Advise: dd not voiding bladder about 5 weeks, blood test normal what could it be?

[Daughterswaterworks]

Dd had constipation about 5 weeks ago and at the same time said she felt she needed more wee to come out but only drops after a wee.
She's had 2 courses of antibiotics.
Another doc said its probably constipation so gave lactose and then another gave her movcol.
Now she said she's not constipated but still has wee issue.
Had blood test to check celiac and stuff and that's all OK?
What on earth could it be?

She's 15

Is the constipation full resolved? By this I mean is she having at least 1 healthy poo a day.

Yes I think so she said she isn't straining etc any more

Hopeful bump just in case anyone can shed any light.

She might be tightening the pelvic floor inadvertently. Happens to me a lot. She needs to relax that muscle or she might end up with a uti problem in future.

Apprently she's stoll got constipation. She's been on lactose and now movcol for about 9 days.
She said its on and off the constipation.
I've never been consolidated for this long and she's never had issues like this it's been 5 6 weeks now?

What would next steps be.

She may have to go to hospital to get it all cleared out - a day case; it’s surprisingly common. I think they use an enema.

Join movicol mummies group on fb. I've seen this get talked about. Fecal impaction higher up the bowel can press on the bladder and cause problems so she might need to do disimpaction with movicol which is loads of sachets a day, not just a couple to make bowel movements but actually flush out the whole bowel.

@Elllieuk thank you.

I wonder if they do scans or actually find out if it's definitely this issue?

I think they can do an X-ray but there's no harm in doing the disimpaction anyway as the movicol only adds water to the bowel. Ask on "movicol mummies" they're very knowledgeable :)

Lactulose is crap. She needs to take the Movicol regularly, and continue to take it even once her bowels start moving. She may need a maintenance dose ongoing. Make sure she's drinking plenty too.

This is a good website if you haven't already seen it. eric.org.uk/advice-for-children-with-daytime-bladder-problems/

Retained bladder can be painful, can she sit and wee in a bath and empty her bladder? Or not at all?

That should be taken seriously and I'm amazed nothing has been done? She could be catheterised to empty and see if that relives the pressure and sets her back on track.

Does she have any symptoms of endometriosis? As IC and constipation are all linked.

@reallyunderstandsometimes..

She said she gets bad cramps around period?
She's not in pain with the wee and they think it's constipation.

I'm concerned she's going back to gcse mocks and so on this year.
She gets constipation before a period but I think that's normal.

Have a look at that ERIC link I posted, it explains the link between bladder problems and constipation. Constipation doesn’t just mean not pooing, it can mean old poo trapped higher up in the bowel. It won’t shift without the movicol disimpaction regime as it’ll be too hard and dry, with new poo moving around it. Lactulose won’t touch the poo higher up. After disimpaction she’ll need a maintenance dose for a while to give super soft poos until the stretched bowel walls have shrunk back down to normal size.

@Elllieuk thank you definitely obviously looking at this today she's on 3 satxhes am and will take another 3 later.

I guess I just want proof this is what it is because she's never had such problems before.
All over summer I've been packing her full of Greek yogurt, fruits etc prunes...

It's not something I've ever been to aware of before to have it this extreme.

Ie she's on the movicol regimen.

But how long does that take she's been on it at least a week building up the doses

I think at her age it’s 12 sachets a day, make sure you dissolve it into the right amount of water before adding it to any other drinks. It doesn’t count towards daily water as the body doesn’t absorb it, it goes straight to flushing out the bowel, so she’ll need to drink her usual allowance of water too.
3 sachets a day only softens new poo, 12 sachets a day will make the poo slushy so basically diarrhoea until she’s had 3 days in a row of “tea water” poo. That shows the bowel has been flushed and any old poo has broken down and sloughed away. The time taken to do it varies depending on how much she has stuck. It’s very common. Can take 2 weeks can take a lot longer. I learnt a lot on the Facebook group. Then to tone the bowel the maintenance dose would be a lower number of sachets maybe 4 a day, whatever gives her poo a mr whippy consistency. The leaflet will say and also the ERIC website. I believe you can ring them for advice too.

If that’s not the problem then the 12 sachets will get her to the “tea water” stage in a week or so I think, and it won’t have been bad for her, so then you can rule it out. But from reading the Facebook group it seems very common and likely that this is what the problem could be.

@Elllieuk I'm very grateful for this break down your giving me and these specific details.
Our medical support has been shocking.

We've got ya gold shot at this then until she goes back to school.
She started with this at the beginning of the holidays.

It is probably the constipation that's causing it, but if you get the constipation sorted and she's still struggling with her bladder get her checked out, as this was a symptom of a large ovarian cyst for me.

Doc spoke to me and said go to 8 sachet today.
Bocked and reported thank you.
Obviously I'm hoping it is this and we can sort it out but yes I'm concerned about it being a red herring for something else.

You’re welcome. Our dr wasn’t very good either I learnt a lot more from movicol mummies! A stretched bowel holds more poo which allows it to then take up the bladder’s space and press on it which is why it causes problems

@Elllieuk thank you again.
We are on watery tea now.

Did they, you know how it happens?

She's never had issues before.