To ask for an emergency GP appt- constipation?

[SexDrugsAndSausageRoll]

Ok, I appreciate it isn't usually, but just couldn't get past the receptionist so may try again in pm for other receptionist

Child usually has it, limited diet, withhold, on laxatives...but as of last night hard belly, pain. Hours of crying/ lying on floor. I can actually see it, but they can't pass it. Again starting today. Limited speech.

I've tried everything I can think of, water, juice, warm bath, positioning...but hysterics. I have no idea what to do, just getting overflow liquid and tears.

Hi SexDrugsAndSausageRoll, my eldest son has Aspergers, an extremely limited diet and has suffered with constipation his whole life. He is 11yo now. I''m a nurse so once I realised what we were up against with his needs we have been able to control the toilet issues, as much as we can!
I give two sachets of movicol mixed into a Fruit Shoot. I just twist the lid off, pour out some of the juice, put the rest in a cup, whack in the two sachets, then pour it back into the Fruit Shoot bottle. DS now knows it is his medicine etc, but years ago we did it sneakily.
Movicol isn't particularly pleasant tasting, it seems to mask it quite well in a Fruit Shoot.
Please feel free to PM if I can help in anyway. As I say, I have had 7/8 years of researching/learning how to deal with the poor diet and constipation. It is tough.
I would phone the GP BTW.

This little girl is well past the point of needing to drink more water, healthyme. Stool withholding is a very difficult thing to address, and really does require stool softeners in the first instance.

I have a 16yo who does this at the point when he's on the floor screaming that's when we go to hospital.

They sort it out there

Thanks everyone, I'm less stressed now so will explain.

She only drinks water and non-flavoured milk (yes, not even a fruit shoot) water is a no no as obvious and she detects it in milk as it changes the texture. I tried adding nesquick etc....no.

I've tried little yogurts, pasta sauce...nope. One bite and she hasn't had it AND refuses food all day.

She doesn't drink enough water, I try to leave bits around in hope! The problem with milk is both it constipates her AND she will have it has a food substitute...to the point her poo is actually yellowly beige like a baby.

Most of what she will eat, pasta, chicken, toast...just isn;t stuff you can mix anything into.

Hence my wits end!!!!

btw I used a supositry, tears all round. IRonically it wasn't even that hard, just fought agianst.

DS2 was hospitalised for a week with one fecal impaction... you have my sypmathies, it's grim (he has ASD and learning disability)

Suppositories first..over the counter at boots. Not nice but if the poo is that far down it's by far the easiest and quickest way.. or a mini enema.. microlax or microlette (also at boots)are tiny (about 10 mils of liquid) moisten pointy end.. poke in childs anus and squeeze the tube(yes you may have to pin the child down ..not ideal but frankly kinder than a hospital enema!) If you can.. keep child on his/her left side (ipad?) and wait .. 5 to ten mins will do it if not less.

We had to do this a LOT until he was a bit easier to get movicol down!

Mini enema... Thank you, sounds very worth investigated.

Dd is not sn, or recognised as such, very immature/ delayed in skills and very... Odd. Long ongoing disagreements in this household on the issue...

Bit of limbo

We had a similar problem in France. It's no good to you now, but there is a water called Hepar which you can buy online which is rich in particular minerals. The pharmacist told us to use it and it worked miracles. If she can drink water she'll have that.

I know this is grim, but you can, er, assist digitally if DD will let you. Stroking firmly on the section of skin between vagina and bottom can help ease it out. And even using your finger to soften, mush it inside if you can see it or grab and pull out to make it smaller and easier to pass. But as I say, only if she is comfortable with that (and you).

I agree with the poster who said that you need to ask for an appointment for severe abdominal pain, not constipation. I read the title of this thread and immediately thought YABU, but on reading think YANBU at all. I think the receptionist might be misunderstanding similarly if you are just characterising it as constipation.

Are you me?! Having the exact same problem with DD (2yo) resulting in about 3 hours sleep a night for me as it seems worse at night.

Cannot bloody hide lactulose or movicol in anything... I've even ended up taking her to OOHs one particularly bad night when I was scared it was appendicitis or something. All they told me was keep trying the fucking movicol.

Because yeah it's that easy to get a stubborn 2yo to drink something they don't want to....

If you have ever tasted Movicol you can understand why... it is AWFUL and nothing really hides the taste!

I take Movicol all the time, and without enough squash to hide the taste, and downed quickly, it's tolerable (but I'm a grown up who knows what's good for me ). Mixed in water alone is an absolute no-no. I've heard that ice cubes + a straw can help disguise the taste even more.

Give your child a lot of water to drink. Fresh fruit juice could also help him. If it still does not work, try to give him this Digestic by Mimonis, an herbal supplement that is very good in relieving constipation. My child saved by this supplement in his suffering from constipation. I know for sure that it could help your child also.

Movicol is not a laxative, it's a stool softener.

You need some senna and or suppositories both of which my 3 year old, fussy eating child have

The Movicol makes it easier to pass but isn't the best thing to get it out to begin with.

Yes go to the GP.

Sorry just read the updates. I've found giving movicol easier now DC is at nursery (they are only allowed water so a little dilute with water and movicol doesn't taste too odd to him after a day of just water). It's been a battle up until recently to get him to take movicol tho and I feel your pain OP.

My DC is a very limited eater. It's so frustrating as I know his diet is the cause of his constipation.

I find senna helps after a few days but without the movicol it's painful. Suppositories work almost instantly on my child but I resort to them very rarely as it's not nice for any of us.

I freaking hate chronic constipation. I hope you manage to get past the receptacle find a sympathetic GP. The last one I saw gave the recipe for home made prune juice... my kid doesn't even like fruit shoots so feck knows how she wanted me to get homemade prune juice in him.

Receptionists not receptacle!

Can you squirt Movicol down her throat with a syringe?

You need a GP appointment. Don't tell the receptionist any details just that the child is ill and if need be you can wait/speak to dr on phone first.

This isn't normal constipation. Overflow means there is a blockage.

I also recommend Dr Cohn. our gp refused to refer so we had one private appointment. After messing about with movicol and not getting it in under the GP for months on end Dr Cohn suggested sodium picosulfate. Suddenly we were getting meds in. And then it started working and the constipation gradually stopped.

Phone again for an appointment. If the receptionist is difficult, ask to speak to the practice manager. If that doesn't help, ring your out of hours GP service and say that you've not been able to get the help you need in hours - they will put the details of your phone call/consultation on your child's records so when you go back to your regular GP practice it will be evident that you've used all routes open to you for help. We all know they're busy but you can't leave your child like this, as you know!

Did you manage to get an appointment?

No, got one for later in the week. Suppositiories have really really helped though.