I’m looking for some help. My daughter (will be 5 in September)followed a disimpaction regime about 6/7 weeks ago. This was her first disimpaction. It worked well and has lessened her soiling greatly but we are now in a cycle of 5/6 days with no accidents and then about 4 days running of constant accidents throughout the day. She will usually poo at bedtime and we have tried desperately to alter her routine in the hope of her pooing in the morning but this has been with little success. (She is starting school in September and know that if she could poo before school then she would be less likely to have accidents throughout the school day) she saw the nurse today who says she could feel a small blockage but it was not much nor too hard so suggested upping the dose of movicol for a few days. (She’s been on a maintenance of 2/2.5 sachets a day to achieve a type 4 or 5 poo). The nurse has also now prescribed pico sulphate as the senna didn’t work for her- it made the accidents even more uncontrollable for her and very unpredictable.
Do you think she would benefit of another full disimpaction?
Does she need a mini disimpaction? This was suggested but not really explained.
What are your experiences of using pico sulphate? Side effects? Is there a best time of day to take it to stimulate a poo in the morning?
Does anyone have any suggestions as to how to help her get into a routine of pooing in the morning shortly after waking or after breakfast?