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The range of options for treating fecal incontinence varies depending on the cause of the problem and the extent of the problem. Pediatric surgeons work closely with other specialists interested in the associated anomaly or underlying cause of the problem.
Treatments for more mild cases can include dietary alteration or treatment with medications to slow transit or increase stool consistency, or sphincter exercises. An enema may be prescribed by your child's physician to help remove impacted stool. An enema is a liquid that is placed in your child's rectum and helps loosen the hard, dry stool. (DO NOT give your child an enema without the approval of a physician or healthcare provider.)
Some children will require surgery. Surgery can include surgical correction of an anatomical problem or, the creation of a small opening in the abdominal wall, through which a small tube is passed into the colon to irrigate it on a daily basis, the so-called ACE procedure. This may allow restoration of control and prevention of stool impaction.
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