What most accurately describes bowel function in children born with a myelomeningocele?
a. Incontinence cannot be prevented.
b. Enemas and laxatives are contraindicated.
c. Some degree of fecal continence can usually be achieved.
d. Colostomy is usually required by the time the child reaches adolescence.
ANS: C
With a combination of dietary modification, regular toilet habits, and prevention of constipation and impaction, some degree of fecal continence can usually be achieved. Incontinence can be minimized with the development of a regular bowel training program. A surgical intervention can assist with continence. Enemas and laxatives are part of a bowel training program. Colostomies are not indicated in children with myelomeningocele.
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