#1 Ranked Children’s Hospital by U.S. News & World Report
MyPatients provides referring primary care providers with secure access to their patients’ information.
Boston Children's has launched the world's 1st program dedicated to offering hand transplants to children who qualify.
Innovation insider is a semi-monthly e-newsletter analyzes innovations at Boston Children’s, other academic medical centers and from industry.
Read the latest blog by a Boston Children's doctor, clinician or staff member.
There are many ways you can help children and their families get the care they need.
At Boston Children's Hospital, we consider you and your child integral parts of the care team and not simply recipients of care. You and your care team will work together to customize a plan of care for your child.
With treatment, your child will eventually have regular bowel movements and avoid the constipation that can lead to encopresis.
Treatment for encopresis may include:
About prescribed enemas:
After your child passes the stool, it's important to develop a good routine to ensure that stool does not get backed up again. Because your child's intestine and rectum will remain stretched (they go back to normal after about six months), your child may still have problems with leakage.
To reduce the number of accidental bowel movements or fecal soilings, have your child sit on the toilet two to three times a day for five-to-10 minutes, preferably shortly after a meal.
It's very important to make this time pleasant, so that your child doesn't see it as a punishment. Here are a few ideas to make toilet time fun:
It's also important to remember that each time your child sits on the toilet, she will become more comfortable with it. So make sure to praise your child for sitting on the toilet — even if she doesn't have a bowel movement.
Often, making changes in your child's diet will help her constipation. Consider the following suggestions:
We usually see children and their parents individually at first and most children quickly master using the toilet without anxiety. For those who have trouble, we have developed Toilet School, an educational program for both parents and children to help them with difficult toilet training.
Toilet School is a six-week program in which six kids — mostly 4-, 5- and 6-year-olds — come to class once a week for an hour to an hour and a half. Parents attend a separate class where they learn behavioral techniques designed to help their children master toilet use.
By graduation time in the sixth week, about 60 percent of the kids have successfully had a bowel movement on the toilet. The ones who haven't get follow-up visits until they're successful.
A schedule of follow-up care will be determined by your child's physician and other members of your care team. The main purpose of these follow-up appointments is to make sure that your child is not getting constipated again.
We are grateful to have been ranked #1 on U.S. News & World Report's list of the best children's hospitals in the nation for the third year in a row, an honor we could not have achieved without the patients and families who inspire us to do our very best for them. Thanks to you, Boston Children's is a place where we can write the greatest children's stories ever told.”