Hello, I'm new. I don't know if anyone can help with this one - I've been looking at posts and can't see anything on this. My son (just turned 8) is having real difficulty in getting his bottom clean after a poo. It started in January - he was getting very upset at school and telling us he was afraid he would get poo in his pants (he hasn't). It developed very quickly and we thought he was getting OCD as he would go to the toilet and wipe and wipe and check and check that his bottom was clean. We went to the doctor and were given Senna for constipation which didn't do anything and we then went to Movicol (my son actually took this for a couple of years when he was younger for constipation but we haven't had any toilet problems for about 2 years and he was off the Movicol). We are under the care of a nursing team but can't get the Movicol dose right as he is currently pooing about five times a day and the nurses say they are not sure what is happening. Sometimes when he does a poo he can clean himself easily - there is very little to clean. Other times he can be stuck in the bathroom wiping and wiping (wet or dry toilet paper) because he can see very small stains of poo on the toilet paper. It can lead to enormous anxiety and screaming (and my husband and I would like to scream too with the frustration of it all). I do find that sometimes after he has had a poo it actually can be difficult to wipe and there is poo there which takes a while to clean - I think he is not fully emptying the bowel. But we seem to be going round in circles as the Movicol makes him poo so much, so he has to wipe so often and gets so upset if he can't get clean. At school he is having to have special support as his anxiety is so high it is affecting school. We've tried reducing the Movicol to once every other day and once every two days - this can mean he poos slightly less but still can't always get clean.
Any advice would be appreciated. We've been dealing with this since the first week of January and are even seeing a psychologist to deal with anxiety (he's now developed a fear of germs and being ill). I feel we can't move forward until he can do a poo that is easy to wipe - ie a poo that doesn't require much wiping up! I really don't even know if he is actually constipated and I have been told he is not impacted so this isn't poo leaking around a hard poo. Can anyone help?