Struggling finding a maintenance dose after disimpaction - ERIC

ERIC

6,714 members2,479 posts

Struggling finding a maintenance dose after disimpaction

76middleton profile image

Hi everyone, I just did my 2nd disimpaction on my 8 year old last week thinking we'd remain on a maintenance dose of 4 sachets for a while but she was pooing in her pants and I knew it couldn't be overflow as we've just disimpacted so i think it must be the movicol, I've reduced down to 3 sachets and she's still pooing in her pants, should I reduce the movicol further? I know we need to be reducing the maintenance dose gradually, has anyone else done a disimpaction and reduced the movical quickly afterwards?

4 Replies

When you did the disimpaction did you get to the brown water with bits in stage? (Sorry if that’s a bit graphic 😉)

Hi we’ve just finished disimpaction on my 3.5 year old & are trying to find the maintenance dose too. Its tricky & I think it really depends on the child. We’re going down 1 sachet at a time but having a few days at that dose to check she’s ok before reducing further. I know others are reducing even more gradually at half a sachet. I think it’s trial & error.

Also something I’m really aware of is keeping an eye out for signs that she didn’t fully disimpact so maybe that’s something to bear in mind.

I think it's a case of gradually reducing until you are getting normal soft sausage like poos. I have never done a disimpaction at home as always ended up in hospital but I think you start high to clear out then reduce until normal again.

I have found reducing the movicol steady is the better bet when you are trying to find the maintenance dose as each child is distinctively different. I tend to leave it three days before we reduce again.I sometimes find if I reduce and the accidents increase and then increase the movicol the accidents can become less. It all depends as well where you are on the bristol stool chart.

You may also like...