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Bowel Management

It is important to maintain regular bowl movements early on in the critical care course of a child with a TBI. A bowel management program may involve stool soft­eners, suppositories, and/or laxatives in order to cause regular and routine bowel movements.

The patient's bowel management program needs to be adjusted depending on their clinical response. Narcotic medi­cations are constipating and antibiotic medications can cause loose stools, so close follow-up and regular adjustments are indicated. Once the child is medically stable and the routine for their bowel routine is bet­ter established, the team may choose to cause bowel movements at the same time of day with the use of a suppository. In this way, “functional continence” may be obtained, with the child's bowel movements being more predictable. The agents commonly used include Senna, docusate sodium, polyethylene glycol, or glyc­erin suppositories.

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Source: Alexander M.A., Matthews D.J.. Pediatric Rehabilitation: Principles and Practice. 4 th. åd. — New York: Demos Medical Publishing,2010. — 540 ð.. 2010
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