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Bowel management is the process which a person with a bowel disability uses to manage fecal incontinence or constipation. [1] People who have a medical condition which impairs control of their defecation use bowel management techniques to choose a predictable time and place to evacuate. [ 1 ]
Dietary changes are an important management element. Recommended changes to the diet in the case of constipation-caused encopresis include: Reduction in the intake of constipating foods such as dairy, peanuts, cooked carrots, and bananas; Increase in high-fiber foods such as bran, whole wheat products, fruits, and vegetables
In children, causes can include diets low in fiber and fluids, underlying medical conditions, and reluctance to go to the bathroom. [21] In the elderly, common causes have been attributed to insufficient dietary fiber intake, inadequate fluid intake, decreased physical activity , side effects of medications, hypothyroidism , and obstruction by ...
Functional constipation is a condition that requires nonpharmacological management, including education and lifestyle modifications. It begins with dietary guidelines, focusing on regular fiber and fluid intake. Children with functional constipation should consume a normal intake of fiber, as per ESPGHAN/NASPGHAN criteria.
Dietary fiber has two main subtypes: soluble fiber and insoluble fiber which are components of plant-based foods such as legumes, whole grains, cereals, vegetables, fruits, and nuts or seeds. [2] [3] A diet high in regular fiber consumption is generally associated with supporting health and lowering the risk of several diseases.
At around age 4, children develop an adult-like pattern of bowel movements (1-2 stools/day). The median onset of functional constipation in children is at 2.3 years old, with girls and boys being similarly affected. [2] Children benefit from scheduled toilet breaks, once early in the morning and 30 minutes after meals.
They are used to treat and prevent constipation. Laxatives vary as to how they work and the side effects they may have. Certain stimulant, lubricant, and saline laxatives are used to evacuate the colon for rectal and bowel examinations, and may be supplemented by enemas under certain circumstances. Sufficiently high doses of laxatives may cause ...
It is recommended to increase dietary fiber intake to 25-30 grams daily. This may be slowly increased up to a level of 50 grams per day. This is usually achieved with high-fiber cereal and fiber powder supplements such as psyllium, methylcellulose, polycarbophil, or wheat dextrin. [12]
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