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Any help with chronic constipation in a 5 year old PLEASE!!!!!(34 Posts)
Hi I took my son to see the GP about a year ago as he wasn't pooing until he went to bed. every night (and I mean EVERY night) he was pooing himself. He wouldn't go during the day at all. His pants always were dirty as the GP explained there was fluid leaking round what was sitting in him as he wouldn't get rid of it. He constantly had tummy ache. GP (lovely man) prescribed senna for him and explained that it may take up to 18 months to sort him out properly.
DS started going everyday at about the same time and things started getting better. Then suddenly he has started holding it in again and won't go. Things were awful last week he was utter agony with tummy ache and I held his hands while he tried to pass it and he was sobbing his heart out. Took him back to GPs (lovely doc now left saw different one, lady who seems to think you are wasting her time) she gave him lactulose.
I was just wondering if anyone else had had this and how long your children were on the meds for and how long it took to get better. Also did youhave any set backs. I'd say it was school but he's been there now for over two months so I don't think it could be that.
I had this with my 2nd and 4th child, although not to this age. They had to be on high enough doses of lactulose (much higher than the actual recommended dose), to not be able to hold on. Otherwise they held on for weeks and ended up with poos stuck half out for hours and causing tearing and bleeding (sorry poss TMI).
Your sons condition does sound more serious though and I think you should keep taking him back to the Dr, so they realise this is still going on and insist this is ruining your sons quality of life and he needs to be referred to a specialist.
sorry about the spelling I'm not quite with it today!
Right the movicol seems to be working. He has been to the toilet everyday for a week almost. Also big positive renforcement including from his Dad who finds it hard to get his tone of voice to change (sounds like he's telliong them off alot when he isn't. He isn't doing it on purpose he literally cannot hear the difference in the tone. He does wear hearing aids so ....) BUT anyway seems positive but i'm still concerned that they'll forget about him now.
Thank you for the replies. I got my copy of the mentioned book yesterday morning and I am half way through it.
Thankfully we have poo off! (gross sorry - but i'm so happy he's going I'd shout it from the roof tops!) He is very proudly telling us that he has been going every day since saturday I'm so pleased that I can't stop smiling. Not a phrase I'd ever thought to hear myself say but my DS's pooing has made my day
He is having overflow I htink as the movicol works thorough as he is having very skiddy pants (eeuw - sorry again) but that could also be due to not being able to wipe entirely at school. Extra stickers for going at school bless him.
nicklenackle i totally sympathise with your daughter's inability to go at school I was exactly the same when I was little and shared toilets! Its a big enough change why should they have to go in the same bathroom!
I second Eachpeach, read Constipation, withholding and your child, it's really helpful. We got it from Amazon I think. My dd, aged 6 has had chronic overflow constipation for a long time and what really helps is quite a big dose of movicol and drinking more. Our doctor said that she may need to stay on Movicol for 6 months or more and not to stop it just because the problem seems to ease - it won't make her bowel sluggish in the long run apparently.
Although she'd always suffered a bit, what sent it into overdrive was going to school. She just would not use the school toilets, not that I blame her, there weren't enough and they were unisex, resulting in them being covered in wee. Yuk. So she started withholding, and the problem got worse and worse. It was the school nurse who put us on the right path, she was so helpful, they're definitely worth talking to if you know who it is.
It's horrid, I do sympathise. Hope this helps.
papaya sachets can help (caricol from health food shop or online). Gentle abdominal massage when it is not hurting can help, just go gently in clockwise direction using a bit of a vegetable based oil from the kitchen. And get specialist referral as advised above.
If I could go private I would but sadly we are not in a position to do that. What can I say to the doctor to make him do more? I've tried asking nicely, getting shirty and saying that the medication is clearly not working but I am just told to give teh medication a try. It has made him go a couple of times since he started taking it.
Would really recommend treating this properly as it can cause long term damage and total loss of any sensation. For every year it is not treated properly it takes two to recover. If they are impacted it cant be cured by a change in diet and too low a dose of movicol will just ease the problem temporarily. Please get referred as most GP's are not able to treat this correctly.
I would advise anyone to go privately and get referred for an xray if they can possibly get the money to prevent delays in diagnosis and the damage the delays can cause.
I did see it thank you ... i'm giving the movicol a go but if he doesn't settle soon I'll be back at the docs asking for an xray. Really hope your little one settles soon.
Daysie, hope you saw my post, think the above post was meant for another thread. Hang in there it is a long haul, since posting he hasn't been to toilet for two nights, aww, we thought we had it worked out but it goes to show you can't count your horses.
See other subject here re 97th centile. May explaine.
Daisy I could have written your post almost exactly two years ago. Exactly the same with ds, used to soil a nappy every night then it went to overspill constantly, appetite went down. Stomach pains and eventually it was just constant soiling with no large movements. Have they done an X-ray on him? This was the turning point for us it showed all the areas blocked in his tummy and it was quite high up, could have had these compacted stools there for a very long time.
They gave him a dose of Picolax, it is given before people are given operations in the hospital and it clears you out, and I mean completely, he sat on a commode in front of the tv for about 9 hours. And I could not believe how much there was, sorry tmi. Anyway that was about 3 months ago, we doubled his fluid intake and fruit daily and carried on using the movical sachets and slowly slowly we are now at the point where he goes to the bathroom an hour after his dinner, sits there for about 40 minutes bless him and have had a stool for the last 5 nights in 7 and is clean in the day. He is seven years old and this is the first week he has gone to school without a nappy, we are so happy we could cry. As mentioned by numerous posters he was tested for all kind of intolerances first, blood tests, stool tests etc so it would be good if they did this to put your mind at rest. Psychologically is a big step for them too after having pain the withholding is quite natural so we had to make it enjoyable and completely relaxed, he took his ds up there, music on, sometimes even a lollipop.
Sorry so long but I hope this has given you some hope, it is very distressing for both of you I know, be prepared that it may take a while but support groups like Eric are a great reference, as was mumsnet. Good luck and hang in there.
Have a look at " squatty potty" . Horrible name I know but they explain about problems with the sitting position on modern toilets very well. Putting my feet up on a stool really helps me when I have piles/ constipation issues. Much harder to withhold in that position too.
Thanks eachpeach will look it up in the library.
I know I don't feel like they are doing enough for him really.
PLEASE READ Constipation, Withholding and Your Child: A Family Guide to Soiling and Wetting. This is so so helpful.
An xray after taking markers for 3 days is really needed, this will tell you if he is conspitated. If so a horrible week of disimpacting then long term Movicol I suspect. You really need to be sure though what is really going on otherwise you are guessing.
Wow Lillyaan thank you for that, the GP just told me to give him more fruit. That information seems well worth a try. Can I just call the school nurse regarding this. My daughter is under the school nurse for her weight (got a snotty letter telling me my DD was obese and gave me a healthy eating chart..not impressed by the high and mighty tone still, off the subject ahem) so I have the number somewhere.
This problem should be seen for Paedriatric assessment and not treated in General practice. Ask GP or School Nurse for referral. The use of stimulent laxitives is not recommended in this case. Osmotic type is better which draws extra fluid INTO colon to soften stool - NOT FLUSH OUT HARD stool causing pain where there is a Viscous cycle in operation = Bowel movement associated with pain = Child holds stool causing stool to be harder and larger.
Meanwhile decrease foods LOW in fiber. EG Milk, cheese, Bananas, yogurt, cooked carrots etc.
Be mindful that milk isnt constipatory for most kids but may be for him. Increase following; High fiber fruit & vegetables especially raw. Any bran cereals, bran muffins, beans-any, sweet potato, peas, turnip greens & raw tomatos. 2-4 glasses of water or fruit juice daily - apple, pear, prune or any other type high in sorbital.
Also needs 5-6 grams of fiber plus childs age in years every day.
I#m doing the bubbles thing with my 2yo DD now. DS doesn't seem to have a pattern to be honest. Sometimes he just shouts 'I'm off for a poo' always nice when you have company...and other times tells me that he can't go its too scary. i've tried sitting with him, not sitting with him. Talking to him, telling his stories allsorts...if there was a pattern I'd try to change it and I think thats what I'm finding hardest.
He does quite happily sit on a potty if his sister is 'occupying the seat' if you'll pardon the expression, so maybe that might be a way forward.
Would he sit on a potty, as it is a better position to use? Movicol is supposed to be great, so try that. Also a little vaseline wiped on before a poo (and called 'special lotion' or something) helped my ds. Some people have had success with blowing bubbles - if you pretend to do it you can feel a sort of 'relaxing' in your bottom. (Can you guess I was that mother!)
thanks for that..got me panicking now cos most of those symptoms I have MYSELF! eek!!
I don't know about IBS..although that goes hand in hand with Coeliac (Mum has that too) I think i might look into getting the tests done privately or something...anyone know of anything?
oh FFS ! poor you &him!
this was on the NHS website, so call your gp and read it to him!
Symptoms of coeliac disease can range from mild to severe.
Recognise the symptoms:
mild abdominal (stomach) pain
occasional changes in bowel habit, such as episodes of mild diarrhoea or constipation
anaemia (tiredness, breathlessness and an irregular heartbeat, caused by a lack of iron in the blood)
loss of appetite
tingling and numbness in your hands and feet (peripheral neuropathy)
vomiting (usually only affects children)
some loss of hair (alopecia, usually only affects adults)
can you get an allergy/food intolerance test done? could he have IBS?
or a child psycholigist? I do think he might be frightened to do a poo for some reason - I do not think he's nuts!(smile)
I'm clutching at straws, and I have who's a nutritionist I'll ash if she can think of something...
Been to docs.
Still won't test him for Coeliac as it would mean he would be underweight and he wouldn't be constipated at all, would be the opposite.
He has been put onto movicol now instead of the senna and basically told to use reward charts for him. again.
Daisy - if you are increasing his fibre then you need to increase his liquid intake too. At this stage I wouldn't really worried about what he drinks as long as there is lots of it and yes do push and insist on being tested.
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