Colorectal

doctor with child

Bowel Management Program

If your child is struggling with bowel control, like constipation or fecal incontinence (soiling, stool accidents, encopresis) our program is here to help!

Find a location

What sets us apart

Our team will work closely with you and your child to create a daily bowel program that helps them feel healthy and prevent accidents. With the help of a physician, nurse practitioner, registered nurse, dietitian, and child life specialist, you can trust that our team will be here for your family’s care.

Each program is created personal to your child’s needs and wellbeing. Their program may involve changes to diet, enemas, and/or medication.

We also have experience treating children with rare colorectal issues, such as:
  • Anorectal malformations (imperforate anus, cloaca)
  • Hirschsprung's Disease
  • Severe medically refractory constipation
  • Spinal or sacral disorders that affect the bowel (spina bifida, spinal trauma, sacral coccygeal teratoma)

Treatment options

Here are some of the treatment options we may discuss with you and your child.

A laxative is a medicine taken every day to help your child have a bowel movement (poop). With our laxative program, our goal is to ensure 1-2 bowel movements in the toilet daily with no accidents.

An enema involves putting fluid into the rectum and lower intestine to help empty the stool. We use a catheter and fluid bag to do this, and we'll show you how to do it at home. The goal of an enema program is to empty the colon and stay accident-free between enemas.

An appendicostomy is a surgical procedure that offers another way to give an enema. Once an enema program is found to be effective, the doctor may recommend an appendicostomy to administer the enema solution through the appendix and large intestine. This procedure provides convenience and independence for children who need a large volume daily enema.

What to expect

Because every child has different care needs, every visit and care plan will be a bit different. In most situations though, we start with testing to help us identify and create your child’s care plan. Likely, this will include having your child complete a contrast enema. This is a test that uses X-rays and a special enema solution to take pictures of the colon or large bowel. This helps our doctors see if there are any abnormalities in the colon or distal small intestine and works to clean out their large bowel. No special preparation is needed for this test.

We may also have your child get an abdominal X-ray (KUB study). This shows the organs of the gastrointestinal system, and helps the provider see any stool burden or remaining fluid from the contrast enema.

During your visit, your child will see a physician or nurse practitioner, registered nurse, child life specialist, and dietitian. Together, we will work with you to provide the best care for your child.

Your child will have a follow-up appointment six months after starting their bowel program and then yearly afterward. We will adjust the program as needed during their follow-up visit or over the phone between appointments.

Bowel Boot Camp

Our Bowel Boot Camp is a one-week program designed to create a customized bowel management plan for your child. It includes daily X-rays and clinician reviews to ensure the program is tailored to your child’s needs. This program provides children and families with the support and education for effective bowel management.

Featured locations

Primary Children's Hospital - Colorectal Clinic

  • Children's Health Home
  • Pediatric services & specialties
  • Donate to Children's Health