Movical and bedwetting

[kate3084]

Hi all.
New to this.
Sorry for the long post.
My daughter, now 10 has always suffered with bedwetting, been on the desomal melts (sorry for poor spelling)
She used to have a around 2 dry nights out of 7….
But sometime a good run, followed by a bad run…
They did not seem to change much.
So the paediatrician thought it could be constipation causing it, sounded right as her poops were like rabbit dropping, and small, but noticed when she did a big pop she was dry.
So movical it was.
Started it, slowly increased does while still on stick drinking and toileting routine.
Any way.
She has not had a single dry night for about a 6 weeks, so he has got worse.
I’m calling paediatrician in the morning to discuss.
Yes her poops got softer, but if anything her bet wetting has got worse
Just wondering if anyone else has experienced this…
Thankyou in advance everyone.
Again, sorry for the long post

If your daughter is severely constipated, she may need to have a disimpaction regime of movicol to get rid of any blockage. Have a look at the ERIC website - they do a parent's guide to disimpaction with dosage. Best to try over half term though, rather than at school as it' can get messy!

Look at bedwettingandaccidents.com

I used Dr Steve Hodges protocol with my son who had a similar problem. It is the only thing that has worked.

If she has been chronically conststipated then it will take a while to sort out the bedwetting. And yes initially it often does get worse.

Hi, Thankyou for your reply….
She has been on it a while now, seemed that when we upped to the 4 a day she is now, she has not had a dry night since, and hers poops are a 6/7 on the poop chart.

The paediatrician only said we need to go for decomposition if her poops don’t soften.
Safe to say, they slowly got softener over time.

See the paediatrician Idea was that she was dry after a big poop, so get her to have movical to encourage bigger poops.
I’m just confused.
As I said, I calling them in the morning because she has got worse, not better in the slightest, so am not seeing the consultants logic here…
X

When someone is chronically constipated in most cases it means the rectum has become stretched over time (due to poop build up) and has lost the muscle tone required for a full evacuation. So one is unable to evacuate fully. This then leads to further poo build up and compounds the constipation. This has probably been going on for years. She may be pooing everyday, but is she getting all of the poo out consistently? Most definitely not.

The bedwetting is caused by the poop mass in the rectum and distal colon aggravating and triggering the bladder nerves.

She will need consistent daily pooing and probably help with laxatives for a long long time before her rectum will be able to heal and shrink to a normal size and resume normal function.If she has impaction (which which is highly likely if she is bedwetting at 10) all the old hard crusty poo inside needs to come out before it will make a difference.

Movicol is only one part of this. It helps to ensure that the poop is not too hard so she can pass it easily. But it is not a stimulant laxative. It is an osmotic laxative which works by pulling water into the colon to stop the poo getting too hard. Therefore it is going to increase the volume inside the colon and cause further stretching which will aggravate the bedwetting in the short term.

Do have a look at all the information on the website, as it explains the mechanics if bedwetting and constipation really really well.

Thankyou for the reply.
That’s been very helpful 😊