HNY Policy and Pathway Repository - York

Child & Young Persons Bowel and Bladder Service

Must have had red flags ruled out by a GP or Paediatrician

Red flags are:

• Symptoms that commence from birth or in the first few weeks.
• Failure or delay (>first 48 hours at term) in passing meconium.
• Ribbon stools.
• Leg weakness or locomotor delay.
• Abdominal distension with vomiting.
• Abnormal examination of findings including abnormal appearance of anus, gross abdominal distension, abnormal gluteal muscles, scoliosis, sacral agenesis, limb deformity including talipes.
• Abnormal reflexes.

See below flowchart

Bladder and bowel referral form

• Must have a GP in the former Vale of York area
• Children with constipation / soiling, must have been commenced on laxative management and signposted to the ERIC website and The Poo Nurses video on YouTube.
• Must be under the age of 19