Pediatric Bowel Management

The bowel management program is a joint effort between Dell Children’s Medical Center and Austin Pediatric Surgery. The bowel management program is for children who experience constipation and/or fecal incontinence. We work with children and families to achieve a goal of predictable bowel movements to improve quality of life. This program is designed to avoid bowel accidents and diaper dependence which can lead to remaining clean and improves self-esteem. We offer daily feedback via email and telephone to achieve individualized goals identified at your initial meeting.

Fecal incontinence can be a result of congenital conditions, constipation, or issues with muscle weakness or injury. Symptoms of this can be mild leakage of stool when passing gas to no control of bowel movements with daily accidents. Some congenital conditions our program will be successful for are:

  • Imperforate anus/anorectal malformation
  • Hirschsprung Disease
  • Idiopathic constipation
  • Fecal incontinence
  • Cloaca Exstrophy
  • Spina Bifida

What To Expect

Your family will meet with the team to review the past medical and surgical history and type of bowel control issues your child is experiencing. After a physical exam and radiographic imaging, an individualized program will be created to achieve the goals of bowel control discussed for your child. This can be achieved with dietary changes, medications such as laxatives, and/or enemas. We understand the importance of daily communication, dedication, and teamwork between our medical providers and families to achieve success.

Our Team

Ankur R. Rana, MD
Pediatric Surgeon, NICU Co-Medical Director
Dr. Rana is a pediatric surgeon with special interest in infants born with anorectal malformations and Hirschsprung disease. In addition, he is the Director of the Dell Children’s Bowel Management program which works closely with pediatric gastroenterology and motility specialists, pediatric urology, behavioral specialists, physical therapy, and radiology. These interests began during his training in pediatric surgery at an institution well known for the management of these patients. Dr. Rana continues to expand these services here at Dell Children’s Hospital for patients who are born with these issues or have acquired them.

Kelly Hoffman, APRN, CPNP AC/PC
Kelly began working with pediatric patients exclusively in the emergency department in 2007 when Dell Children’s Medical Center opened its doors. She became an advanced practice provider in 2011 after graduating from the University of Texas. She has achieved national certification in both pediatric acute and primary care. She started her career as a nurse practitioner with the Pediatric Surgery/Trauma team. Her passion for helping children and their families with their medical needs continues today.

Contact Us

Please call our office at (512)708-1234 for an appointment in our bowel management clinic or email dcbowelmanagement@ascension.org with any questions.