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Bowel training
Bowel training depends on developing a habit of opening the bowels at roughly the same time each day and clearing a large amount from the bowels each time. Do not allow constipation to develop. Ideally, the faeces should be firm and formed. Watch for times in the day when the child opens his/her bowels to see if a pattern emerges. The bowel is more active after meals, especially breakfast. Sit the child on the toilet at these times and encourage her/him to push down gently. To encourage this, try tickling to get the child to laugh or the child could blow a party toy (not balloons and always under supervision) and the effects of gravity will also help. Even if there is no result, continue to sit the child on the toilet after meals. However, the child should
not sit on the toilet for longer than 5 minutes. All programmes will involve sitting on the toilet even when there is no sensation (feeling) of a need for bowel action. If it becomes a normal part of the daily routine from early childhood, it is less likely to become a major issue later on. If this is unsuccessful, it may be necessary to seek advice from your continence adviser. Encourage the child to clean her/ himself with tissues and attend to clothing, as far as possible. For further advice; contact your continence adviser, school nurse or Shine medical adviser.
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Shine relies on peoples generosity and support so we can help our clients who depend on us for help and advice - people with hydrocephalus, spina bifida, their families and carers. To donate to Shine please visit www.shinecharity.org.uk or call 01733 421329. This information has been produced by Shines medical advisers and approved by Shines Medical Advisory Committee of senior medical professionals. Shine - Registered charity no.249338 To see our full range of information sheets and to find out how to donate to Shine please visit www.shinecharity.org.uk