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Last updated:02-18-2009
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In the majority of children who have problems with stool incontinence, constipation due to the state. The longer the problem has lasted, the longer it takes before the problem is resolved.

There is not a recipe that fits all children and the treatment may require individual and sometimes combined treatment. Some children will relapse during treatment
 

The 4 steps

  1. instruction and guidance to children and parents
  2. discharge of stool and maintenance of stools funds
  3. toilet training
  4. follow

Step 1:


Treatment begins with examination of the digestive system and normal stool pattern, and "the vicious circle described.
 
To increase the child's understanding you can use to help books, plates, drawings, dolls, teddy bears and a torso. Training adapted to the individual child and its parents. There is a treatment plan, and the family informed that the process can be lengthy and that there may be relapse underway.
 
Regarding diet, it is important that it is healthy and balanced, and that meals spread evenly throughout the day. The recommended quantity of liquid is 1-1 ½ l daily, of which ½ l milk.
 
A healthy lifestyle also means that a child exercise. There is a trend that Danish children are moving less - are driven to school, sit at the computer much and TV. It is important that both child and family and move like that parents put on with good daily habits.
 

Step 2:


Any scratches by using the intestine treated with ointment or suppository, so the child has no pain. To empty out the accumulated stool can be given stool means that the child takes by mouth, or may be given enema or stool funds end up in the intestine.
 
To ensure that the child has daily, painless stools stools provide funding over a longer period. There are many different stools means that works in different ways. There is a softening, lubricating and resources that promote movement in the intestine. Doctors recommend the type that fits the individual child.
 

Step 3:


The child should be lagging be ready to sit on the potty or toilet. The purpose for toilet training is that the child will experience some success by having the toilet stool and use gut reflex when bowel movements increased approx. ½ hours after a meal.
 
A good idea is to start toilet training 2 times daily for 5-10 minutes 1 hour after a meal. To ensure painless stools can be combined with stools funds. Constipate A child can not toilet train.
 
The child must remember to go to the toilet and not just wait until the time agreed
As a parent at home and kindergarten staff in institutions must be aware of
  • there shall be no hustle and bustle
  • there must be clean, quiet and nice to the toilet
  • child to sit properly and safely to the toilet
    the correct position is slightly stooping with supported under your feet, then pelvic muscle heather at the bottom may be relaxed
  • child mentoring in the use of abdominal muscles / bugpressen.
    Learning to feel the physical mechanisms that bugmusklen exciting and close the muscle relaxed
if the child does not succeed after some time, can be combined with a stool suppository
 
If the child is toilet terror, it is advisable to let the child keep his diaper on when stools, and work to get the child into the bathroom and possibly. sitting on the toilet with a diaper on.
 
The goal is that the child obtains security by using pot or toilet, and eventually go to the toilet like other children.
 
Remember to praise the child to participate in toilet training is not because that comes stools.
 

Step 4:


Since it is individual treatment, and there is experience with that can come back, it is important to provide a close follow-up outpatient visits, combined with telephone contact as needed. The child followed as long as needed.
However, as described previously try to give laxative end up in the intestine, klysma or suppository. This can provide a fast and efficient emptying of the intestine.
 
For many this is enough to achieve cleanliness. With a water enema may be of many achieve cleanliness in 24 hours. The treatment does not damage the intestine and is a route that has been known for millennia.
 
Today, many different tools to make water enema, to reduce discomfort, and even then the child can learn to purge the gut. This can be done in the toilet. This treatment requires the guidance of specialist staff.
 
If your child after a while no longer wish to rinse through the final gut, some children choose an operation and get an appendicitis stoma / rinse stoma.
 

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