Abstract

Bowel management is an outpatient program used to treat fecal incontinence. The clinician selects an appropriate treatment modality, either oral stimulant laxatives or a mechanical program (once daily rectal or antegrade enema). The therapy is adjusted throughout the course of a devoted week according to the patient report and daily abdominal radiograph findings. Whether using an oral stimulant laxative or rectal enema washout, the goal of treatment in both cases is to stimulate a daily bowel movement and empty the colon. The child should then not have another bowel movement or soiling for 24 hours until the next treatment and thereby will be clean and able to wear normal underwear.

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