Conclusions
As you can see, Bowel Management does not mean "just giving an enema" or following a prescribed diet or taking a medication. There is no a miraculous recipe. However, it is possible to help children born even with a very bad prognosis type malformation to remain artificially clean through:
- A methodical trial and error combination of enemas
- Colonic irrigations
- Suppositories
- Diet and medication following a specific rationale
The success of any of these strategies requires collaboration among the family, the child and the health care team. It takes dedication, determination, consistency and love by everyone involved.
Children who have completed the bowel management program and remain clean for 24 hours experience a new sense of confidence based on an improved quality of life.