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Constipated 15-month-old advised to do disimpaction

4 replies

Mothalina · 29/05/2024 12:11

I've just got of the phone to ERIC who advised doing disimpaction with my 15-month-old. I'm really upset. Has anyone else done it with a child this young?!

To give some background... she was exclusively breastfeed for first year and was slow to start eating much food. I think this was partly because she didn't get any teeth until she turned one as that's when she started eating more and her poos became more solid and less frequent. We started to get more and more solid poo and then only once or twice a week. She would get quite upset when passing. I thought this was normal until friends enlightened me their babies were going more regularly. We went to the GP a month ago and he thinks the trauma of a painful poo led her to withhold and the witholding has led to futher constipation. (Her diet is full of fibre and she drinks fluids well so I don't think it's that). He prescribed movicol, one sachet a day, but he didn't mention disimpaction. Since we started movicol she had some big bowl movements at the start and now is going pretty much every day and they are much softer.

We're due to do a follow up appointment with GP tomorrow, but he is on holiday so we will be seeing someone else... Anyway I called up ERIC for general support and was told DD would still have a blockage despite her poos being more regular and soft, and that we need to do disimpaction; going up to 8 sachets a day! I've not idea how on earth we will do that as she eats very little still. She's a good drinker but that's a lot of fluid for her to drink a day! I'm also worried the trauma of going through disimpaction could lead her to withhold more... She's not at an age where I can explain why we're doing it.

Any advice or similar experience would be much appreciated. ERIC mostly talk to parents of 2-4 year olds and their advice didn't always seem relevant for a child of this age.

OP posts:
Are your children’s vaccines up to date?
Passthepickle · 29/05/2024 12:14

There advice is just that. Speak with your HCPs and don’t rush into things that could make it worse. I found that Eric didn’t listen very well so their advice wasn’t appropriate for us.

Mothalina · 30/05/2024 11:56

Thanks so much @Passthepickle I just saw GP and she advised not to do disimpaction. She felt DD's belly and said it's soft, not sticking and doesn't think there is a blockage. We're going to continue with the low dose of Movicol until she is passing once a day. She's averaging four a week atm, which is a vast improvement!

OP posts:
Passthepickle · 31/05/2024 07:44

Great that it is so much improved -so strrssful x

unlikelychump · 31/05/2024 07:48

I suppose I would question why you rang Eric the day before seeing the doc. You are likely to get slightly differing opinions and have to choose. If you are able to see a GP who can examine the child, I would suggest that is the best thing to do and you follow their advice

You don't want to over complicate it all.

(Ps Eric deal with children of all ages, the more complex stuff is unlikely to be for 2-4yos who are much more likely to be doing run of the mill potty training)

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