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Withholding constipation- how long does Movicol take to work?

(13 Posts)
squizita Wed 31-May-17 12:23:26

I know there are other threads but often they are about very impacted kids, or kids for whom movicol did not work and they are making me very anxious.

Have a 2 year old with generally slow but not shockingly so digestive transit. A bit of lactulose and prune would fix it before potty training. Would usually poo every 48-36 hr. She's physically small (not a health concern, I'm very small too).
Anyway started witholding when potty training. Not impacted - but got herself in a cycle of holding because they hurt and then they hurt more. More chronic mild constipation - pebble poos!

Eg. She pooed Thursday, Saturday and Sunday, skipped Fri and Mon. Sort of average for her - none on Monday... Then Tues but Tuesday the GP gave us Movicol.
How long will it take to kick in? Giving 1 sachet a day ... and don't want to panic (thanks anxiety) and up her to 2 or 3 assuming impaction when the 1st is still brewing... cause we'd be in what DH suggested would be a "tidal wave of toddler s**t".
I have lactulose and prunes too- so could give these too?

She's parking and saying she needs to go soon but nothing squeezed out yet.

Should I wait 24hr from 1st dose before upping it ... or longer. If she's slow to digest I guess it could take a day to fully get into the poop zone and soften stuff up?

Apologies for the mundane post but Dr google comes up with movicol not working, terrible runs, hospital level impaction etc and I don't want to catastrophuse ... next thing for us would be 2 sachet a day not 1!

Thanks

MiaowTheCat Fri 02-Jun-17 13:56:57

Don't Google. Contact ERIC (annoyingly their helpline only seems to run on the days DD2 successfully takes a shit and the days I could really use phoning them up for advice as she's bunged up again - are the days it's not open, but they do have an email helpline as well) - I've found them very helpful.

DD2 (4 years but a very immature 4) has just started on the movicol - we had our first successful deposit after we dosed her in the morning towards the end of the day. Often you need to do the joy of disimpacting them to start with with quite a high dose (and associated poonami) for a few days to get everything unblocked first (again ERIC I know sent us a factsheet with how to get going with that). Until today's thrown a spanner in it (we're bunged again here) I've found that 1 sachet gives us the ideal toothpaste like consistency, but 2 gives you a "shouldn't have had that curry" kind of effect that's at least over with in a couple of loo trips.

One that caught us out - if it looks like it's not working... are you mixing it right? Whatever you're bunging it in to hide the taste and texture - you have to activate it with water first - mix the sachet with 68ml (my measurements are distinctly on the "ish" side) of water first before adding it to squash or whatever (we hide it in apple juice.

Apart from the blip we seem to be having today and when I fucked up not mixing it right - it's worked a treat with DD2 who took herself off to the loo yesterday and did a poo all on her own - which made me cry!

Germgirl Fri 02-Jun-17 13:58:36

I take movicol regularly. I find it tends to work within 12-18 hours.

PacificDogwod Fri 02-Jun-17 14:00:27

Movicol works within a day or two - don't worry too much!

BUT - retraining a sluggish bowel and a possibly reluctant-to-poo-toddler can take many months, so don't stop the second she does a nice poo. Keep going, even if with a reduced dose of whatever laxative keeps her going.

I'd second the ERIC website - brilliant advice.

FuzzyPillow Fri 02-Jun-17 14:01:49

For DS it took about 48hrs to start working. We were told there is no upper limit to the amount you can use on a short term basis (scarily!).

I'd suggest just waiting it out?

squizita Sat 03-Jun-17 16:50:27

Sorry to drip feed - am dosing her in liaison with ERIC helpline emails anyway.
Am mixing correctly.
No intention to stop.

Just amazed how much mine seems to need to produce a daily soft poo.
Yesterday she did 2 perfect ones having been on 2 doses a day for 48 hr. Nothing yet... waiting as she seems to poo about 5.30 or 6pm!

squizita Sat 03-Jun-17 17:12:28

...I'm stirring and shaking for about a minute before I add it to squash or milk. I only stop when its totally clear - the sachets say 62 ml - should I go with 68 then? That's confusing if they're saying the wrong amount of water!

FuzzyPillow Sat 03-Jun-17 18:42:13

2 sachets a day is not a lot!! 12 sachets a day is a lot!! You really can give unlimited amounts, short term.

squizita Sat 03-Jun-17 20:10:51

Thankfully I don't think I need to ... about 20 minutes ago we had mousse texture 24 hr after the last one.
Evidently she was coming up to speed!
Phew.

2 a day looks like a good dose to go with for the foreseeable future.

sijjy Sat 03-Jun-17 20:44:25

Hi my son is 5 and we have huge problems with pooing. He is also on movicol and has been for quite a long time. He was on lactoloose before that. He probably pops twice a week and that is hardly ever on the toilet. It's normally in his pants or in the bath when he relaxes. Can anyone contact Eric and what is it pls? He's in f2 at the minute so in school full time. He often comes home with small bits of poo in his pants. He will move to yr 1 in September and I don't want him to be labelled the smelly poo kid.

FuzzyPillow Sat 03-Jun-17 21:00:14

OP, hooray! Glad to hear it's on the move!

FuzzyPillow Sat 03-Jun-17 21:02:00

sijjy

https://www.eric.org.uk

sijjy Sat 03-Jun-17 22:09:00

Thank you for the link

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