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ERIC
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Poo poo poo

Hi everyone I have joined this site for some advice and guidance really... my little boy is 2 years old we have been seeing a continence nurse since March this year after demanding it from the GP but she doesn't seem interested. Mason had problems with his poos for over a year now straining really bad and doing hard golf ball size poos we even had an episode of poos with blood in and where sent to the hospital ward where tests were done and no diagnosis made. We were given lactulose then movicol but have never found a right dose we have always been told give 1 or 2 daily we still get a mix of hard straining poos, big slops or 10 plus small sometimes hard sometimes soft poo (yes a day) I started looking on ERIC this afternoon after Mason did a hard golf ball poo (screaming whilst doing it) followed by 2 big slips yesterday to a rock solid stone like poo this afternoon. I noticed the disimpaction regime and wondered whether we need to do this to clear Mason out then we can do the maintenance dose. I just can't get my head around why we were never told to do the disimpaction as it seems the logical thing to do? We are now looking into potty training but can't do this whilst Mason is up and down with his poos and he is getting frustrated with his nappies now. Any advise would be greatly welcomed if you have experience of this - it is so frustrating getting hold of the continence nurse for one but then she just tells us he sounds like he is backlogged but to play about with the dose of 1 or 2 movicol until we get a sausage like poo x

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I can't offer much advice as my son struggles more with wee than poo. He is on 1-2 laxido for possible underlying constipation & I too have always wondered why a clearout has never been suggested, so I'm following your post to see others replays. Hope you get some advice soon. Xx

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Has the nurse felt his tummy? If he's full up or not clearing the bowls fully she should have been able to tell. I would go back to her even if it's a telephone conversation or see your GP if it's easier to get an appointment and explain that your not getting anywhere. He shouldn't have to strain and there should never be discomfort when pooing as this is what can lead to further complications like withholding.

Eric website has great leaflets about pooing plus when your ready I think there doing a thing on potty training too. You could also try calling them.

I wouldn't start a disimpaction without talking to a professional first to tell them what your considering. Most GPs don't really understands constipation but if you have as much info as possible when you talk to them then you're on a better footing. Keep in touch here and let us know how you got on.

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Yes she's felt his tummy a few times & she has been able to feel it, but the poo was first on the left side of the tummy and a few weeks later was on the right, so whether it was new poo stuck there or the same lot that had moved I don't know...he's also had a X-ray (almost two years ago) which showed a blockage of poo however that may of since shifted. Although other than the above he has no actual signs of constipation, he doesn't strain to go and it never hurts him either (thankfully & touch wood!).

I went to see the GP as I was a bit confused & knew how busy the continence nurse was, but it was a waste of time. She was lovely & said she could feel a bit of poo but spent most of the time trying to ask questions about his weeing & why he wasn't toilet trained.

I will try and phone the continence clinic... thanks x

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Isn't he 2? Why was she asking about toilet training? They don't deem it an issue until 3+ usually?

The variable poos could mean a higher dose is needed for a while then for it to be reduced. That was what we ended up doing, I guess a gentler version of disimpaction, then we reduced it down gradually and now have soft poo 1 to 3 times a day. Our girl is 2 also. She is currently potty training which is slower than with a regular bowel but we are getting there.

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How many movicol did it take to flush your little girl out? We are trooping through the disimpaction we are in Day 2 of 4 movicol on to 6 tomorrow. How many is she on now? x

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Mine wasn't noticeably impacted so we only went up to 4. She was passing liquid with a few "bits" and her stomach went right down. However this might be because there was nothing stuck long term up there - her bowels moved slowly but did move. She's now on 1 sachet one day, 1 1/2 the next.

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Mason has just done a watery with bits in before bed. He's had 2 more movicol in his bed time milk so will see how he is in the morning - his stomach had gone down noticeable too, which surprised me. Fingers crossed we are on the way forward xxx

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Has the nurse felt his tummy? If he's full up or not clearing the bowls fully she should have been able to tell. I would go back to her even if it's a telephone conversation or see your GP if it's easier to get an appointment and explain that your not getting anywhere. He shouldn't have to strain and there should never be discomfort when pooing as this is what can lead to further complications like withholding.

Eric website has great leaflets about pooing plus when your ready I think there doing a thing on potty training too. You could also try calling them.

I wouldn't start a disimpaction without talking to a professional first to tell them what your considering. Most GPs don't really understands constipation but if you have as much info as possible when you talk to them then you're on a better footing. Keep in touch here and let us know how you got on.

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Hi thanks for your reply. No she has never felt his tummy which irritates me a little. He doesn't hold in poos as yet but he does strain when they are hard/big and has done for over a year. I just feel like we are going round and round in circles with the continence nurse. I feel so sorry for him 😕

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even a phone consult with your GP to see what they suggest. ERIC.org have great advice and you can call or email them and they will have all the info you need. I hope you get this sorted, bless he shouldn't have pain when pooing.

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Sounds like our exact scenario.

We found out 3 weeks ago that our daughter (2 years 10 months old) has an anal fissure which explains the pain she has been experiencing even when having very very soft bowel motions.

We did a flush out in January (which I now believe wasn't donethoroughly) and we are now on day 6 of another one.

She has had a very stubborn fecal mass that has only just moved. So once we have done 10 days of the flush our regime we will step down slowly to a lower dose of the Osmolax

The things I have learnt this time around which I wish I had known are:

During the wask out,look out for the hard lumps to come through in amongst the very runny stool. We had about 6 lumps over the course of about 2 days and these were what I can only assume were the blockages.

Introduce the potty! I never used a potty while toilet training with my kids. I though they were unnecessary and just added to landfill but I bought one recently and we have started sitting our daughter on it after lunch and dinner and it has really helped. The position is prefect for the bowel to open,they can sit and watch TV and relax which makes the process much calmer and you can clearly see what's passing.

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So I have spoken to the continence nurse this morning and she still insists that we should just play about with the maintenance of 1 or 2 movicol. I had also emailed ERIC for their advice and they agree that Mason should of done disimpaction back when we were referred to the continence nurse. Why is everything is contradicting. I have decided that I am going to do a disimpaction after talking to ERIC - I don't believe a fresh poo would be rock hard like his have been over the weekend. How many sachets/ days have people found that the disimpaction works or does it differ? Thanks for your message ange it does seem that they are quiet similar when straining Mason has torn before xx

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I totally feel for you, we had the exact same issue with our son (who's now almost 12 YO) I spoke to the continence nurse and GP on a daily basis as my son got very impacted, he took up to 8 sachets movicol a day for a week gradually decreasing by a sachet every other day until we got down to a maintenance dose, which for him was 3 sachets per day. He was 3 years old at the time and thankfully it's all sorted now but it took a long time!

Good luck and I hope you little one gets sorted soon x

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So Mason has been off Movicol for over 2 weeks now after being for loose for a week but he seems to be doing fine off it. I've introduced 1/2 glass of fresh orange juice in the morning instead of milk. I keep watching out for the signs of him pushing or withholding but he seems to be doing great and gets excited when he does a sausage poop. X

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I think i have our disimpaction plan written somewhere....will look for it x

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Dear MasonMummy,

First of all, and please DO do this, FORGET about the Potty Training! He is too young, he is only TWO! Secondly please tell him that 'Poos' are not Dirty, Nasty or, in any way, wrong. Assure him that you, actively WANT, him to Poo- you might think he knows this but, he is TWO! As regards the Laxative dose give, a bit, too much rather than too little- clearly if you're giving Way To Much, then do, ease back a bit. However he should NOT be crying/screaming, when doing a poo.

I'm glad, having read your last Post, that he seems more 'Stable' now but just don't try Potty training yet. You could maybe, very, very gently suggest that he tells you when he wants to 'go'/ or has 'Been' bit VERY gently. We got, one of my Sisters Boys, to say Poo Poo before he started Pushing.

Whatever else wish you, and Mason, Best Wishes and Soft Poos- that 'Goes' for you to.

AndrewT

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