IF anyone one can relate I would be pleased to hear how you deal with this issue. My daughter is 5yrs old and has had chronic constipation with overflow for as long as i can remember to start with the drs said she would out grow it and did nothing then 18 months ago finally refered her to the hospital. Since then we have been in twice to have what they call a clear out however the bowel is not resizing and within 6-8 weeks she is impacted again after the most recent visit to the consultant my daughter is now on 4 different types of medication but still this doesnt seem to be doing very much. My daughter is completly unaware of when she needs to go to the toilet and we have in practice the toilet routine reward charts everything you can think of i have tried. If anyone can give advice to a mum that is out of things to try as i just dont know what else to try my daughter is at school and at the moment a happy loving child yet already the bullies have started and i dont want my happy child ending up a sad and lonely one thanks
I have suffered witrh chronic constipation since I was a child too. I havent had it to the degree your daughter does-no overflow but I have always had difficulty going. My stools, even as a little one, were very large. My mom always said she could never beleive a BM that large came out of so little a body! Part of it, I know, is psychological. I cannot have a BM anywhere but home. If we go on vacation, I wont have a BM until we are home and that gets uncomfortable when you are gone 1-2 weeks! When I first got married I would come to my parents home to have BM's until I got comfortable enough in my new home to go. I just cant relax in a strange bathroom to go. I'm not sure if it is the bathroom or just the ability to relax and let go. So in that way, I know for me, it is a psychological issue too. Did she have difficulties potty training? Some children start holding stools when they are potty training because they are frightened of the toilet.
They feel the stool is "part" of them and have difficulties flushing it. Make sure she stays well hydrated for the first thing. Be sure she is drinking water and juices. Make sure her fiber intake is high. Fresh fruits (with skin on fruits with edible skins), veggies, beans, popcorn-popcorn is a great fiber snack and most kids like it!-whole grain cereals and breads. Avoid things like bananas, cheese, rice-these can be constipating especially bananas. Bananas are a great natural remedy for diarrhea. They are very constipating so limit her intake. Ask your Dr if she can have Benefiber in her juice. Benefiber works well because you can add it to her juice or even water and it doesnt change the taste or thicken the liquid and it is a good source of fiber. Ask her pediatrician if you can give her the Benefiber and at what dose. It will help keep her stools soft and easy to move. As far as not being able to tell when she needs to go, it is from desensitization. She is so used to feeling stool in her rectum that her rectum is no longer stimulated to go by the feeling of stool in her rectum. She will need to teach her body to recognize the feeling again. You can try a suppository to start to stimulate the rectum. Start with a glycerin suppository. If that doesnt work you may need to go to one with more irritant like dulcolax suppositories or you could try an enema with warm soapy water. This will irritate the rectum slightly to stimulate a BM so her body begins to recognize that feeling. Give her a warm liquid to drink after a high fiber breakfast. You can give her a bit of decaf tea, warm water with lemon, (warm water with a spoon of molasses is an old folk rememdy that works surprisingly well if she will drink it) something to start to relax the bowel and start to get her into a routine. After drinking the warm liquid, give the suppository, if you need to, and get her to sit on the toilet. This should help get her into a psychological routine of having her BM. Good luck. It is not an easy thing. There are some books available for kids and potty training but she may be a little old for the approach of just reading it to her but you could "potty train" one of her dolls to get her to talk about it and you could read the potty training book to her doll so she will hear the message without feeling like she is a baby. Using playtime is an old psycological way to get kids to talk about things and by "potty traing" a doll together you may find out and work through some of the psychological issues she has in regards to her own bowel habits. Good luck again. It will take a bit of work but things should begin to get better. She may always have a bit of trouble-some people just do. Dont push for a daily BM though-some people are fine with a BM every 2-3 days. Just be sure she doesnt go beyond three days without a BM. Try to use more natural methods so she doesnt get to rely on laxatives.
When my kids were young we would have this problem. The doctor told me to give them this red jelly (collace I beleive) to help soften the stool. Another tip my doctor told me was try to sit on the toilet at the same time everyday for 15 minutes. He said to try in the morning I think. He said your bowels get used to go at the same time everyday. Get her to drink alot of water too. Stay away from constipating foods. Hope this helps. Take care!
Make sure she is drinking alot of water. I personally hate water, and I had to drink more because of the super constipating effects of suboxone. I was advised by a person here to drink more water, eat pulpy fruit like apples, pineapple, and to start walking for exercise. It worked too. The fruit provides fiber and water, the exercise stimulates the bowels to move. It sounds simple and obvious, but it works. Warm apple juice or prune juice might help if you will give it too her when you are trying to get her to go and get a schedule established. Best of Luck, you are both in my Prayers.
DzooBaby has given you great advice, but after reading your response, to hers I am concerned she may have a real problem, but indeed have a completely different problem than just normsl normal constipation. I am glad to hear you are taking her to a specialist as it sounds she definaltely needs to be seen by one. I have this same problem,but mine is due to 2 failed back surgeries. Mine comes & goes & is very aggravationg as it can happen at any given moment, She may well have a congenital disorder that is causing this as you state she doesn't feel it happen. I wish you all the luck in the world ^ prayers be with you...
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