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incontinence help please

3 replies

dennymosh · 01/10/2010 01:08

DS1 is 8 and has a dx of Dyspraxia and a verbal dx of aspergers. We have been waiting over a year now to see PDDAG who are the only ones that can apparently make a formal assesment. In the interim, we have liased with school as much as possible but feel that we don't seem to be getting anywhere.

DS sees the community paediatrician but this is rather hit and miss and although he should have been seen in August, they are so far behind and can not fit him in for about 2 mths.

The major issue that we have at the moment is DS's incontinence. He has not been at school this week as I really do not know what to do - I have spoken to the Senco regarding this and she was not help whatsoever.

DS poos a lot. He pooed 14 times today and he has no idea that he has been. I have tried to explain this to school and the paed in the past but they don't seem to grasp that he really has no feeling and only knows when we notice and change him.

We have tried sitting on the loo after meals and also have tried every hour which has helped but he is still having accidents day and night and I wondered if anyone else had suggestions as to what to do.

He doesn't currently have additional help at school but he is supposed to have someone check him on an hourly basis but this also is not happening as he has come back from school with poo, sometimes appearing as if it has been there for a long time.

I have seen the GP this week as an alternative to the paed but they only said that we need to see the paed.

I dont know how else to help him at home and when he is back at school and I don't know if there is anything else that we can try to stop the accidents and reduce the amount of times that he is having a poo and would really welcome any help and advice.

OP posts:
NickOfTime · 01/10/2010 05:16

does school have a care plan in place? (i am assuming so as you say someone is supposed to check him hourly) i would contact the school nurse and ask them to contact the continence service to provide guidance for school.

malem do a continence wristwatch (with alarms that can be set to go off hourly/ at set intervals, with either an audible or vibration feature) which might serve as a prompt for school - it has been suggested that ds1 wear one, but he is pretty much a toilet refuser, so can't see it helping in our case. might be ideal in yours though.

i'm a big fan of speaking directly to the paed's secretary as well - they can be worth their weight in gold with getting a cancellation appt, or bumping you up the list if you have a an urgent problem (which i would suggest yours is). just give her a call and beg for an urgent appt.

dennymosh · 01/10/2010 06:36

There is no written plan in place even though we have requested it verbally and in writing, this is something that we have agreed with his teacher.

I will contact the school nurse and check out the watches -thank you

It is on my to do list today to phone the paed (again) I will see if I can talk to the secretary.

thank you for the help

OP posts:
improvingslowly · 01/10/2010 06:42

have a look at www.treatingautism.co.uk - lots of info on food issues that can help stomach/toilet problems eg casein free and gluten free diet (not help everyone, but does help some)

you can also join a very good yahoo group from that site that has many knoweldgable people on it...

also google 'retained reflexes' and if any of those sound familair, find a sensory trained OT who can give exercises to help.

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