Honestly the BM sounds like a powertool. I'm glad your DSD has you and your H to look out for her. I hope everything goes well w the enema.
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She is not my favorite. I normally don't harbor any anger towards her. If she wants to go out all the time, that's hardly a CPS offense since they are with their grandmother. Since there's nothing we can do about it, we just let it go. We get them as much as possible. This is part of why weve been trying to move here. We are still about 2 hours away though. We are hoping to move even closer but that'll take time.
Its only times like this that piss me off.
Yeah I totally understand. She should be more forthcoming w healthcare stuff. That's all.
It happened to DD last December. We had to do two months of restoralax, I think twice a day for the first week. We did an enema but honestly it didn't do much because it is so hard for kids to hold it in long enough. If she is pooping and not just diarrhea (diarrhea goes around the blockage) I would just continue as is.
Also, her father should have just as much access to her healthcare providers as her BM. For these reasons- so he can get information as often as he wants/needs to help provide the best care for your DSD.
My ex husband has equal access to all healthcare (and school) related matters. Not that he needs it, or would ever use it, but if he wanted to he could contact them as I do. It's part of co-parenting and usually part of most parenting plans/separation agreements.
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He is allowed access but they live 2 hours away so actually going to the appointments isn't easy. Especially when she doesn't say there IS a doctor appointment in the first place!
We got the info from mom and we were able to page a nurse. She said fruits, veggies and meat is OK. Stay away from dairy and carbs. Lots of fluids. She said fiber was OK.
We are doing an enema after I eat lunch. Hopefully we can get rid of this thing.
Also, her father should have just as much access to her healthcare providers as her BM. For these reasons- so he can get information as often as he wants/needs to help provide the best care for your DSD.
My ex husband has equal access to all healthcare (and school) related matters. Not that he needs it, or would ever use it, but if he wanted to he could contact them as I do. It's part of co-parenting and usually part of most parenting plans/separation agreements.
Sent from my iPhone
He is allowed access but they live 2 hours away so actually going to the appointments isn't easy. Especially when she doesn't say there IS a doctor appointment in the first place!
We got the info from mom and we were able to page a nurse. She said fruits, veggies and meat is OK. Stay away from dairy and carbs. Lots of fluids. She said fiber was OK.
We are doing an enema after I eat lunch. Hopefully we can get rid of this thing.
Also, her father should have just as much access to her healthcare providers as her BM. For these reasons- so he can get information as often as he wants/needs to help provide the best care for your DSD.
My ex husband has equal access to all healthcare (and school) related matters. Not that he needs it, or would ever use it, but if he wanted to he could contact them as I do. It's part of co-parenting and usually part of most parenting plans/separation agreements.
Sent from my iPhone
He is allowed access but they live 2 hours away so actually going to the appointments isn't easy. Especially when she doesn't say there IS a doctor appointment in the first place!
We got the info from mom and we were able to page a nurse. She said fruits, veggies and meat is OK. Stay away from dairy and carbs. Lots of fluids. She said fiber was OK.
We are doing an enema after I eat lunch. Hopefully we can get rid of this thing.
I hope it goes well! I am glad you got ahold of a nurse. I will think good thoughts for you guys!!!
Post by aussiecrush on Jul 12, 2014 13:35:17 GMT -5
From experience with my son, don't expect to be certain you know you've gotten her all cleared out. My Ds is 5 and has had three clean out procedures through his doctor and countless enemas, laxatives etc. You are so on the ball with this and giving her great support. My only advice is to keep her moving. Running, kicking a ball, practicing gymnastics, dancing. That combined with what you guys are doing gives you the best odds. Good luck!
We got about half the solution in and then she had to go. She said it was about the same as when she normally goes but hopefully things will get moving?
She's hiding in the basement now. She's pretty mortified but at least we got it done.
We got about half the solution in and then she had to go. She said it was about the same as when she normally goes but hopefully things will get moving?
She's hiding in the basement now. She's pretty mortified but at least we got it done.
Poor kid hope she feels better soon!
If she still is complaining about it maybe a trip to the ER isn't a bad precaution.
Post by cinnamoncox on Jul 12, 2014 18:30:11 GMT -5
I hope that helps get things going. Again, I'm so glad she has you and dh, since her mom seems to have her priorities mixed up in a bad way here. Good luck curly.
Absolutely ditto calling the doctor. If you can't get hold of hers, take her into urgent care or the ER for an eval if it's at all possible, so you can get valid medical advice.
If it IS Encopresis and not a herniation or other physical malformation:
The liquid coming out is generally caused by encopresis, withholding stool until it becomes impacted and solidifies, by too much fiber and not enough hydration or similar issues. The liquid that comes out is newer stool that manages to skirt the blockage because it's newer and being forced by even newer stool further down the intestinal tract.
GD2 is on a 1x (double child/one adult dose) daily Miralax regimen, with cleanouts done quarterly of doses 2x daily for 3 days. Generally the Miralax helps move the impacted stool further until she can poop. Depending on how long your SD has had the blockage she might have an over-large, solid stool come out. As a word of warning, when she does this first poop, it is likely it will hurt. GD2 has had times where it's caused small tears in her rectum if she's not gone for several days and we've become quite handy with the plunger. Part of the issue with encopresis is a fear of pooping due to an expectation of pain caused by large and/or solid stools. That is why a psychological component mentioned upthread needs to be addressed as well.
How often do you see her? If it's something you might consider for her medical well-being, I might suggest that you become affirmative in her medical care. Make appointments for encopresis treatment, suggest referrals for urology (does she have wetting issues as well? Sometimes they are intertwined, as the intestine pushes on the bladder) and counseling for enco issues. Mom will *have* to take her if the appointments are made and the doctor thinks they are necessary; if she cancels or otherwise no-shows and the physicians are concerned for her physical and medical well-being, they are mandated reporters. She should be seeing her doctor regularly as long as she has the enco issues, with regular counseling (GD goes bi-weekly). GDs were actually placed with me because mom wasn't treating GD2's encopresis and enuresis (wetting) issues properly and was cancelling appointments. Is your H on the authorized contact list at the doctors? If not, call and have him placed in the records as a contact and also for confirmation calls. Your SD is old enough to take some of these matters into her own hands as well.
If it's enco, call the doctor about having her on Miralax, possibly suggest a "cleanout" dosage for the weekend while you have her. She should be sitting on the toilet with her legs straight and relaxed, feet flat on the floor. If her feet can't reach the floor flat, get a small footstool or something for her feet to rest on. The purpose of this is to rest the pelvic floor so she can empty out her bladder and relax her colon. Have her read a book, draw, play on a tablet or do something to distract her from the fact that she is on the toilet and needs to poop. Gradually the Miralax will work and the stool will move forward and be forced out. Just be warned that if she's not gone in a while it will be large, it may need to be forced or coaxed and it may be painful, so after she's gone give her lots of love too. Kind of like you would a baby at toileting, she needs positive reinforcement that going to the restroom is encouraged and she needs to do it regularly.
If possible, send her outside to play and get active. The more activity, the more her insides get moving, which means the intestines will start pushing the blockage forward as well.
Also, give her lots of liquids in the future. If she does have encopresis, it's possible to put her on a 504 or plan at school to where she's permitted to keep water at her desk and may take regular bathroom breaks as well.
Good luck and I hope it's only enco and not something requiring more invasive measures.
I am really surprised they didn't send her for an xray. My kid had the same thing and it was basically do not pass go, go get an xray stat.
They need to know what they are dealing with. Do you have a nonurgent care place you could take her if this doesn't work? (Although I am really really hoping it does. )
I am really surprised they didn't send her for an xray. My kid had the same thing and it was basically do not pass go, go get an xray stat.
They need to know what they are dealing with. Do you have a nonurgent care place you could take her if this doesn't work? (Although I am really really hoping it does. )
She did have an xray, it was in my OP. They are doing another x-ray on the 21st and if it isn't cleared they will stick a tube in and suck it out (this is what SD told me). They said for this week she is supposed to take the laxatives every day, do an enema, no dairy, as few carbs as possible, and lots of fruits and veggies. They said whatever we can turn into a liquid is good so DH is running stuff through the juicer and having her drink it. They said fiber was ok.
This post is making me really concerned. A lot of people are not very good at relaying medical information from doctors. I would not give the kid fiber if the really did say no fiber.
I posted further up that we were able to get ahold of a nurse (apparently the doctor left the country for a month!). She said all fruits and veggies are ok to give but to avoid dairy and carbs.
I posted further up that we were able to get ahold of a nurse (apparently the doctor left the country for a month!). She said all fruits and veggies are ok to give but to avoid dairy and carbs.
That is good. Confusing advice though since fruits and veggies are carbs. Heh
Ditto but there's a difference between starchy carbs and sugar/fibrous carbs from fruits and veggies when it comes to kids pooping, apparently. I'm told limit breads but give prunes sort of advice on the regular.
No bananas or corn or potatoes though, minimal at best. Those are starchy rather than fibrous.
We did the enema around 4:00 and she went to the bathroom immediately. We also took DS and one of the dogs for a walk (the other one has a bad knee). She says she feels so much better. She says no nausea, no gas, and she doesn't feel the urge to go like she has. There's no abdominal pain either. HOpefully things are improving!