Bowel Retraining

Bowel training

Establish a set time for daily bowel movements; choose a time that is convenient for you keeping in mind your daily schedule. It is very important to be consistent in the time of day bowel training is performed. The best time for a bowel movement is 20 to 40 minutes after a meal since feeding stimulates bowel activity. Some people drink warm prune juice or fruit nectar as a stimulus to bowel movements.

Bowel movements may be stimulated by digital stimulation. Digital stimulation is performed by inserting a lubricated finger into the anus and using a circular motion. Stimulate the lower bowel until the sphincter relaxes. This may take a few minutes. If digital stimulation does not produce a bowel movement within 20 minutes, repeat the procedure.

Digital stimulation should be performed every day to stimulate bowel movement, until a pattern of regular bowel movements is established. Bowel movements may also be stimulated by using a suppository (glycerin or Dulcolax) or a small enema.

After stimulation has been performed, assume a normal posture for bowel movement. If you are able to walk, sit on the toilet or bedside commode. If you are confined to the bed, use a bedpan, in as close to a sitting position as possible, or use a left side lying position if unable to sit. Try to ensure privacy as much as possible. Also, some people find that reading while sitting on the commode helps them relax and aids in bowel evacuation.

Try to contract the abdominal muscles and bear down while expelling the stool. Some people find it helpful to bend forward while bearing down, as this increases the abdominal pressure and helps evacuate the bowel.

Consistency is crucial for the success of a bowel retraining program. Try to establish a time for bowel movements and stick to this time. Within a few weeks, most people are able to establish a regular routine of bowel movements.