I've been a physical therapist for children for 5 years, and for almost 4 of those years, I've been a pelvic health PT. Not many people know what that is, but I'm happy to share what I do, because I've found that there are so many people in this world that have pelvic floor difficulties, but just don't know where to go for help! I've worked with kids of all ages – as little as 6 months, and as old as 24 – all with the same background.

• Belly pain.
• Poop leaks.
• Hygiene difficulties.
• Nausea, reflux and vomiting.
• Withholding.
• Longterm use of MiraLAX®.
• Daytime and nighttime bedwetting.
• Dirty and wet underwear.
• Painful pooping.
• Decreased appetite or weight gain.

Families come to see me and are often confused why their GI doctor is sending them to a PT for constipation – but there is a rhyme and reason. There are three things you need to know:

1. Your poop and pee are kept inside by a group of muscles that go around your pee and poo holes – called the pelvic floor. These muscles are like any other in your body – they can be tight, weak, or work poorly.
2. If your pelvic floor muscles work poorly, you may experience difficulties getting poop and pee out, OR you may experience poo and pee leaks.

3. A physical therapist is a muscle specialist. They know the ins and outs of how muscles work, the communication that happens between the brain and your muscles, and how to make the muscles work better.

Pelvic Floor Dysfunction and Physical Therapists go together like… Peanut Butter and Jelly.

(I'm sorry if you have a peanut allergy! I'm gluten and dairy intolerant, so I can relate!)

I'm so excited to be here and to have this opportunity to share my knowledge to help families. Evaluating a new kiddo in the clinic is by far one of my favorite types of visits. Initially, families come in with reservations and doubts. When they leave, they are filled with hope, are excited about a new perspective and plan, and often have tears of joy and gratitude.

I love sharing my knowledge with families in the clinic, and I have that same feeling of excitement to share my knowledge here.

A while back, I had a patient call me "The Poop Doctor". And it stuck. I now have poop emojies throughout my workspace, on my personal water bottle, and I even have a little tin of poop-shaped chocolate mints. I have two squatty potties in my house, and I often have conversations with my husband (and friends, family, as well as complete strangers) about poop. I love what I do, and I embrace it!

Dr. Keller hopes that through this site, conversation, and community, kids and their families can experience positive progress towards improved health. See the 'about me' section for more about Dr. Keller!