Visited GP on Wednesday as 5 year old daughter is having soiling issues again.
GP has increased laxido to 3-4 sachets and added 5ml lactose twice a day.
She is still soiling, but has passed some poo in the loo (very small amounts, quite soft)
Any advice on how long it usually takes for the increased dose to help clear the blockage?
She was sent home from school on Wednesday because of the amount of soiling. I don’t want her missing loads of school due to it. (She uses panty liners to help with changing after soiling)
I really want to help her as she’s getting distressed and us uncomfortable from all the cleaning up.
It sounds like she needs a disimpaction whereby you increase the amount of laxido(we use movicol) everyday by a couple of sachets, presume it will say in the instructions in the box, until it's liquid before going to a maintenance dose. Have you watched the poo nurses video,that's very helpful. Good luck
Thanks for replying.
The GP said about disimpaction but not about increasing the dose above the 3 - 4 per day (plus lactulose). We’ve to take her back in 4 weeks. There’s no sign of improvement since Increasing the dose, we’ve been making a conscious effort to increase fluid intake too.
Can the dose be increased with GP guidance, is there info on max number of sachets for child age.
I just feel like I’m at my wits end with it all and daughter is in discomfort.
GP did discuss referral but when she callled me on Friday said to see how dose works & to go back if 4 weeks.
There is a maximum dose for a child's age. If they are 5 they can go up to 12 sachets of paediatric movicol. Usually you will only be looking at this rate on discompaction programmes. But hopefully they discompact at a lower dose.
A good place to start is the ERIC helpline they seem to know what they are talking about.
If you are not getting alot of movement personaly I would look to increase the dosage. I would leave it three to four days on that dose and if no movement perhaps ring your Gp. 4 weeks is along time if they are blocked. Personally if it effects them going to school I feel you may get them unblocked and hopefully things at school may improve. I know this is easier said than done from experience.
Hope this may help
Thank you for replying. I’ll
Try the Eric helpline x
Frustrated mum gives really good advice I'm sure you could up the dose, we've found that eight was enough but don't go above the twelve and certainly ring Eric xx
Thank you all. Your replies are appreciated & it's good to know we're not alone.
We've made a bit of progress today. We've had loo sitting sessions with no arguments/whinging/crying. She's done some small poos in the loo which we haven't had in a while.
Thanks again x