPR) Bowel Management Program have either a:
Your bowel management program will be done over the course of a week at Nationwide Children’s Hospital. This is called ‘Bowel Management Bootcamp.’ Many other families will be doing the bootcamp too.
When you get to bootcamp, you will:
After the first x-ray and exam, the doctor will choose which bowel management program your child needs during the office visit. This will be either:
The Enema Program is usually ordered for children who have body parts that do not work right or never formed. This problem makes stool stay inside the body. The Enema Program uses a safe saline solution enema every day, to clean all of the stool out of your child’s colon. This keeps your child free from accidents. An enema is a process where a tube goes into your child’s rectum, and the saline is flushed into the colon. This loosens all of the stool in the colon, so that it all comes out at one time. The colon will stay clean until new stool is made the next day.
For the Enema Program:
The Medicine Program is usually ordered for children who have all the body parts needed to keep stool inside the body, but the body cannot work those parts the right way. This problem also makes stool stay inside the body. Many children on the Medicine Program only have problems with constipation. The Medicine Program uses medicine that makes the colon move so stool can come out of the body quickly. This medicine is called a laxative.
For the Medicine Program:
After Bowel Management Bootcamp, the doctor will give you and your child instructions for the bowel management program at home. It is important to remember that the program may change as your child gets older. He or she may become more interested in bowel management. Children on the Enema Program may be able to try the Medicine Program during breaks from school or sports. If your child has to have enemas every day, there are surgeries that can make this easier and more private.
Please contact the Center for Colorectal and Pelvic Reconstruction at 614-722-4086 or firstname.lastname@example.org if you have any questions or concerns.
Bowel Management Program (PDF)
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