Soiling Solutions

Encopresis Program Highlights

The standard pediatric “top down” approach to end encopresis uses oral stool softeners to liquefy the stool. It assumes that your child’s colon is like a stopped up bathroom sink! Leakage and accidents are not a serious issue for the physician because he/she is preventing a blockage and a possible rupture of the colon. It is even called “maintenance therapy!” The standard pediatric approach accidentally works in 40 to 60 percent of cases within about a year. Paradoxically, it may even train the child to counter productively “hold” and fight off voiding urges more strongly and less successfully because of leakage. It may even be training for failure for some children!

The Soiling Solutions (SS) protocol works within 2 weeks or less to eliminate soiling altogether. The parents devote just one focused treatment hour a day with very short sits in the beginning. Soon shorter times and fewer sits occur as the child’s “voiding reflex” is trained to take over from his overly conditioned “holding reflex”. The SS protocol for encopresis has emerged as the only reliable and successful home-based program that will work when the standard “top down” pediatric approach with stool softeners and laxatives fail. No child should be allowed to have encopresis persist to 6 years of age and beyond because of the emotional and physical consequences which inevitably result. Physicians SHOULD NOT insist on continuing the standard pediatric approach for over one year, at most, with assurances that, “Your child will grow out of it.”

The SS approach employs a carefully structured manual-based program which uses safe, widely available over the counter suppositories and enemas as well-timed, immediate acting “primers” so your child has a guaranteed successful voiding experience while sitting on the toilet stool. The program is carefully timed and sequenced so that the child’s own body cues and responses begin to take over from the artificial “primers.” This requires a stepping down process from a more powerful primer to a lesser primer to the child’s own natural internal primers (e.g., smaller volumes of stool).

This is a rational program that works and you will be joined by other parents on an exclusive email forum. ALL of you will be using the same manual! You will share insights and support.

We do not want to exclude your physician and would like him or her to monitor treatment and be available to you. Your doctor should understand our protocol and own his own copy of the Clean Kid Manual (CKM). He/she or may be assured by an article by the author of this website which appeared in the Spring, 2009 issue of “Digestive Health Matters” which is the journal of the “International Foundation of Functional Gastrointestinal Disorders (www.iffgd.org).” Also, there is a letter on this website and contained in your CKM for your doctor.

Please Note--Federal HIPAA Rules and Notification

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Please note that this site does not accept third party insurance payments in any form. Accordingly, the new HIPAA law does not strictly apply to my services. However, there is an opinion that this law will effectively become a new "standard of care" for health providers. I will seek to comply as much as is possible with the laws as they are currently interpreted.

This notice went into effect on April 14, 2003.