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bowel function for example, by causing constipation. When you are on such a medication, it may be helpful to keep a record of your bowel care routine and to. Stool Chart/Bowel Record. 20404(Rev2016-10). Side A. Amount Estimates. < Small (S): less than 1/2 cup (125 mL). < Medium (M): 1/2 -1 cup (125-250 mL). Record the type of bowel action (refer to the 'Choose your Poo!' chart below). 4. In column three, place an A if your child is asked to sit on the toilet or place an I NB: If bowels have not opened for three (3) days use. PRN medication. When there is no PRN prescribed then refer to the Medical Officer for review. Date. Time. Since it can be hard to state what is normal and what is abnormal, some health professionals use a scale to classify the type of stool passed. This helps assess May 25, 2016 -Daily Bowel Chart. Name : .. Date of Birth: BOT = Bowels opened on toilet FI = Faecal incontinence. Date. Time. e.g., Large soft stool = and TYPE : H = Hard. S = Soft. D = Diarrhea. (for TYPE, numbered 1 to 7, you can also use the Bristol Stool Chart on back of page). Adapted from the Bristol Stool Scale developed by KW Heaton and SJ Lewis at the University of Bristol, 1997. Date. Time Comments. i.e. volume, blood, mucous.