Children with Spina Bifida who regularly experience constipation and fecal incontinence may also be affected by conditions such as urinary incontinence, urinary tract infections, shunt malfunction, skin breakdown, hemorrhoids, and anal fissures. Children may also face bullying, repeated school absences, and decreased self-esteem. Additionally, their parents and caregivers may also have high levels of stress and anxiety due to the amount of time, energy, and the unpleasantness associated with bowel management. However, caregivers can manage these challenges by practicing tried and true suggestions and using the Spina Bifida Association Lifespan Bowel Management Protocol as a guide.
