Académique Documents
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Use a
toilet stool!
dar
Calen
30
Days 1-
______
______
Day/Date :___
______ tes held
5
______ Minu
Enema : _______
Day/Date :___ Dose
______ tes held
4
Minu Laxative
______ Enema : _______
Day/Date :___ Dose Notes: _
______ tes held ______
3
Minu Laxative ______
______ Enema : _______ ______
Day/Date held:___ Dose Notes: ____ ______
_
______ tes tive ___
2
___
Day #1
tes held
:___ Dose Notes: ____ ______
Minu Laxative ______ ______ ______
Enema ______ ______ ______
: _______ _ ___ ____ Day/Date :___
Dose Notes: ______ ______ ___ tes held
Laxative ___ ___ ______
___ Minu
______ ______ Enema ___
Notes: _ ___ ____ Day/Date :___ Dose: ____
______ ______ ___ ___ Minu tes held tive
___ Laxa
10
___ ___ ___ ___ ___ a
______ _ ___ Day/Date
Enem : _______
______ tes held
:___ Dose Notes: ______
_
______ ______ Laxative
9
______ Minu ______
______ Enema : _______ ______
Day/Date :___ Dose Notes: ____ ____
tes held ______ ______
______ Minu Laxative
8
______ Enema : _______ ______ ______
Day/Date Notes: _ ___ _ ___ _
tes held
:___ Dose ______ ______ ______
Laxative ______ ______
7
Minu ______
Enema : _______ ______ ______ ______
Dose Notes: ____ ____ ____
Laxative ______ ______ ______ ___
6
______ ______ ___ ______ ___ ______
___ ___ Date
Notes: _ ______
_ ____ Day/
tes held
:___
______ ______ ______ ______ Minu
______ ______ ______ ______ Enema
______ _ _ ___ Day/Date :___ : _______
______ ______ ______ tes held Dose
______ Minu Laxative
15
______ ______ ______ Enema ___
______ _ Day/ Date :___ : ____ s:
______ tes held Dose Note ____
______ ______ Minu Laxative ______
14
______ ______ Enema : _______ ______
Day/Date :___ Dose Notes: _ ___ _
tes held
Laxative ______ ______
______ Minu ______ ______
13
______ Enema : _______ ______ ______
Day/Date :___ Dose Notes: ____ ____ ____
tes held Laxative ______ ______ ______
12
Enema
Minu ______ ______ ______
: _______ Notes: _ ___ _ ___ _ ___
Dose ______ ______ ______ ______
Laxative ______ ______
11
______ ______ ______
______ ______ Day/Date
Notes: ___ _ ___ ____ ___ ____ ___ tes held:___
___ ______ ___ ___ Minu
______ ______ ______ ______ Enema
______ _ _ ___ Day/Date :___ : _______
______ ______ ______ tes held Dose
Laxative
20
______ ______ ______ Minu
______ ______ Enema : _______
_ Day/Date :___ Dose Notes: _
______ ______ tes held ______
______ Minu Laxative ______
19
______ ______ Enema : _______ ______
Day/Date :___ Dose Notes: ____ ____
tes held ______ ______
______ Minu Laxative
18
______ Enema ___ ______ ______
Day/Date Dose: ____ Notes: _ ___ _ ___ _
tes held
:___
tive ___ ______ ___ ______ ___ ______
Laxa
17
Minu ___ ___ ___
Enema : _______ ______ ______ ______
Dose Notes: ____ ____ ____
Laxative ______ ______ ______ ___ ___
16
___ ___ ___ ___
______ _ ___
___ ______ ___
Notes: _ ______ ____ Day/Date :___
______ ______ ______ tes held
______ ______ ______ ______ Enema
Minu
______ ______ _ ___ Day/Date :___ : _______
____ ______ ______ tes held Dose
25
___ ______ ___ ______ ___ a Minu Laxative
______ ___ ___ Enem ___
_ Day/Date :___ Dose
: ____
Notes: _
______ ______ tes held ______
Laxative
24
______ ______ Minu ______
______ Enema : _______ ______
Day/Date :___ Dose Notes: ____ _
tes held
Laxative ______ ______
23
______ Minu ______
______ Enema : _______ ______ ______
Day/Date :___ Dose Notes: _ ___ ____ ____
tes held Laxative ______ ______ ______
22
Minu ______ ______ ______
Enema : _______ ______ _ ___ _ ___
Dose Notes: ____ ______ ______
21
Laxative ______ ______ ______ ______
___ ______ ______ _ ______ Date ______
_ Day/ :___
Notes: ______
_ ______ ______
___ ___ tes held
______ ______ ______ ______ Enema
Minu
______ ______ _ ___ Day/ Date___ :___ : _______
_ ___ tes held Dose
______ ______
___ ______ Laxative
30
______ ______ Minu
______ ______ Enema : _______
_ Day/Date :___ Dose Notes: _
______ ______ tes held ______
29
______ Minu Laxative ______
______ ______ Enema : _______ ______
Day/Date :___ Dose Notes: ____ ____
tes held ______ ______
Laxative
28
______ Minu ______
______ Enema : _______ ______
Day/Date Notes: _ ___ _ ___ _
tes held
:___ Dose ______ ______ ______
Laxative
27
Minu ______ ______ ______
Enema ___ ______ ______ ______
Dose: ____ Notes: ____ ___ ____ ___ ____
26
___ ___
Laxative ______ ______
___
______
______ _ ___ _ ___
Notes: ______
_ ______ ______
______ ______ ______
______ ______ ______
_ ____
___ ______ ___ ______
___ ______
______ _
______
______
______
Introduction
1. The child has shown signs of progress that have gone unnoticed.
then
then
then
Bedwetting typically clears up last. Thats because it takes less severe constipation to trigger bedwetting in the first
place than it does to cause poop accidents or daytime pee accidents. A child who has poop accidents is so severely
constipated that even relatively small improvements can make a dramatic difference. But it takes a much more
substantial reduction in constipation, and for longer, to resolve bedwetting.
So as you track your childs experience on M.O.P., take note of the subtle signs of improvement rather than just
checking off whether or not your child had an accident.
If you notice absolutely no signs of improvement, or if the signs are negligible, this is valuable information, too, for
both your family and your medical provider.
Tracking Instructions
We have kept the calendar brief because we dont want this tracking
business to take over your life. A few notes each day will suffice.
If youre a tracker by nature, sure, go ahead and keep more detailed records, but otherwise, dont sweat it.
Heres some guidance on filling in each section. You dont need to note the shape or volume of your childs poops,
as this wont necessarily give you valuable information.
Yes, ideally you want a lot of mushy poop coming out each time; that makes everyone feel better about the process.
But what really matters is whether the childs symptoms are improving, regardless of what ends up in the toilet.
Symptoms are what we base decisions on regarding when to taper or change enema solutions.
Enema/minutes held: Check off the enema and note how many minutes your child held in the solution before
pooping. Though holding may be difficult at first, your child should aim to hold for 10 minutes.
If your child has an easy time holding for 10 minutes and still doesnt feel the urge to poop, its time to switch from
store-bought enemas to large-volume enemas (M.O.P.+) or to add glycerin and/or castile soap to the large-volume
saline solution.
SAFETY NOTE: Never give a child more than one enema per day.
Laxative/dosage: Check off whether your child took a laxative and (if you want) the type and dosage (for example:
1 cap Miralax).
Notes: Depending on your childs symptoms, consider noting any of the following:
# of accidents (bedwetting, pee, and/or poop)
# of poops other than after enema
Any stomachache?
Ability to sense the need to poop
Pee frequency noticeable change?
Pee urgency noticeable change?
Presence of skid marks
Sample Calendars
Sample #1
This child began M.O.P. with daily bedwetting, pee accidents, and urgency.
Mon. 3-4
Day/Date____________ Tues. 3-5
Day/Date____________ Wed. 3-6
Day/Date____________ Thurs. 3-7
Day/Date____________ Fri. 3-8
Day/Date____________
6
Enema Minutes held:___ 8
Enema Minutes held:___ 8
Enema Minutes held:___ 9
Enema Minutes held:___ 8
Enema Minutes held:___
1 cap
Laxative Dose: _______ 1 cap
Laxative Dose: _______ 1 cap
Laxative Dose: _______ 1 cap
Laxative Dose: _______ 1 cap
Laxative Dose: _______
16 17 18 19 20
Notes: Notes: Notes: Notes: Notes:
P.M. - wet
___________________ P.M. - wet
___________________ P.M. - wet
___________________ P.M. - wet
___________________ P.M. - wet
___________________
Daytime - 1 small accident Daytime - none! Daytime - none! Daytime - none! Daytime - none!
___________________ ___________________ ___________________ ___________________ ___________________
Ur
gency = much less lately
___________________ ___________________ ___________________ ___________________ ___________________
Sample #2
This child began M.O.P. with bedwetting plus occasional pee and poop accidents.
Mon. 10-12
Day/Date____________ Tues. 10-13
Day/Date____________ Wed. 10-14
Day/Date____________ Thurs. 10-15
Day/Date____________ Fri. 10-16
Day/Date____________
Enema Minutes held:___5 Enema Minutes held:___7 10
Enema Minutes held:___ Enema Minutes held:___10 9
Enema Minutes held:___
/
12
ca
Laxative Dose: _______p /
12
ca
Laxative Dose: _______p /
12
cap
Laxative Dose: _______ /
12
ca
Laxative Dose: _______p 1
0 ml L.
Laxative Dose: _______
21 22 23 24 25
Notes: Notes: Notes: Notes: Notes:
P.M. - wet
___________________ P.M. - wet
___________________ P.M. - wet
___________________ P.M. - wet
___________________ P.M. - wet
___________________
Daytime - 1 pee accident
___________________ D aytime - none
___________________ Daytime - none
___________________ Daytime - none
___________________ Daytime - none
___________________
Only pooped after enema Pooped on his own, can feel No stomachache complaints No poop accidents in 12 days!
___________________ i___________________
t more when needs to poop lately
___________________ ___________________ ___________________
Sample #3
This child began M.O.P.+ with nightly bedwetting.
Mon. 6-20
Day/Date____________ Tues. 6-21
Day/Date____________ Wed. 6-22
Day/Date____________ Thurs. 6-23
Day/Date____________ Fri. 6-24
Day/Date____________
10
Enema Minutes held:___ 9
Enema Minutes held:___ 8
Enema Minutes held:___ 10
Enema Minutes held:___ 8
Enema Minutes held:___
1
0 ml L.
Laxative Dose: _______ 1
0 ml L.
Laxative Dose: _______ 1
0 ml L.
Laxative Dose: _______ 1
0 ml L.
Laxative Dose: _______ 1
0 ml L.
Laxative Dose: _______
Notes:
Wet
31
___________________
600 cc - 20 ml glycerin
___________________
Notes:
Wet
32
___________________
600 cc - 20 ml glycerin
___________________ 6
Notes:
33
IRST DRY NIGHT!!
F___________________
00 cc - 20 ml glycerin
___________________
Notes:
Wet
34
___________________
600 cc - 20 ml glycerin
___________________
Notes:
DR
35
Y AGAIN!!
___________________
600 cc - 20 ml glycerin
___________________
No complaints w/ more g.
___________________ ___________________ ___________________ ___________________ ___________________
Day #1 2 3 4 5
Enema Minutes held:___ Enema Minutes held:___ Enema Minutes held:___ Enema Minutes held:___ Enema Minutes held:___
Laxative Dose: _______ Laxative Dose: _______ Laxative Dose: _______ Laxative Dose: _______ Laxative Dose: _______
Notes: Notes: Notes: Notes: Notes:
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Enema Minutes held:___ Enema Minutes held:___ Enema Minutes held:___ Enema Minutes held:___ Enema Minutes held:___
Laxative Dose: _______ Laxative Dose: _______ Laxative Dose: _______ Laxative Dose: _______ Laxative Dose: _______
Notes: Notes: Notes: Notes: Notes:
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Enema Minutes held:___ Enema Minutes held:___ Enema Minutes held:___ Enema Minutes held:___ Enema Minutes held:___
Laxative Dose: _______ Laxative Dose: _______ Laxative Dose: _______ Laxative Dose: _______ Laxative Dose: _______
Notes: Notes: Notes: Notes: Notes:
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Enema Minutes held:___ Enema Minutes held:___ Enema Minutes held:___ Enema Minutes held:___ Enema Minutes held:___
Laxative Dose: _______ Laxative Dose: _______ Laxative Dose: _______ Laxative Dose: _______ Laxative Dose: _______
Notes: Notes: Notes: Notes: Notes:
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Enema Minutes held:___ Enema Minutes held:___ Enema Minutes held:___ Enema Minutes held:___ Enema Minutes held:___
Laxative Dose: _______ Laxative Dose: _______ Laxative Dose: _______ Laxative Dose: _______ Laxative Dose: _______
Notes: Notes: Notes: Notes: Notes:
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