Using Biofeedback Therapy for Bowel Movements

Using Biofeedback Therapy for Bowel Movements

>>Hi, my name is Kari Dowds. I’m one of the nurses in the Suzi and Scott
Lustgarten Center for GI Motility at Children’s Hospital of Philadelphia. This is an information video for parenting
caregivers. At the end of this video, if you feel it is
appropriate for your child to watch, we suggest that you sit down with your child and view
it together.>>Even though everyone has bowel movements,
it’s not always easy. Our bodies make stool all the time and our
stomach and bowel muscles need to work together to get the stool out. Sometimes these muscles get out of sync. Biofeedback is a fun and noninvasive way to
help your child see how their muscles are working together. With practice, your child can learn to get
the muscles coordinated again. Now let’s see this in action.>>Hi Kieran, how are you?>>Good.>>Good my name is Kari, I’m one of the
nurses in the endoscopy suite. I’m here to teach you about biofeedback.>>These sessions take about ten to fifteen
minutes and will occur weekly to every other week During the first session, a nurse will explain
to you and your child about the equipment and how it works, what muscles are used when
trying to have a bowel movement, and the proper sitting technique when having a bowel movement. They will also ask about your child’s toileting
and stooling patterns at home.>>Okay? So you know everyone has to poop, right? Sometimes it’s hard to poop. Cause you have to use the right muscles. You have to use your belly muscles and your
bottom muscles. So this is a special game that we use to see
what muscles we are using when we’re trying to poop. All it entails are six really small stickers.>>Nothing is going inside of you. We have three stickers that are going on your
belly. Two stickers are going on your bottom. Nothing is inside, it’s just going on your
bottom right next to where the poop comes out. And then the last sticker is going on your
leg. These stickers are connected to a machine
and as you’re pushing as if you’re trying to poop, you’re going to look up here and
you’re going to see a fish and bubbles. And you’re gonna try to get the fish to
eat the bubbles. Do you have any questions? Okay.>>Your child will sit on a special chair
called a commode. And we will ask them to bare down as if they
are having a bowel movement. As your child does this, they will be looking
at a computer screen. The act of pushing or squeezing will cause
an object on the screen to move.>>You will see fish on the machine. This fish is controlled by your belly. When you see these pink bubbles come around
on the machine, push like you’re trying to poop. During this period you’re resting and then
as soon as you see pink bubbles – as soon as your fish gets right up to it, you’ll
push. Okay ready? And push! Push push push push push push push push push
push push push push keep pushing.>>The visual and auditory cues will help
your child learn which muscles they are using to have a bowel movement. During subsequent sessions, the nurse will
reinforce this education and provide encouragement to your child. As the sessions continue, the nurse will began
to take away the visual and auditory cues to mimic the home setting. They will also continue to evaluate your child’s
progress at home.>>Thank you so much for watching this video. If you have any more questions, please contact
your physician. Your child’s care is our top priority.

7 Replies to “Using Biofeedback Therapy for Bowel Movements”

  1. What types of DR's do I need to see for this? Does this happen with stool that isn't hard? I am 33 I use a stool and mirlax and still struggle to move a anything now I am having trouble to urinate as well. I am suffering its been over a week n that happens often. Please respond thank u

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