An overview of faecal incontinence in children

Anne Weaver1, Penny Dobson

  • 1Education and Resources for Improving Childhood Continence, Bristol.

Nursing Times
|December 15, 2007
PubMed

Insights

This study reviews current practices for assessing and treating pediatric faecal incontinence. It provides guidance for healthcare professionals managing this common childhood condition.

Area of Science:

  • Pediatric Gastroenterology
  • Clinical Practice Guidelines

Background:

  • Faecal incontinence affects a significant number of children.
  • Current management strategies vary, necessitating standardized approaches.

Purpose of the Study:

  • To outline current best practices for the assessment of pediatric faecal incontinence.
  • To detail evidence-based treatment options for children with faecal incontinence.

Main Methods:

  • Review of current clinical guidelines and literature.
  • Synthesis of expert opinion on assessment and treatment protocols.

Main Results:

  • Comprehensive overview of diagnostic tools for faecal incontinence in children.
  • Discussion of pharmacological and non-pharmacological interventions.

Conclusions:

  • Standardized assessment and tailored treatment are crucial for managing pediatric faecal incontinence.
  • Implementation of these guidelines can improve patient outcomes.

Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Psychosexual Stages of Personality: Anal01:26

Psychosexual Stages of Personality: Anal

Sigmund Freud's theory of psychosexual development describes the anal stage as occurring between 18 months and three years of age. During this period, children derive pleasure from controlling and releasing their bowel movements. However, they quickly learn that societal expectations impose restrictions on when and where this can happen. This stage marks a critical point where children begin to develop a sense of control and mastery over their bodily functions, as well as their broader...
The Micturition Reflex01:26

The Micturition Reflex

Urination, or micturition involves the coordination of the bladder's detrusor muscle and two sphincters to ensure controlled bladder emptying.
The process begins with bladder filling, where the bladder wall stretches as urine accumulates. This stretching activates the urine storage reflex, mediated by the sacral spinal segments and the pontine storage center. Efferent sympathetic impulses stimulate the detrusor muscle to relax and the internal urethral sphincter to contract, facilitating urine...
Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Feces Formation and Defecation01:26

Feces Formation and Defecation

After spending 3 to 10 hours in the large intestine, chyme loses a lot of water and becomes feces, the final product of digestion. Feces consist of undigested dietary fiber such as cellulose, mucus, sloughed-off epithelial cells, and microbes. The descending and sigmoid colon stores feces and uses haustral contractions to dry it out but retains enough water to give it a semi-solid texture.
The mass peristalsis then pushes the feces into the rectum, which stretches the rectal walls to activate...
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation01:30

Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation

Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are: