14 answers

6 Year Old Is Constipated and Pooping Pants

My 6 year old is constipated and has been pooping his pants. This happened once before when he was 4 and it was a 12 week process to clean him out and get him normal again. This has been going on this time since the end of August. We have been on Miralax the whole time and are about ready to go on another prescription to see if it will help us out. He isn't using the toilet at all. I am confident that most of the issue is medical and physical because the pediatrician told us his rectum is stretched due to the constipation and he has lost sensation. I am just looking for other moms who have experienced this issue. I am about a the end of the rope.

What can I do next?

Featured Answers

My neice went through the same thing and she out grew it. They imagine the pain involved and try to hold it back for as long as possible. She was hospitalized for it when she was 5. She was I think 7 or 8 when it stopped.

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my 6 year old, she has the same problem. we went to the top doctors in kansas city they all told me the same thing you are talking about. say it has been going on for 4 years it is going to take that long or so to get normal. they are afraid to go because it hurts. does he go and hide to poop? Keep using the medicine it will get him regular. My daughter takes a capful n half then i slowly take her to 1 capfull. if i miss a day then i give her an extra dose 1 in morning and 1 night.it does get better. my daughter is doing better, she does have some accidents.

1 mom found this helpful

My son had this same issue. His started around the age of 4 and continued until just recently (he is now 7). He too was put on Miralax, and if it got too bad we had to give him a fleet or a stool softener. We too were at our wits end. He would come home from school smelling awful and didn't know he had an accident. There were times he was so constipated that he couldn't walk to the bathroom without hunching over. I don't really know what helped him, but it has been about 6 months and the problem has resolved itself. I would just recommend finding out more from your doctor. Maybe there is something else that will help or it could be a thing that will have to resolve itself. I know the frustration and I hope things work out for you. The ER Dr. told us if our son was constipated very badly it was best to start by administering something rectally (enema or Fleet) so the hard stuff would soften up and not hurt so bad to pass. After you have tried that, then give him Milk of Magnesia to help as well. He was also given the Miralax and some Baby lax. It is a powerful concoction and we were told to only give it to him when he hadn't gone for several days and was truly clogged up after about a week, we were told to then just give him his regular doses of Miralax for daily help.

I have 2 sons that have had lots of problems with the same issues!The miralax works but not if they are compacted.You need to clean him out and then figure out what dose works to keep him regular.And when you do DO NOT miss a dose.I missed because my son was having diarrea and he ended up in children's!Anyway the doc said you can cut the dose down but never miss,with him anyway.My oldest was pooping his pants at school even.They can't help it,if he is compacted the miralax will soften the poop that is behind it and therefore it will come out around the ball thats in there!We were very frustrated at our oldest son and didn't understand that.The one thing I found that got that ball out was an enema!No juice,laxative,anything has EVER cleaned my boys out!In fact when we arrived at children's (when my youngest wasn't even 2) he was so bad off he was throwing up and they could not clean him out in their ER after a few hours and had to admit him.Just a couple of days ago I thought we were going to have to make another trip and that's a road I NEVER want to travel again!And I was able to get him cleaned out with an enema.In the past it had worked on my older son but not my younger son so I guess it's a matter of not waiting too long.make a routine of sitting him on the toilet everyday at a certain time even if he says he doesn't have to go and make him sit for about 15 min.It teaches his body to get into a schedule.Also watch his routines,if he's not eating good he probably needs to poop,etc...maybe every night after dinner is a good time to sit on the toilet.Tell him when he's not pushing to relax,I think you are right it screws up the muscles,they need to retrain them!Also pay attention to his diet.Almost always it has something to do with food.If he had alot of dairy that week and you noticed he had more trouble than usual you might try cutting back on dairy for example.Please if you want to talk more message me!I'm sure there is alot I could mention that I'm not thinking of right now.

I would strongly recommend that you go right to the source, and make an appointment with a pediatric Gastroenterologist, someone who specializes with exactly what you are going through. From our personal experience, the pediatricians didn't necessarily give us bad advice, but it never fully resolved the issue for my son. It sounds as though your pediatrician is on the right track though. We finally ended up seeing a specialist (Dr. Kane) at Children's Mercy, but you could also ask your doctor for a referral. Hope this helps!

My son went through this once too. We were told to set him on the toilet for a set amount of time each day, trying to encourage it to happen. My son didn't want to take the time to stop and go, so we needed to make him sit long enough to get things to happen. They do loose that sensation, and leakage isn't their fault. We give our kids Metamucil apple cinnamon fiber cookies/wafers to get them extra fiber. It works, and they love it. My friend also puts nectar in their juice to make it easier. I was yelling at my son for leaking in his underwear, until the doctor explained it all to me, and that he couldn't help it at that point. It took a while, but it will work itself out.

My daughter is 4 yrs old, and does the same thing. We flushed her out with Miralax and Apple Juice. I am not sure what kind of milk he drinks, but our ped. told us to give her Soy or Lactaid. My daughter drinks Lactaid (she thinks it tastes better), and she is pooping in the potty. We dealt with this when she was 2 (with the constipation) we flushed her then and put her on Lactaid for about 6 months. Then she was doing fine so we put her on regular milk again, until 2 months ago when the constipation and pooping in her pants came back ! It is a frusterating process esp when they are older and in underwear !

Good Luck !

From someone who has a lot of experience with constipation (I wont go into details) it doesnt sound like constipation. I would get a second opinion!

I hope he is being accepted for who he is and not all
that 'woulda-coulda-shoulda-oughta' judgemental stuff. If thereis a good fiber enriched diet and nothing hereditary/medical then take him to the science center
and let him enjoy being a child-not a little man or his
father-just a precious unconditionally loved child.

For a unrelated laugh check out this 4 minute video:
http://www.youtube.com/watch?v=3pqFVqlMX2o

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