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Helping Children Gain Control
By Salha Mishaan
Incontinence is usually thought of
as a condition strictly limited to the elderly, or at
the very least those who are “older.” We rarely think of
children having to deal with incontinence. But, in some
cases of Spina Bifida, Traumatic Brain Injury and
Neuromuscular Diseases, incontinence is part of daily
life, part of growing up.
According to the Association for Spina Bifida and
Hydrocephalus, children with these diseases can learn to
control their bladder and bowel by working out a routine
of evacuation.
Today’s medical technology has provided children as well
as adults with assistance in bladder evacuation. These
include the use of a Clean Intermittent Catheterization
(CIC), which is a tube the child can use every three to
four hours. An Indwelling Catheter continuously in the
bladder and the urine simply drains into a bag.
Today there are also medicines and a variety of surgical
procedures available to assist children in maintaining
bladder continence. Surprisingly, the Kegel's exercises
which women have been instructed to practice for urinary
incontinence has also been shown to be effective in
assisting young girls as well. Speak to your continence
advisor about these exercises. To develop more control
over bowel incontinence, a doctor can prescribe enemas.
Speak with your doctor about how to provide the most
effective enemas, and preventing or at least limiting
unplanned evacuations. Medicines are also available as
are surgical procedures.
To assist your child’s body in more easy and routine
bowel evacuation, have your child drink lots of liquids.
Stay clear of caffeine (including teas and sodas).
Liquids help flush the system and soften the fecal
matter. Cranberry juice is good for the bladder as well
as easing the bowel evacuation.
Your child should also eat a lot of fresh fruits,
vegetable, and cereals. Exercise will help the body as a
while stay in better shape, but in terms of controlling
continence, it will assist in more controlled bowel
evacuations as well. Exercise helps to keep a bowel fit!
In creating a routine for your child to follow, and
hopefully for your child’s body to adapt to, meals
should be eaten at the same time each day. Bladder and
bowel emptying should be regularly scheduled as well.
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