Clinical guidelines for the diagnosis and management of pediatric fecal incontinence: A comprehensive review and treatment algorithm

Table 3 Recommended medication dosing in functional retentive fecal incontinence

Medication	Phase	Dose	Maximum	Notes
Polyethylene glycol (PEG 3350)	Disimpaction	1-1.5 g/kg/day for 3-6 days	Up to 100 g/day	Mix in clear fluid
PEG 3350	Maintenance	0.4-0.8 g/kg/day	Titrate to effect	First-line
Lactulose	Maintenance (alternative)	1-2 mL/kg/day divided	-	May cause bloating
Magnesium hydroxide	Maintenance	1-3 mL/kg/day	-	Avoid in renal impairment
Sodium phosphate enema	Disimpaction (selected cases)	Age-based dosing	-	Avoid repeated use
Bisacodyl (oral)	Rescue	5-10 mg/day (age-based)	-	Short-term use only

Doses should be individualized according to response and tolerance. PEG: Polyethylene glycol.