Your Health Visitor or School Nurse can give helpful advice, please contact them directly. How to contact us: South If you live, have a GP, or your child goes to school in NHS Foundation Trust or please contact:

Children’s and Young People’s Bladder and Bowel Service Clarendon Windmill Way Children & Young People’s Bladder and Bowel Service NE31 1AT Tel: 0191 283 4754 9.00am until 4.00pm Monday to Friday (excluding Bank Holidays)

Adult Bladder and Bowel Service Offers a service for young people over the age of 18. If you have a GP in Sunderland or South Tyneside call 0191 283 4754 9.00am until 4.00pm Monday to Friday (excluding Bank Holidays)

We are committed to raising the standard of written information for patients, their carers, people who use the NHS and the general public. This information can be made available in another format or language on request. For further copies of this leaflet please contact on telephone numbers above.

Production date: November 2016 Author: Specialist Bladder and Bowel Service Code: 1116/450 Review date: November 2019

Providing a range of NHS services in , South Tyneside and Sunderland. Who are we and what do we do? How can I contact the service? The Children’s and Young People’s Bladder and Bowel service You can refer your child into the service by calling the telephone offers a confidential, friendly service from a qualified children’s number shown on the back of this leaflet. nurse, who is a speciaist in continence problems. GP, Health Visitor, School Nurse or any professional involved in the child’s care can also refer your child to the service. We carry out a comprehensive bladder and bowel assessment to develop an individual treatment programme agreed with you and your child in order for them to reach their full potential of Where will I be seen? continence. We will initially see children and young people in their own home area of Sunderland or South Tyneside through an Who do we see? appointment at a clinic between 9.00am and 4.30pm Monday to Friday. We see all children and young people aged between 0-19 years old, including those with disabilities, who experience problems with their bladder and bowel which have not been resolved with What can I do to help myself? Health Visitor or School Nurse support and interventions. You can help to support a healthy bladder and bowel by: • drinking six drinks throughout the day evenly spaced out, We support children and young people with: with the last drink no later than 1 ½ hours before sleeping at • constipation night • soiling • avoid drinking citrus drinks, such as pure orange juice and • frequent need to use the toilet during the day to pass urine blackcurrant; fizzy drinks caffeinated drinks, such as cola, hot (more than seven times) chocolate, tea, coffee as they can all irritate the bladder and • need to dash urgently to go to the toilet to pass urine bowel • daytime wetting • eat a well-balanced diet, including two portions of fruit and • delay in developing toilet training skills three portions of vegetables a day as well as wholemeal foods • bedwetting • take 30 minutes exercise every day We support families to enable children and young people to • establish a regular toileting routine with regard to both follow individual toilet programmes. We provide advice about bowel and bladder, making sure you empty your bladder, appropriate toileting products, aids and equipment when four to seven times a day and before going to sleep. Ensure necessary and will refer you to other services such as secondary that you open your bowels daily or on alternate days. care, health visitors, or occupational therapy, if needed.