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Kids With Special Needs and Disabilities
Reply to "Desperately need help with toileting issues ...."
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[quote=Anonymous][quote=Anonymous]Can a regular pediatrician interpret the x-ray results? Would it be useful to take her to a urologist or gastroenterologist?[/quote] Do not have it interpreted by a regular pediatrician. It should be done by a urologist or gasteroenterologist who is specifically looking for a fecal mass. It's commonly overlooked. Not the PP above but I agree that just because she poops every day doesn't mean she's not 'constipated'. My 8 yo DS has toileting issues that are related to 'constipation' even though he pooped every day and no fecal mass was detected on physical examination (it was only detected by x-ray later). After posting on this forum about it, several people recommended the book It's No Accident http://itsnoaccident.net/about-the-book/ . What an eye opener. It's written by a urologist who's DC has some similar issues. When he looked into it further, he discovered there'd been research that indicated the vast majority of toileting issues in older kids is a result of 'constipation'. The reason it didn't get much attention is because of how people interpreted 'constipation'. It doesn't mean not pooping on a regular basis, it means have a fecal mass that presses on the bladder as well as pushing poop out the anus. Prior to getting the book, we'd been giving DS Miralax every day for 2 years and we'd done periodic clean out regimes but he continued to have issues. Turns out, the clean out regimes weren't intensive enough and not clearing the fecal load. In consultation with his gasteroenterologist, we followed one of the suggested clean out regimes in the book and gave him an enema every day for a month (it wasn't as bad as we thought it be). It was amazing how much came out. By day 5, he was no longer soiling himself and no tracks in his underwear. [/quote]
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