Once this occurs, it makes the rectum larger and larger, like an expanding balloon. We have evidence that the larger the rectum, the more inefficiently it empties. This inability to empty the bowel can lead to ch ronic fecal impaction which provokes overflow pseudoincontinence and constant soiling. Therefore, it is very important not to allow the stool to accumulate. Since the child is usually constipated, he will remain dry and clean in between enemas.
Some parents prefer administering their child's enema every other day.
If the child empties well every oth er day, rather than every day, it probably will have no adverse impact on the bowel. However, they must be aware of the fact that they should expect to remove twice as much stool every other day with an enema. The problem is that the chances that the child will become impacted are higher. As long as parents are aware of the risk and closely monitor their child's output, there is no problem with emptying the rectum ev ery other day. The reason that I recommend a daily program is because I receive many calls from parents in emergency rooms because their child is suffering from fecal impaction.