samantha25
Pearl Clutcher
Posts: 2,912 
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Post by samantha25 on Apr 8, 2015 1:40:06 GMT
UPDATE- It is encopresis. Thanks for all replies. There is a 2-3 inch blockage that needs to be removed and will use an enema. Any suggestions for easiest application?
If this is TMI, I apologize. do not read further if you do not want to read about BM (bowel movements)........
My DS, 5.5 yo twin, had his appendix removed on Mar. 13th. I noticed that he started having skid marks in underwear and etc. starting several weeks before this. After surgery, for a week he had diarrhea and he said he could not feel it, to go.. This last week we are still having problems (major skid marks and hardended stool in underwear, sometimes falls out). Today, 6 changes of underwear and his little bum is so raw. I put him in the bathtub to soak and used some diaper cream ointment. We go to the pediatrician tomorrow. He seems a little lethargic, not feverish and he says that his body is not telling him he needs to go.. He did great with potty training, started at 3.5 years old. No pullups. No accidents at night. What questions should I ask tomorrow? We've had no family problems or disruptions.. I'm worried.
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Post by mrsscrapdiva on Apr 8, 2015 1:49:46 GMT
Google Encopresis. (it's not anything disturbing). Without a doubt, talk to the doctor about what your DS is going thru and how and how he doesn't feel it coming out. I hope you are able to get some answers, could it have anything to do with his surgery? It is so heartbreaking when our kids have something going on like this. We are dealing with this currently and going to the gastro doc in a few weeks.
"The truth is that many kids beyond the age of toilet teaching (generally older than 4 years) who frequently soil their underwear have a condition known as encopresis. They have a problem with their bowels that dulls the normal urge to go to the bathroom — and they can't control the accidents that typically follow"
Most encopresis cases (90%) are due to functional constipation — that is, constipation that has no medical cause. The stool (or BM) is hard, dry, and difficult to pass when a person is constipated. Many kids "hold" their BMs to avoid the pain they feel when they go to the bathroom, which sets the stage for having a poop accident.
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samantha25
Pearl Clutcher
Posts: 2,912
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Post by samantha25 on Apr 8, 2015 1:53:44 GMT
Google Encopresis. (it's not anything disturbing). Without a doubt, talk to the doctor about what your DS is going thru and how and how he doesn't feel it coming out. I hope you are able to get some answers, could it have anything to do with his surgery? It is so heartbreaking when our kids have something going on like this. We are dealing with this currently and going to the gastro doc in a few weeks.
"The truth is that many kids beyond the age of toilet teaching (generally older than 4 years) who frequently soil their underwear have a condition known as encopresis. They have a problem with their bowels that dulls the normal urge to go to the bathroom — and they can't control the accidents that typically follow"
Most encopresis cases (90%) are due to functional constipation — that is, constipation that has no medical cause. The stool (or BM) is hard, dry, and difficult to pass when a person is constipated. Many kids "hold" their BMs to avoid the pain they feel when they go to the bathroom, which sets the stage for having a poop accident.Yes, I did see this. He doesn't seem to have constipation. His stool has always been big, as big as an adult... So crazy. he used to go everyday, so not holding it, but maybe on the firmer side. |
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AnotherPea
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Post by AnotherPea on Apr 8, 2015 2:00:22 GMT
But you wouldn't know. He could be constipated and still have bowel movements as crazy as that sounds. The intestines can stretch around fecal matter and other waste can ooze around. Giving your baby the problem he's having now.
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Post by alittleintrepid on Apr 8, 2015 2:05:42 GMT
What you are describing is typical of encopresis. Including the big poop. He may not be holding it on purpose....the colon gets extended with all that poop and his body can't tell that he has to go. I wonder if the medications for his surgery made him constipated if this is new?
I used to work with a kid whose paediatrician prescribed laxatives to reset his bowels.... But i suspect your paediatrician may have you wait until his skin has recovered.
Don't stress too much; it is fixable.
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TankTop
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Jun 28, 2014 1:52:46 GMT
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Post by TankTop on Apr 8, 2015 2:20:05 GMT
Bingo! All the above is so true. The new feces moves around the old, constipated feces. Since the old feces has stretched the colon/intestines, it is numb to the feeling of needing to go.
Often a daily dose of Miralax will be prescribed along with a daily dose of Exlax. They both work in different ways. The Exlax stimulates contractions, while the Miralax softens the old feces.
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Post by librarylady on Apr 8, 2015 3:05:03 GMT
Bingo! All the above is so true. The new feces moves around the old, constipated feces. Since the old feces has stretched the colon/intestines, it is numb to the feeling of needing to go. Often a daily dose of Miralax will be prescribed along with a daily dose of Exlax. They both work in different ways. The Exlax stimulates contractions, while the Miralax softens the old feces.  |
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samantha25
Pearl Clutcher
Posts: 2,912
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Post by samantha25 on Apr 8, 2015 3:23:21 GMT
Great... I'm definitely thinking along the same as others. I tend to think along extremes but then will come back to reality. Thanks so much. I'm just wondering about the time frame, of almost 8 weeks of SOMETHING?? I'm a scientist, so inconsistencies are a blip on my radar, but I don't want to alarm him. I like our pediatrician and she knows our history, so I think she will be able to help us, again just worried. We have not had any problems as a twin, as I always wonder if there's more a risk of something.
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