Reply to 12 year old with encopresis, I'm at my wits end?

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[quote=Anonymous]OP I know nothing about this.  Just a few thoughts from a lay person.  Are you making sure she is hydrating A LOT?  My 12 y.o. with mild special needs needs to be reminded to hydrate.  Have her drink water or juice before school and then after school, many glasses of fluids until bedtime.  A friend found castor oil effectived for her younger daughter--do you use oils, or maybe fish oils?  Does she get regular exercise and plenty of it.  Since nothing is working, I would try backing off completely.  In fact, you could tell her, I am going to back off but if I don't see an improvement we will go back to the GI doc in 3 months. Or compromise and say I will back off as long as you take your miralax without argument.  Stop the enemas.  Kids that age are so private about their private areas.  They give such a creepy feeling.  They aren't working so let it go.  Serve high fiber foods.  Also can't you just not give her money to buy milk at school?  Maybe send an appealing substitute, like a juice or milk substitute like almond milk box or something.  IF these compromises don't work, see a skilled cognitive-behavioral therapist and work as a family on the behaviors and reward systems.  I second the suggestion of the Kazdin Method.  This is the clearest explication of the behavioral approach to behavior change.[/quote]

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