Child soiling himself - at my wits end!

[DoeIdea]

I have two boys, one 9, one 6.

The youngest has been having soiling issues for a while now. He's been to the GP a few times who said constipation and gave us laculose which he's taking daily but he's still soiling. I'm trying to get him back in but I'm struggling to get an appointment and tbh the GP hasn't really been helpful.

I'm sitting in the car and can smell he's had an accident and know it's going to be a fight to get him sorted because he just doesn't care and will happily go around in shitty pants. Everything stinks of shit despite washing daily, using bio detergent, using laundry sanitizer.

Timers and sending him to the loo do nothing - he'll "go" to the loo then ten minutes later have an accident. Not sure if he's actually using the loo because he doesn't want me in the bathroom with him.

I'm buying packs of pants every week and it's costing me a fortune. I've never told him off for it - I just clean him up and move on but I honestly didn't expect to still be cleaning his bum at 6yo! He's also started denying having an accident even when it's clear he has had one and it's turning into a fight every time to make sure he's clean and not getting sore.

I'm waiting to hear back from ERIC but I genuinely don't know what else to do. I'm so fed up of it I could genuinely sit and cry.

Just in the docs waiting to be seen. Never seen this doc before but she's brilliant apparently!

Fingers crossed for you!

How did it go @DoeIdea?

Frustrating is how it went!

She felt his tummy and said she doesn't think he's impacted but agreed to prescribe movecol which I'm picking up today. He has CMPA as a baby and she thinks it could be that causing problems so we have to keep a food diary and go back in four weeks.

DD was impacted but the thing that made the difference for us was actually sitting on the toilet for a long time (and the movicol).
A few minutes didn’t do anything and she needed to sit and watch the tablet for a while before anything happened.
Getting clear and using movicol every other day was enough to get her into a good routiene.

Feeling tummies is known to be a completely useless method of diagnosing impaction. I am sorry you got a gp who doesn't know that. Still, if she has prescribed movicol you can listen to the advice on the poo nurses video and then you will have a pretty good idea whether the problem is impaction.

Ugh I’m so sorry, OP. How useless. I agree with everything @endofthelinefinally said.

Sounds like he has a major back up. He needs a good clear out then a daily stool softener. My boy has been on movicol for a year. It took about four months to sort out correct dose and stop the soiling. He doesn’t feel the need to go so was getting massively constipated. Fortunately his gp is a former bowel surgeon.
Back to Gp but be aware this a long game not a quick one. Tiny tiny tweaks to his medication at a time and it’s four to six weeks to see any changes.
My boy is 6 too.

Had a phone call today and he's also been referred to the contience team so it might be slow progress but we are hopefully getting somewhere!

Got chocolate movecol too which he likes and has drank happily so far!

Update -

He's been seen by the hospital continence team and was badly impacted so was put on a disimpaction regime which is working brilliantly. We're on day 5 of 7 and I can already see a difference!

Thank goodness for that. Fingers crossed things go rather better from now.

I really hope so! We saw a different doctor who took it so much more seriously - we had the hospital appointment within a week. Very glad!