constipation

[mumof2boyss]

please help... my son was constipated for months and months, we finally have the stools at the right consistency however he has lost all urge to poo by himself, and soils his underwear up to 10 times a day, I sit him on the toilet constantly, he has laxative every day, we have been referred but it's been nearly a year and we have heard nothing

[Yaleamanda]

Have you ever disimpacted him? The soiling is a sign he is backed up.

[mumof2boyss in reply to Yaleamanda]

hi yes I have done that before, sometimes he has a full stool in his underwear, he's lost all urge sais he doesn't feel anything at all

[Yaleamanda in reply to mumof2boyss]

Have you ever reached watery stools consistently for three days before you reduce down extremely slowly i.e. one sachet every three days until you reach a suitable maintenance dose to remain on? Is he on a stimulant laxative too?

[mumof2boyss in reply to Yaleamanda]

hi yes we did this regime, then it slowly started to happen again, yeah he is on senna once a day

[Yaleamanda]

Unfortunately it can take time for the feeling to come back. How much senna is he on? Do you encourage regular toilet sits after every meal?

[mumof2boyss]

he's on 5ml a day of senna, yeh I sit him down regularly, he could be soiling at the time I sit him down but he never ever goes on the toilet it's been nearly a year now its so draining, can't get any help from the doctors due to covid I guess

[SapphySue in reply to mumof2boyss]

Have you tried Microlax 5ml enemas? You can buy these without prescriptions. We have had similar issues. Now seem to be improving but using Ducosate (10ml x2 a day) as it leaves stools a little bulkier, also 5 ml liquid paraffin and 10 ml senna. Enema have helped knowing he’s gone to loo first thing. Specialist put him on 7 days initially now we are doing every other day for a month. He sits on loo for 20 mins after meals. Watches “Poo Goes Home” and iPlayer. It’s so stressful, keep going, I found when the pant soiling happened again there was likely a smaller blockage so I think the enemas helped. Maybe you can discuss enemas with your GP. Reducing sugar intake has also helped us. We were asked to exclude dairy for a week to see if improved then wheat, then low fructose and then soya but soya very difficult to exclude so easier to drink lots of soya for a couple of days and see if symptoms get worse. Slowly now we are having less accidents. We only had a change with less sugar and it wasn’t identified as an intolerance but clearly for us reducing sugar has helped with the runny poo. When we reduced the lax dose too much the rabbit dropping poo returned with the leakage. Doc can also prescribe micro enemas.

[SapphySue in reply to mumof2boyss]

The other thing I would say is that I decided a couple of weeks ago it was better to know he was pooing even if accidents rather than not pooing as at least if pooing lots the rectum is getting a chance to shrink back to not size. That has helped me with the frustration.