Types of treatment
During the boot camp, the team uses a variety of therapies to help each child find their ideal bowel movement schedule. We have three overarching treatment programs that we will adjust to fit your child’s needs. These include:
This program involves taking medicine every day to establish a bowel movement (pooping) pattern. It helps children whose colon and bowel work too fast or too slow. Our goal is to be clean without accidents and have one to two bowel movements each day.
An enema is a way to put fluid into the last part of the colon (rectum) to empty the intestine of stool for 24 hours at a time. A flexible catheter and fluid bag are used to administer the enema. Our goal with this program is to empty the colon with the enema and be stool and accident free between enemas.
Appendicostomy (Malone, ACE, MACE)
An appendicostomy is a surgically created way to give an enema from the “top down,” or beginning part of the colon, instead of from the bottom. Some children come to our bowel management camp after they have had an appendicostomy created. Other children wish to have an appendicostomy placed after they have established a working enema program. This may provide the child with more independence as they can help give the enema/flush through their abdomen instead of from their bottom.