Children with bowel dysfunction may experience pain, bloating, loss of appetite and soiling. Some children have bowel accidents several times a day, which can lead to embarrassment and social insecurity.
To start with, many families are advised about diet, activity and medicine of different varieties (bulking agents, stool softeners and laxatives). For some children this might be enough, but for many the problems continue.
Many parents devote a lot of time trying to find the right treatment for their child. Every new failed attempt is emotionally draining and can lead to a feeling of hopelessness. Many stay on these conservative methods without knowing about the next treatment level, which includes transanal irrigation (TAI).
Transanal irrigation is a technique for effectively flushing the bowel with plain water. The water is inserted via a catheter that is held in place with a small balloon, also stopping the water from coming out during the treatment. The water softens the stool and starts the natural (peristaltic) movements of the bowel, pushing out the poo. When the air in the balloon is released and the catheter removed, the stool and water comes out.
When this method is used regularly, it effectively empties the bowel so that it stays empty until the next irrigation, reducing the risks for accidents.
TAI prevents soiling and gives control over time and place for bowel emptying. In many families the parents and the child decides on suitable days to perform TAI, that fit into the school or activities schedule.
There are no drugs and no surgery involved – just lukewarm water, using the fact that the bowels start to move on the stimuli from the water.
Once your child has learned the procedure and the body has adapted to it, the irrigation takes between 15 and 60 minutes, compared to the hours spent on the toilet using conservative methods. TAI is usually performed either daily, every other day or twice a week depending on your child’s needs.
The aim of TAI is to restore a well-functioning bowel allowing your family to live a normal life, not limited by bowel issues. Reduced risk of accidents creates confidence, saves time and opens up for a social life, both for the child and family. A more predictable bowel emptying routine can also make parents feel more confident about their child being away from home, e.g. in school or with friends.