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worried about son.....he has bowel dismobility and now yet more new symptoms......(warning...quite graphic...sorry[blush])

71 replies

psychomum5 · 24/07/2006 23:44

My DS2 has recently been diagnosed with bowel dismobility and is currently on senna laxative to try and regulate him.

He was born with severe gastro-esophical reflux disease and has always had tummy probs, mainly to do with bloating (his tummy is severely distended and he now also has rib flare from his ribs constantly being pushed out by the bloating). In fact, he often is likened to the ethiopian(sp??) children you see on the news, as his legs and bum are also quite thin. He is currently in sz 1-1 1/2 pants even tho he is 4yr as his bum is so small.....also in size 1 - 1 1/2 shorts, and 9 - 12mth swimming trunks (just to give you an idea of how small he is..)!!

He has (after months of fighting with Dr Black at Poole hospital) finally been referred to Dr Beattie at Southampton, and it was there friday 7th july that they diagnosed said bowel prob.....but they don't as yet knowwhat is causing it.

Thought at the mo are ceoliac disease or maybe crohns???

his symptoms are...

Bloating
severe tummy pain
awful constipation leading to horrific explosions from his bum that will cover himself and clothes and floor and me!!!
mucus in his pooh
very offensive wind (loud too!)
and odd temps too, sometimes 39c, jsut before he has a pooh, along with going clammy.

He has had xrays which show that his bowel is abnormal inside size wise, as tho it has been stretched in parts, along with an abnormal amount of air.

They have put him on senna to try to get him into a regular pattern as opposed to constipation. normal (for a day or two), explosive diarrhoea (sp?) and then normal for another day or two and then back to constipated. And the colour...well.....horrid is not the word[].

Thing is, since being on senna, he is worse....well, in two weeks he has exploded up to 4 x a day, and is now passing lumps of mucus....he has also got a rock hard tummy that feels as tho it is burning.

I don't know what to do???

He is to be on this until 25th sept. He was supposed to be on 10mls a day, but the first few days of that led to awful nights and covering everything (and I do mean everything), so I put it down to 5mls. He is now going like I said 4 x a day, and surely as you can appreciate, the amount of fluid he is losing is a lot (luckily he will drink lots of water) and I am giving lots of home made ice lollies too, made from apple juice...but I still am conserned about amount.

He is also having about 10mils calpol a day too to help with the tummy pain.

friend tonight came round whose son has crohns, and she is horrified at how he is.....says he should be in hospital.

I am now scared and worried that by giving him the senna I am harming him in some way (I have actually not given it him tonight so we all have a break from it, and also in hope that he gts a full nights sleep as he clearly needs it).

What do I do tho???? I don't have a number for the consultant, and I know that they have already double booked me over someone else for the september appointment as the nurse who booked it complain about it to me at the time, and queried ME why. I am at a loss for the next step......I don't want to stop it completely, but then I don't want him this poorly either for the next 2months. He is also due to be starting reception in september, and right now with the fact that he is also soiling himself again I think it unfair on him, let alone the teachers (and can you imagine the trauma should he have an accidant of the type we had today in front of a class of kiddies). He is only jsut four anyway (last wednesday) so I have been reluctant as he will be one of the 'babys' anyhow....and now this.

I don't know.......this is long, so if you have read this long than thankyou lots. I jsut need someone to tell me waht to do......I don't want him in hosptial (apart for anything else I have the other 4 to think about too), but he can't go on like this.....he will start to lose what little weight he has anyway (he is only 28lb now).

HELP......(please)

OP posts:
alexsmum · 25/07/2006 11:42

sorry have just re read and realised that you have an appointment tomorow with this dreadful dr black character.
i feel so awful for you psychomum-you must be going through hell.

def put your madly assertive head on tomorrow and demand that something be done to help him ...NOW

psychomum5 · 25/07/2006 11:43

alexmum you are so nice....thankyou for trying so hard for me....you don't even know me.....

No...they aren;t great....which makes it all the more frustrating. Am gonna try and tring agian in a mo, when kiddies pool is sorted (well, hopefully at least.

Saggarmaker.....not heard of hirshprungs(???)....how does that present?

OP posts:
alexsmum · 25/07/2006 11:45

i have just googled hirschsprungs and it does sound similar to your description.distended abdomen etc.

psychomum5 · 25/07/2006 12:05

well no joy with phoning.....message says they are busy dealing with other patients and to leave message so they can get back to you at a more convenient time!

left message....now on a wait and see.....

will now go google hirshprungs.

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psychomum5 · 25/07/2006 12:15

ooh, now one site only looked at so far, so going on that for now....

The meconium link.....he took five days to pass his first lot of meconium. only prob was that the MW never took me seriously on that as I was so very poorly (I had retained placenta wich then broke down and I enede up having 3 ERPC's!)

he had a barium xray for his reflux diagnosis, and then ended up in hospital after as he took forever to pooh it out and was in horrendous pain for days.

He does indeed have a vry distended abdomen, and huge amount of gas....not sure on the lower part of the bowel tho??

he was a very poor feeder....weight loss etc.....and classed as 'failure to thrive', and was also constipated a lot as a tiny and on lactulose for a time.

he does indeed 'explode', altho I haven't tried to put finger in to 'test' it (not my thing)!!!

OP posts:
alexsmum · 25/07/2006 12:16

sounds possible doesn't it? maybe worth mentioning it tomorrow?

how is he now? still hot?

foxinsocks · 25/07/2006 12:18

picked up this support group number from the bottom of a great ormond street leaflet. Not sure how current it is but might be worth a try. They may know of some better local experts etc.

Gut Motility Disorders Support Network
Westcott Farm
Oakford
Tiverton EX16 9EZ
Tel: 01398 351173

psychomum5 · 25/07/2006 12:26

yes, still hot. He is now playing in the pool tho so while happy am leaving him to it.

thankyou FS for the tel. no.....am gonna ring now as thy may give some more advice about what to ask tomorrow too.

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psychomum5 · 25/07/2006 12:30

answer phone.....altho not sure if right no. as the message just said ''you have reach westcott farm, please leave a message'. No mention of it being a gut motility support place.

probably just babled and not made any sense....

OP posts:
alexsmum · 25/07/2006 12:37

it's probably the home of one of the volunteers.

arm yourself with as much info as poss before tomorrow.has the doc ever seen him explode? does she realise just how bad it is?

psychomum5 · 25/07/2006 12:45

ok....update....

just had southampton on the phone, who put me thro to his secretary

she sounds worried.....is wanting to know my plans for today and if I am able to go in.

they are gonna ring back as soon as dr. beattie is free, but I am sat here in tears as, altho I am wanting something done, I was actually hoping they would tell me that this is all normal and not to worry.

oh god.....I am shaking.....this isn't how I planned to have his last summer at home before he started school and became a 'big boy'

OP posts:
foxinsocks · 25/07/2006 12:47

it is terrifying when your child is ill - have you got someone who can come with you to the hospital? sometimes just having another adult with you can be helpful

also, if you do get all teary, try not to think of it as you losing control or being ridiculous - sometimes, by keeping up a happy and steely appearance, the doctors never get to realise how this is totally dominating your family's life and the quality of life for your son

good luck. I will think of you this afternoon xx

foxinsocks · 25/07/2006 12:50

I also think the sad reality is that you have got so used to it by dealing so well by yourselves for such a long time that to actually be told 'this is really not right' can come as quite a shock.

psychomum5 · 25/07/2006 12:53

My MIL is due round at 2 as we have dentist booked (and I am phobic about dentists so need hand holding), altho whether we make it is debatable as they have asked if it is too late to cancel (southampton that is). they did say to wait until Dr Beattie is free and rings tho....am guessing that he may say to come tomorrow....don't know. I do hope that dentist will understand if so.....am guessing emergencies count against charging for less than 48hrs notice.(?confused yet hopeful about dentists emoticon!)

other than that.....am home today as all friends have other plans and am so hot not wanting to go out alone with five irritable monsters.

OP posts:
Bozza · 25/07/2006 12:54

Good luck psycho for this afternoon. Although it has come as a bit of a shock surely it is for the best. Nice to know that they are taking you seriously and not fobbing you off.

Something to think about. Have you considered deferring you DS's start of school? He doesn't have to be legally educated yet. And an extra term or two to get on top of this health issue might help.

psychomum5 · 25/07/2006 12:55

FS you are so right.....I have got so blase about this being 'jacob' that I forget just how abnormal it really is

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psychomum5 · 25/07/2006 12:56

Bozza....if he does go in to hospital I will definately defer him. This will be my cue to listen to my own intuition again!

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psychomum5 · 25/07/2006 12:59

got to go feed said monsters....will keep informed over any phone calls etc...

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yomellamoHelly · 25/07/2006 13:01

Am posting because ds went through a horrible 2 months just after Christmas with all the same symptoms as your ds, though I don't believe he has bowel dismobility. We didn't get all the investigations you've had done, either.
He was given 2 enemas and lactulose, then senna as well and all they did was make his distress worse, really. The thing that frustrated me most was that they didn't seem to believe how much pain he seemed to be in all the time (he was a different child for those 2 months) and could be in when trying to hold his pooh in or "exploding". He had a lot of calpol and often that seemed to make little difference anyway.
In the end I took him to an osteopath who was highly recommended by a friend, just out of sheer desperation that I had to do something since the medical profession weren't helping (they were so slow too). Over a week and a half he saw her 3 times to start with and she was fab. Far more effective than the drugs, which I've gradually weaned him off.
He was much more regular in his movements after the second session and after the third actually managed to be himself for most of the time. It took about 2 weeks for his system to clear out properly, though, and for the explosions to stop (obviously had a lot of stuff built up). It's been about 6 weeks since his stomach shrunk (all his trousers started falling down). We still go whenever I feel he needs a top up, but they're less frequent now (last was almost 3 weeks ago).
She had also had lots of suggestions for things to give him to help which made me feel like I was doing something too, rather than trusting others who didn't know him. The things we've kept going long-term are apple juice everyday and no dairy.

alexsmum · 25/07/2006 13:37

wow only just read this psychomum.i know it is scary but this is the best thing.they are taking your concerns seriously and if they see him today they will see him while he is ill and will realise how awful this is for you all.i'm so glad you phoned.
let us know what happens-will be thinking about you today.xx

saggarmakersbottomknocker · 25/07/2006 13:55

Oh psychomum - sorry for throwing hirschprungs in and then just leaving you I had to go out. I have an online friend whose ds has just been dx'd with it so the symptoms were fresh in my mind.

I know it's all a bit of a shock if you have to go in, but hopefully it'll be for the best and you can get this well on the way to being sorted before. I'm sure the dentist will understand.

Catj's dd4 is in the cardiac ward at Southampton so you'll not be the only Mner there.

Let us know what's happening, will be thinking of you.

saggarmakersbottomknocker · 25/07/2006 13:56

before school

alexsmum · 25/07/2006 14:11

any news yet?

psychomum5 · 25/07/2006 14:25

still none as yet. I have dentist at 3, so am going to ring before I leave just to remind them. I am wondering whether because I spoke at lunch time if they are gonna wait until after clinic later.....the secretary didn't imply that, but I know how consultants work.

I didn't realise that catj DD was back in again.....wonder how she is. I have met up with her at a meet-up, so at least I know her (not that I would wish this, but you know what I mean).

Don't worry....will keep informed. I am feeling sick tho

OP posts:
saggarmakersbottomknocker · 25/07/2006 14:39

Hope they ring soon psychomum.

Cat's dd has been back in about 2 weeks now - actually may still be in PICU. She was being ventilated to give her a rest as she's struggling with a chest infection.

Hugs.

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