The Clean Kid Treatment
For Encopresis:
WARNING:
A recent research report out of the Netherlands indicates that the rectum can
become overly stretched and weakened from a megacolon such that the standard
"top down" pediatric treatment may be rendered ineffective. In my
opinion encopresis should not be allowed to continue indefinitely. Even children
recovering under the standard pediatric approach may continue with distended
rectums at 4 years follow up. The more aggressive Soiling Solutions protocol
using suppositories and enemas with proper timing is well indicated at an earlier
time to prevent this consequence. DrC.
Click
here for an advance look at the CLEAN KID MANUAL:
Click on the Home page tab above for a copy of a letter to your physcian
Unique Features of the Soiling Solutions (SS) Protocol Include:
-
The "bottom up" use of suppositories and enemas assures more powerful voiding signals followed by very successful bowel movements (BMs).
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"Top down" or oral agents only offer confusing and delayed signals because they have to operate through the entire lengthy Gastrointestinal (GI) tract.
- "Top
down" agents also make a child more likely to "leak" or "ooze"
stool during the day.
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"Top down" voiding signals only multiply "holding" responses that the child can fight off and actually build up resistance to voiding! How self-defeating for children for which it does not work!!!
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Assuring a BM relieves GI pressure enough in time to prevent soiling for a whole day until the next treatment hour.
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Successful voidings on their own with two opportunities heads off using the suppository or enema.
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Daily guaranteed voidings assure "fresher" and softer stools as the child resists less and less, gains confidence, and becomes more bowel competent.
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Successful voidings "desensitize" the child and having BMs becomes normalized.
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The use of suppositories and enemas are not intended as punishment, they simply "retrain" or condition the bowel signals and voiding responses that lead to more successful and complete BMs.
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If parents use a punishing attitude, the protocol will not work and will only make the child more fearful and resistant to BMs. We are advocating a legitimate, rational, medical and behavioral conditioning approach.
For a more in-depth study about encopresis click on the hyperlinks below:
First International Conference
on Encopresis
Second International Conference on Encopresis
(and Enuresis)
Fourth Annual International Symposium on Functional
Gastrointestinal Disorders
University of Kansas Pediatric Functional GI
Disorders Conference-Includes Encopresis-2002
The
Latest on Encopresis and Bedwetting Research from the Scientific Literature
Free Treatment Advice for Daytime Bladder Accidents
Excerpts--Clean Kid Manual for Encopresis
Professionals' Page for Encopresis
Diet & Fiber for Encopresis
Testimonials Page
Megacolon
Dr
Collins