Disimpaction maintenance help

[Scottishmumof2]

My 2 year old has been put onto laxido. He was soiling up to 20 pairs of pants a day. So we followed the ERIC guide up to 8 sachets but i couldn't see anywhere how to reduce to maintenance dose so did 1 day of 6, 1 of 4, 1 of 2 then kept him on 1 but he went back to soiling. So was advised i reduced to quick and to disimpact again 😔

So what maintenance dose do i go to and for how long? I feel like im making it up as i go along and my son is so irritable and not his self while going thru disimpaction.

[Yaleamanda]

You work upto the maximum dose for their age until you reach watery stools with no lumps consistently for a few days before you start reducing the doses down extremely slowly ie one dose every few days until you reach a suitable maintenance dose to remain on.

[Scottishmumof2 in reply to Yaleamanda]

How do you know when its the right maintenance? Is it one soft poo a day? If its more or less should you go up or down a sachet? Sorry i feel so unknowledgeable

[Yaleamanda in reply to Scottishmumof2]

When they produce type 4 stools on the Bristol stool chart.

[Scottishmumof2]

Thank you. Final question....if when on maintenance say 4 sachets, if the stool is more like a 5 or 6 on the stool chart then do i stay on 4 until it gets to a 4 on chart. Same if we were on 3 sachets maintenance and stool was more a 5/6 bristol stool should i then up it to 4 sachets? Thanks so much

[Yaleamanda in reply to Scottishmumof2]

At that point I would reduce the dose down to three sachets and so on...

[CatDub]

I wouldn't do disimpaction without advice from the gp.