Program Information

What is Bowel Management?

The Colorectal Program at Lucile Packard Children’s Hospital Stanford is an outpatient program for children who have a history of anorectal malformations, Hirschsprung’s disease, cloacal exstrophy, and neurogenic bowel that suffer from constipation and/or fecal incontinence. Bowel management involves interventions to provide such children the ability to establish a scheduled colon evacuation of stool to prevent fecal accidents.

The program is designed primarily for children who are of toilet trainable age and suffer from fecal incontinence:


The program is designed as a partnership between the family and provider team to best capture the child's stooling pattern and then create an individualized regimen specific to their needs. This may include a variety of imaging or tests, oral laxatives, enemas, dietary education, or referrals to other subspecialty services. The long-term success is confirmed by each family’s satisfaction with and willingness to continue the recommended regimen.

Program Overview

Our Colorectal Program is a week-long program offered monthly. The goal is to help children achieve predictable bowel movements through the use of laxatives and / or enemas.

Prior to the Clinic Visit

Before coming to your child's Colorectal Clinic appointment, please be sure to complete the 1-week bowel record for your child and bring it with you. Completing this form will help and enable us to determine the best bowel regimen for your child. 


Week-Long Program

The program begins with a clinic visit on a Thursday and ends the following Friday. Your child will get an abdominal X-ray the first morning, prior to the clinic visit. Then, you and your child will meet with one of our bowel management surgeons and nurse practitioners. We will work with you to establish an individualized plan of care for the week. Each day during the following work-week, we will speak to you to assess your child’s condition and determine the need for additional X-rays.  Our colorectal care team reviews these abdominal X-rays and makes adjustments to the treatment plan as appropriate for your child.

Most of the children who are in this program will need to maintain a bowel management regimen for their entire lives. We are committed to helping them be successful, and we provide continued individualized care.

Contact Information

For more information about Lucile Packard Children’s Hospital Stanford Colorectal Program, call our office at (650) 723-6439.



The Division of Pediatric General Surgery offers an extensive online resource of general health information. Please do not substitute information on this website for professional advice, a diagnosis of your condition, or a recommendation about the course of treatment for your particular circumstances. This information is not intended to be, and should not be used as, a substitute for medical treatment by a health care professional. You should never disregard or delay seeking medical advice because of what you have read on this website.

Enema Education Materials

Enema Demonstration

How to use Peristeen safely

Care Team

Family Testimonials

Mother of 6 year old with imperforate anus

"We are so fortunate to have the best care for our son at LPCH. The bowel management team has helped us to feel that we are not alone with this. We have had a great support from all his doctors. They have guided us with the best studies and management for our son's bowel movements. My son has received lots of love, and different alternatives to help him. A special thanks to Claire who, no matter what, is always there to help us. His doctors are angels on earth to always be thankful!!"

Mother of 9 year old with Hirschsprung's disease

“I want to thank the management program for helping me to get ahead with my son and thank God that he put these people towards my way to be able to help my son. The surgeon,  Dr. Mueller and nurse practitioner, Claire Abrajano, I thank you very much.  And to all the people I recommend this program of bowl management for their children.  They are very professional, without them I do not know what I would do with my son and thanks to God I was touched by people like them during this time. I want to recommend this program and this group of doctors for their children who need bowel management. And that God keep blessing them so they can help many children like my son to get ahead.”

Mother of 6 year old with imperforate anus

“The bowel management program has always gone above and beyond when it comes to helping my son and getting his needs met. The group has always been great at making my son feel comfortable as well as making sure my husband and I are comfortable with any treatment plan we try.”

Clinic Location

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Bowel Management Clinic

730 Welch Road
Palo Alto CA, 94304
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Stanford Clinic:

730 Welch Road, Second Floor

Palo Alto, CA 94304

Phone: (650) 723-6439

Fax: (650) 725-5577