Reply to Advice needed re. 8-yr old still in nighttime pull-ups

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[quote=Anonymous]  Underlying constipation even if they are going to the bathroom everyday is usually one of the big factors and one of the first that should be fully ruled out.    (note: sometimes this is correlated to other medical issues). That can take over a month to "fix" and get the muscles back in condition.   Different doctors recommend different approaches with miralax.  Some of the books of this subject recommend a lot at once for first weekend, others cap a day twice a day (am & pm).   Some doctors are not concerned what liquid you mix it with.     my kids will tell you needs to be very cold and stirred well.   They don't like it.  I wouldn't do water but something that is a bit better to drink.    You don't have to worry about right before bed - especially on low dosages (cap 2x a day).   Even on the large dosages - just would just make sure that that they can access the bathroom during the day.   Its why best to start on a weekend (friday night) .   Make sure they drink plenty of fluid with it - which may sound counterintuititive, but it can dehydrate.

The things that work for training for most kids under 5 years old - do not usually work for this.   Highly agree, You should research this and read the book -its no accident -  on amazon.  Understanding medically what may be the cause is important and will help with a child this age so they understand they are treating this medically.   The alarm definitely is very helpful, but if there are underlying conditions, it can be frustrating so you may want to sequence this.  [/quote]

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