Thursday, July 22, 2010

The C Word

I need to talk about the potty. Or rather, I need to talk about what’s not happening at the potty. Because what’s not happening at the potty is pooping. And this is a really big freaking problem. Because this time it’s not Little Dude I’m talking about. It’s one of my daughters. And because I would never want to embarrass her, I’m not even going to tell you which kid it is, not even with her blog pseudonym. But here’s the deal: one of my kids is wicked constipated.

This has been a real learning experience for me, because despite the avalanche of weirdness that is my life, this is not anything I’ve ever personally experienced. The only time I’ve ever had this problem is when I got to had to take some prescription pain meds after a minor surgery. As much as I love me some whacktastic prescription oblivion, two days into the pain meds I had all kinds of horrible GI problems that made me never want to eat again.  (I’ve noticed, by the way, that they never mention the pain med – tummy trouble connection on House. You’d think he would need to pop some Dulcolax with those Vicodins.) Anyway, I’m on a steep learning curve with this whole issue.

The first thing I have learned is that no one likes to talk about constipation.  I know full-grown adults who have no problem quoting Mel Gibson’s hateful, obscenity-laden loony trips word for word but they can’t possibly say the word “constipated” out loud. Which is interesting because everything about Mel Gibson is wayyyyy more offensive to me than anything to do with actual fecal matter. (Mel Gibson is, I think, only figurative fecal matter.)

The other thing I’ve learned is that mothers of kids over the age of three only talk about their children’s poop in whispers, like it’s too awful or embarrassing for their normal “indoor voice.” It’s funny because moms of newborns absolutely adore talking about their babies’ poop, so much so that they’ll show you their babies’ poop journals as easily as they’ll show you the brag book of photos. Infant baby mamas constantly fret over the frequency, consistency, and above all, color of their babies’ poops. There are entire forums on the internet dedicated to the topic. Pediatricians have pre-printed hand-outs about baby poop because it is so all-important to newborn baby mamas.

Once those babies are about three years old though, the poop conversation dies out. Moms of two- and three-year-olds will talk about potty-training. Once the kid is four, you stop talking about it, because either: a) potty-training is done, or b) potty-training is not done. Either way, the topic becomes closed for discussion.

This is probably not going to come as a shock to any of you, but I’m pretty comfortable talking about all kinds of insane stuff. This comes from having both a tremendous need to not go completely off the deep end vent and a deep desire to learn from other people’s wisdom. So I’ve been going around asking other moms if their kids have ever had problems with constipation. The answer is a resounding yes. And once that little Band-Aid is ripped off, years of embarrassment, guilt, and worry come pouring forth. Really, Oprah should do a whole show about it. The episode would be called “Shattering the Secrecy: Mothers with Constipated Baby Disorder.” Actually, never mind. How annoying would that be? Dr. Phil would be on there explaining to the mommies that their children’s constipation was probably the result of their permissive parenting style, and Dr. Oz would just go on and on about adding more roughage. Ugh.

But back to talking to other moms. In my completely scientific and statistically sound study, two out of any five moms have at least one kid who’s had a major constipation problem. I don’t mean the kind where the kid had one hard poop after eating too many string cheese sticks. I mean the kind of problem that requires some sort of intervention. Miralax seems to be every pediatrician’s go-to problem-solver. We’re trying that here and I have to tell you, five months into it, we’re still not seeing a huge improvement. We’ll be seeing our pediatrician to talk about Next Steps. I’m pretty nervous about that because Next Steps involve prescription medications and (gasp) enemas. (By the way? If you ever really want to end a conversation, just say the word “enema.” It makes people even more uncomfortable than the word “constipation.”)
But these Next Steps are really important because if there's one thing I learned from the classic medical text Everyone Poops it's that pretty much all living creatures have an imperative to get rid of waste. And if people, and especially children, don’t get rid of waste, they become cranky, tired, sick, and fecally impacted, not necessarily in that order.

My mommy friends have been telling me horror stories about constipation that involve trips to the emergency room.  I have heard tales of "home poopers" and kids who would only poop at Target.  There are many kids being bribed to poop.  You wouldn't think it would be necessary to bribe a person to do a natural bodily function, but sometimes it is.  I have heard sweet potatoes described as "the Roto-Rooter of vegetables."  And it was considered praise.

35 comments:

  1. A friend' 4 yr old had this & it was miserable. I remember taking her to the potty & sat for an hour chatting with her hoping to take some of the pressure off. No potty/no preschool, very driven Mom (we are no longer friends now that I think about it, oh well!
    http://bywordofmouthmusingsandmemoirs.blogspot.com/

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  2. Oh, this sucks! Mirilax and time. I've blocked most of the experience out, but I think we used Mirilax for about a year. We also made an effort not to talk about it unless we really had to. We talked with the kiddo about how it's her body and she's in charge, comforted her when she was hurting/scared, but generally tried to stay out of it. Now she's in the habit of having a long sit before bed, and more often than not, there is success. Hang in there.

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  3. Copious amounts of water, for as many days as it takes. Just have her drink lots and lots. What goes in must come out...and it will! And then KEEP drinking the water! I would say prune juice, oatmeal, bran, etc etc, but different food work differently on everyone. Water works universally on everyone, and she probably did not get as much as she needed in your 3-day trip. naturally--who's going to load up the kiddos with liquid before a 10-hour day in the car? Just try to get back on track. Good luck!

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  4. Milk of Magnesia worked for us, it even comes in good flavors now like chocolate and cherry.

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  5. My nephew had this problem within the past year and a half. And he's 13. He just wouldn't go, and he was wondering why his stomach was hurting and all that sort of stuff it's because he hadn't pooped in days and days. I think my sister gave him Miralax or Milk of Magnesia (not sure which) and told him he couldn't hold it in or he was going to get sick...I'm not sure whether they've had the problem again or not.

    Good luck

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  6. One of my neices had serious issues when she was 4ish (I think) - lost a good bit of weight. Took way too long for the Dr. to figure it out. They "rectified" the situation and thought everything was fine only to find the problem recurring and requiring daily medication. Not sure if it was OTC or prescription. Sorry you have to deal and even more sorry that she does. Poor girl.

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  7. One of my younger children has had issues with constipation since she was a tiny baby. Honestly, the things that come out of her sometimes scare the hell outta me. She has actually made herself bleed and at the ripe old age of 3 years old already has 3 hemorrhoids. We still use Miralax, 1 full capful every other day and when the constipation is bad despite the Miralax we go to 1 full capful every day. We pretty much have to force diarrhea on her to clean her out at least once a month. Push the water, water is your friend. You can also put a step stool in the bathroom so she can put her feel on the step stool while sitting on the toilet. This will raise her knees up and give her a little more leverage to push. Constipation is no for for the person constipated or the family. ICK!

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  8. I feel for you. We are there with my 4 year old. Its been over 1 yr so far with "potty training" with him. CONSTANT battle. I have to make sure he goes at least every other day OR we will battle what you are going through and the end result is always the same...enema. Hugs to you.

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  9. Increase her fluids and physical activity. Sugary drinks & caffeine can get the bowels moving. I suggest apple juice and, if your daughter is allowed caffeine, coca-cola. Keeping up one's intake of water, fruits, vegetables & high-fiber breads/grains while on a road trip is hard, not to mention getting enough exercise... Good luck!

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  10. Thanks for all the words of wisdom! Making an appointment with the ped. for the moment we get back to TX!

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  11. OMG totally going through this right now and losing my mind. My daughter says she has to go poop and then we get to the potty and she says no she doesn't have to poop. SHe continues to do this atleast 50 times along with whine and cry and cling to me for hours. AHHH
    We too have just started the miralax and i do see an improvement. Fingers crossed :)

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  12. Oh...Pedialax makes an awesome no cramping chewable laxative...I sometimes give my son 2-3 in a day and it keeps him super soft (gag, i know..) but it helps till he becomes reg. again and than I put him on 1-3 Pedialax Fiber Gummys which help him TONS too. Best of luck :)

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  13. Add me to the mamas who completely understands. Miralax is our friend and constant companion. It certainly beats my kid trying to push something that resembles concrete out of his body. Hang in there - we're trying to.

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  14. Could be food allergies. One of my kids became impacted, we learned it was due to a dairy allergy. My other kid was chronically constipated, that was a gluten sensitivity. Both have been feeling great since removing those foods from their diets. They still have occasional issues (too busy playing to take a potty break), when that happens prune juice for a day or two does magic. Miralax helps too.

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  15. I browsed the other comments and did not see this suggestion. Try about a tablespoon of mineral oil mixed in with something she likes (perhaps yogurt?) and see if that helps. A friends 5 year old son has this problem a lot and miralax did not do the job and this seems to work for him.

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  16. As an E.C.E it's a very odd day when I don't have to talk about someone's poop. Consistancy, odd colouring, frequency - what have you! :-) It's gotten so that poop is like snot to me!

    What? You see so many snot bubbles on so many cute faces you say the word without wincing!

    For my 2 - each child was different. the first child- you give her white grape juice or diluted apple juice and she pooped. The second child didn't work on him but yogurt raisins did.

    Once you find something that works - and you might have to try lots to do it NEVER forget it.

    M

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  17. Very funny post about a very unfunny situation. I'm so sorry! I hope everything regulates itself soon!

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  18. I would be VERY careful in giving your child any "poop-aids" My daughter became dependent on them and we had a terrible time getting her body back in order so that she was able to go on her own. Have you tried applejuice? IT works better than water, and is not habit-forming in a weird sort of "I can't poop without it" way. What worked best with my daughter was giving it to her at the SAME TIME every day. Then after she had a BM, I put her on the potty the next day at the same time that her BM was the previous day. Read a book, sing a song or two. Get her to stay on for a few minutes. Do that for awhile. What I found was that she was holding it because it was painful. So once I got her to where it was moving, then she was more willing to just go. Tough process. Good luck!
    Only a parent of a young child would say, "GOOD JOB! You POOPED!"

    Yep, that's me! Mommy of a young child!

    Now I need to go cheer on my 3-month-old! Go on! You CAN belch! I just know it!

    I'll UN-TEACH her later!

    http://walkaschildren.blogspot.com/

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  19. Ok- barring any medical issues, these 3 fruits will seriously work MIRACLES (at least they do with my 2 kids): 1) BLUEBERRIES - 1 cup will do the trick, 2) MANGO - 2 mangoes will usually work, and 3) canned PEARS, of all things! I suggest as much pear as they are willing to eat. If you tried all three in the same day I am thinking you may have the opposite problem by the following day!

    PS Apple juice never did a thing tho! So it does matter what works for the individual. Good luck!

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  20. We took a trip one month into potty training my oldest daughter. She had this problem. We gave her Mitalax, apple and prune juice and lots of fruit. We ended up having to give her a suppository. Worked very well, though she did tell everyone at the wedding that we'd put medicine in her bummy... Thank goodness she had enough of a speech delay they didn't all understand her!

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  21. Ok - no one has suggested this yet, but when mine were babies, my pedi was a pear juice pusher... and that pear juice worked magic! It worked on all my kids... I know everyone is different - just thought I'd throw it out there... (btw, I could never find the pear juice on the regular juice aisle - only near the baby food... go figure!)

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  22. Two things: avoid eggs, eat popcorn. If it's a dietary issue, that should help!

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  23. I LOVE Tang plus miralax. Totally hides the miralax "cloudiness" from the kids and the Tang becomes a treat that they ask for. I buy the nearly Lincoln Log size containers from Costco.

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  24. We have had this upon occasion with my 2 year old daughter. For us, undiluted apple juice and a lot of grapes works wonders. And I mean a LOT of grapes. About as many as she will eat. Freshly juiced pineapple can also help.

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  25. My five year old has had constipation issues since she was about two. She gets FULL strength apple juice 8oz every day. And Pears, my pediatrician said that fruits that start with a P make you poop....so I keep pears and prunes (or BIG raisins as my child call them, because, the baby daddy told her prunes were gross) on hand. AND drinking water with clear Kayro syrup mixed in....about a tablespoon full in a glass of water will get things moving along if there is pain/holding going on....my Mamaw turned me onto that one and it seriously works..now she will be running to the bathroom quite a bit once it kicks in, but, she will poop and feel ever so much better....bless her heart.

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  26. I feel you on this one. And I agree with the sweet potato remedy. Also, my father-in-law's homemade seed bread works wonders too. It is also my daughter that had the problem with this as well. Blood, sweat and tears, I tell ya. Literally.
    Leigh Ann

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  27. I am a Veteran who ended up in West Texas. I would like to mention that I grew up in the suburbs of Detroit, MI. I have lived in NC, FL, and Montana also. I learned very quickly that West Texas is not another state, but actually its another country... When I began to treat it as a different country I began to understand it. When I say West Texas I mean three hours from a real city. I know how you feel. I just found your blog today and I am already loving it. Thank you for writing what you write. (a fellow allergy sufferer wheat, yeast, corn, dairy, MSG, red dye) That is my short list! :)

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  28. My cousin went through a stretch where he WOULDN'T poop. It was intentional. My aunt finally figured out that it was a little biology lesson gone awry, and he was under the impression that if he pooped, he could excrete useful internal organs...

    Good luck. I hope that this is one speed bump we don't hit (with one kid the odds are better, at least).

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  29. My 10 yo son with AS was hospitalized in March after going 22 days without pooping. He has been "encopretic" (refusing to poop) since about age 4. He has been on Miralax for almost 2 years. The hospital experience was very traumatic for him as they had to try several procedures before his impaction would move. He is a child who eventually lost control over his muscles and damaged his colon. He is much better now and for the 1st time in 6 years is pooping at least 2-3 times/week. You might try magnesium citrate. You can find it at your pharmacy...ask your ped for dosage. That could work before going the enema "route"....good luck! Love your blog....I really need the comic relief!

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  30. Just found your blog, thanks to a friend forwarding the "Dora, we need to talk" post. Anyway, my almost 4yo, and now the 1yo have horrific poopy / constipation issues. The oldest started when she was only a few months, and has only rarely abated, and I was willing to try anything to eliminate the need for enimas.
    Flax Seed Oil. Alternatively (but ridiculously more expensive): Udo's Oil Blend 3-6-9. They have worked for us. Hope the pedi appt goes well!

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  31. Oh sweetie. Anna is still holding it in as much as she can, but thankfully has taken to pooping in the tub, the backyard, hey, even the kitchen floor! It's like having a 3rd dog. If I were really gross, I'd let the dogs eat it instead of shooing them away when I clean it up. We'll work our way back to the potty, but for now I'm just glad it's getting out of her because man she's a douche when she's constipated.

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  32. I didn't read all the comments because even as the mom of a newborn I just can't read that much about feces. But, in case it hasn't been suggested, ask for an endoscopy or lower GI series. My FIL battled this most of his life and at 55 now found that he has a narrow Pyloric valve which doesn't allow the food to pass through easily or frequently. A simple balloon inflation procedure through the scope solved the problems and could have saved him years of problems. I know it's scary to think of our kids going through a procedure like this if it isn't necessary, but if there is a physical problem and you could be beating your head against the wall for years, it might be best to find out now and possibly solve it. Good luck!

    Carla

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  33. I almost feel like I should apologize but the only contipation issue this mother of three ever went through was my own while preggers. Then, "Uncle Sam's Natural Laxative Cereal With Flax Seed" was the cure. Yes, it's a real product, complete with red white and blue packaging. Find it on the top shelf of the cereal isle or sometimes at health food stores. It's basically a bran flake cereal with flax seeds. They'll keep you regular! Good luck!
    Love your 'tude, your blog and your obvious devotion to your family!

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  34. A lot of people are suggesting a variety of foods and one person was surprised by pears being helpful and this reminded me that my pediatrician used to tell my mom to give me pears when I had this problem. Even now, I will sometimes have pear baby food to keep me regular. I'm going to throw some more foods into the mix as a preventative (stool softening) measure not as a laxative measure.
    My pediatrician (the doctor I went to as a child, not my son's pediatrician, FYI I am now 32 so this is advice from 20-25 years ago) taught me that certain foods make stools harder and others make foods softer. He used a memory aid to help me know which foods to eat. He said that A, B, and C foods bind (make hard, i.e. can cause constipation), and the A, B, C foods are Apples, Bananas, Carrots, and Cheese. Notice I said Apples, not apple juice. Apple juice, Prune juice, and artificial sweeteners can have a laxative (not stool softening) effect because of an excess of a certain type of sugar. He then said that the P foods soften stool (note: this is a preventative because it is not a laxative effect, just keeping future poops softer in texture, thus easier to do). The P foods are Pears, Peaches, Plums, Prunes, Pineapples, and aPricots.
    I hope this helps!

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  35. If you "never want to embarrass" your kid, you might want to edit your post in Aug 2010 when you mention (by name) the child who is having the "tummy troubles". Just a thought.

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