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Winthrop University Hospital

Pediatric Bowel Management Program
for Children and Young Adults

GOAL: To help children, adolescents, and young adults with fecal incontinence become and stay �Clean.�

Fecal incontinence � also known as �soiling� or having bowel �accidents,� affects more than 5.5 million Americans. A person with fecal incontinence may not be able to hold their bowels once they have the urge to go, or stool may leak from the rectum unexpectedly.

Fecal incontinence in children may result from various causes, and usually results in devastating social problems.

Causes of fecal incontinence include:
* Imperforate Anus
* Hirschsprung�s Disease
* Spinal Defects
* Severe Constipation without known cause (Idiopathic Constipation)

Winthrop-University Hospital, in Mineola, Long Island, New York, offers a comprehensive bowel management program for children, adolescents and young adults who suffer from fecal incontinence. The program was initiated by clinical nurse specialist Kathleen Guardino, R.N., M.S.N., in collaboration with renowned colorectal surgeon Alberto Pena, M.D., who is now at Cincinnati Children�s Hospital. The Bowel Management Program works by periodically cleansing the colon of stool, enabling patients to maintain a clean colon for the following 24 hours during which they may enjoy normal daily activities without the worry of stool accidents.

Fredric Daum, M.D., Medical Director of the Pediatric Bowel Management Program at Winthrop and Chief of Winthrop�s Division of Pediatric Gastroenterology, Hepatology and Nutrition, is a member of the Medical Advisory Board of the Pull-thru Network, one of the largest organizations in the world dedicated to the needs of those born with an anorectal malformation or colon disease and associated diagnoses.

Dr. Daum shares a close working relationship with Dr. Alberto Pena. If your child has been diagnosed with any of the conditions above � or is experiencing fecal incontinence for any reason � please call to schedule a consultation. If surgical intervention is indicated, Dr. Daum will work closely with Dr. Pena to provide the expert surgery and follow-up that your child requires.

In addition to providing medical services, the Pediatric Bowel Management Program at Winthrop offers a concierge service to help families with airline reservations, ground transportation, hotel arrangements, and entertainment in the greater metropolitan New York area.

For more information or to schedule a consultation, please contact Kathleen Guardino at or call the telephone number below.

Winthrop-University Hospital
Pediatric Bowel Management Program
120 Mineola Boulevard
Mineola, NY 11501
(516) 663-3029
Kathleen Guardino, R.N., M.S.N.

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