What to Expect
The CENTIPED Clinic is located in the Surgery Clinic at Children’s Mercy’s Kansas City. You will usually see all three health care providers at the same time when you come for your appointment. They will listen carefully to your child’s symptoms and concerns and do a complete physical exam. You can expect to be at your appointment for approximately one hour.
If you have previously seen a specialist at Children’s Mercy, the clinic team will already have reviewed those records. If you’ve been seen at another provider, please send any imaging studies or records from those visits prior to your appointment.
Your child might need lab work or additional imaging, such as ultrasound, to help the care team make an accurate diagnosis and plan of care. You can often have these studies done the same day at Children’s Mercy.
After meeting with you and discussing all the information that is relevant to your child, the clinic team will share their findings with you and recommend a treatment plan. This may include behavior modifications, medication, physical or occupational therapy for the pelvic floor muscles, or in rare cases, surgery. You will receive a written plan as well, which you can access anytime on the myChildrensMercy Patient Portal.
Helping your child reach long-term bladder and bowel control
Sometimes, when your child has had long-term bowel or bladder issues, it’s hard to get a sense for what is typical or healthy toileting behavior for a child their age. In general, for toilet-trained children, our goal is to help them develop daytime urinary and fecal continence (control over their bladder and bowel), go poop when they want to without straining or pain, and pee every 2-3 hours during the day.
Most children achieve nighttime urinary continence (staying dry at night) between the ages of 5-8, although this varies. Overall, though, 15-20% of children struggle with either daytime or nighttime urinary incontinence, and 2-4% have fecal incontinence, so your child is not alone.
Our goal in the CENTIPED Clinic is to help your child improve their toileting behaviors to what is developmentally appropriate for their age and abilities. It might take some time, but with behavioral and dietary changes, along with medication when appropriate, we expect that we’ll see progress toward achieving continence.
Many children have had success with the help of our caring and dedicated team. Most of all, we want you to know that your child is not the only child with these difficulties and we are committed to helping your family find solutions that work for you.