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The 4 Phases of M.O.P.: Modified O'Regan Protocol


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THE 4 PHASES OF M.O.P. COMPLETE ALL FOUR PHASES OF THE PROTOCOL



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• The aim is to empty the rectum completely to regain normal tone and as well as softening from the top

• Need to get total emptying – can take up to 2 days and can again get impacted in 3 days.

• Stool needs to get to watery consistence with tiny bits of stools in it: like lemonade with bits of brown



Cutting any phase of M.O.P. short will increase your child’s chance of relapse



Safety Rules:


1. Never perform enemas on a child with kidney disease. If your child has another chronic disease, consult your doctor before doing enemas.

2. Limit enemas to one per day. (Oil enemas are safe as a second daily enema; they do not stimulate the colon.)

3. If your child does not poop after an enema, call your doctor. This is extremely rare.

4. Never force your child to have an enema. You absolutely must have your child’s consent



• Enemas do a superior job of clearing out the rectum.

• The whole process about enemas takes about 30 minutes, you do not want to be in a rush.


•Osmotic laxatives


• Osmotic laxatives draw water into the colon to keep poop mushy and to make pooping less painful.

• They are not habit forming.

• If your child cannot achieve that spontaneous poop without laxatives, it is because her rectum is stretched and not operating as it should.


• Stimulant laxatives prompt the intestinal muscles to contract and squeeze out the idle poop.


• Liquid (but not solid) glycerine suppositories can be used in place of enemas.





• After any 30-day period with no progress, make a change. Try a different type of enema or laxative or add overnight oil-retention enemas.


• Poop with feet on a tall stool, so child is positioned in a squat.


• Aim for a daily “spontaneous” poop, in addition to the enema.



Antoinette Jansen van Vuuren



Suite 13, Netcare Pretoria East Hospital, Cnr Garsfontein Road & Netcare Ave, Pretoria East