Children with true fecal incontinence lack the ability to voluntarily have a bowel movement, so they require daily interventions to empty the colon of stool. However, there are two different types of true fecal incontinence and treatment for each varies:
Physicians are usually able to predict which children with these issues will go on to have fecal incontinence so that parents can set expectations for potty training. In some cases, parents are asked to try typical potty training around the age of three, and if that isn’t successful, the child can begin a bowel training bootcamp. Depending on the child’s prognosis, potty training can be tried again during vacation or summer breaks to assess bowel control. Usually, as a child with true fecal incontinence ages, they will become more engaged with managing their condition, and treatment plans will evolve.
Bowel management programs are tailored for each individual child and often require trial and error to determine which combination of interventions, diets and medications will work best.
|Food to encourage||Foods to avoid (that loosen bowels)|
|Banana||Dairy products (milk, cheese)|
|White Bread, bagels||Fried and oily foods (French fries)|
|White pastas without sauce, rice||Sugar|
|Boiled, baked, broiled meats (chicken, fish)||Chocolate|
|Apples without skin, applesauce||Spices|
|Water soluble fiber (pectin)||Fruits, Fruit Juices|
Tea and Soft Drinks (with artificial
|Jelly (no jam)|
Contact the Colorectal Center