Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
198 Doctors are Online

What can be done to change toilet routine in a handicap child?

User rating for this question
Very Good
Answered by

Practicing since : 1997
Answered : 379 Questions
my handicap boy is 9yrs.he goes to a special school for multiple handicapped blind. Our concern is that he defecates in his pants in the afternoon, with no fixed routine. It can be anytime between noon till 1700h in the evening. this causes lot of stress for us. we want to set his potty time for morning ie before he leaves for school.His peadeatrician suggested use of neotonic enema in the morning for about 10 days, so that his potty routine changes to the morning instead of in the afternoon. The results have been negative with no sucess. Request suggest some method/medicine to change the potty routine. thanks
Posted Mon, 30 Dec 2013 in Child Health
Answered by Dr. Santosh Kondekar 1 hour later
Brief Answer: have patience Detailed Answer: Problem with most such cases is loss of control of gut from brain. So often such kids may be constipated or pass stools after feeds. At times it may be related to infection and may need drugs like metro.. discuss with your doctor. let me know if he has hard stools then I may advice enema like therapy for 100 days. other way is training the child to hold stools by teaching him some breathing exercises if he is able to understand any. Please get back with routine diet and daily stool pattern in quality and quantity.
Above answer was peer-reviewed by
Follow-up: What can be done to change toilet routine in a handicap child? 47 hours later
i want to clarify that my son is not on any kind of medication. he is also not suffering from constipation. we want to change his biological /body clock vis-a-vis his potty time ie from afternoon to morning. request suggest...
Answered by Dr. Santosh Kondekar 37 hours later
Brief Answer: its not the biological clock alone Detailed Answer: As brain is partly nonfunctional; its likely that the part of brain controlling biological clock may be affected too.. though may not be possible to prove ; the tone of gut and the functioning of gut and center for its control in brain may be likely to be affected too. So its the training to hold breath and stool by one's own will may help delay the passage of stools or warn in advance so that he wont soil clothes. If it were an infection, which is commonest possibility, a course of specific antibiotics and antiamebic drug may help. suppositories help keep colon empty but it may get filled soon
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Medical Topics

The user accepted the expert's answer

Ask a Pediatrician

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor