How to Get Ride off Accidents After Having a Painful Bowel Movement.

Updated on January 19, 2010
S.P. asks from Las Cruces, NM
8 answers

My daughter is 5, she suffers constipation since she was weeks old, lately she developed very painful bowel movements. Now she won´t have a bowel movement on the toilet, she had 10 accidents in a few days. We´ve been careful on her diet, amount of fluids, etc. her stools are soft, but she is afraid of being in pain again. We tried rewards, etc. but nothing seems to work. My husband and I are desperate to make her feel secure again. If any mom has any advice or ideas. We would appreciate them. Thanks a lot.

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S.S.

answers from Tucson on

I read what everyone said and it's so true. The key here is two fold. One is the need to change the food she eats to include a lot of water based fruits and not too much fiber. Too much fiber can be drying and hard to move.
In the beginning it's about teaching her to trust her body again. You want to begin with stool softeners and tell her she has to get out the stuff that's in front of the soft stuff. Tell her she needs to be willing to go as soon as she feels something so she can get the hard poop out, so the soft poop can begin.
This is going to sound silly but a child will feel empowered by it. Have her talk to her body. Have her talk to her poop and cheer her self on. This makes her feel like she plays a part in this and isn't just being taken over by pain.
Use the stool softener for about 2-3 weeks. The anus is the only muscle in the body with a mind of it's own. It will close off even when you don't want it too, especially if there's been lots of pushing and pain. So both the anus and the child have to be retrained with softer stools. Good luck, this is not fun.
S.-www.proactiveparenting dot net

More Answers

A.H.

answers from Phoenix on

Oh Sylvia! I'm so sorry to hear about your daughter's poopie issues. We had a similar situation a few years ago with my 2nd son (I have 4 now!) I am speaking from experience so I know how stressful it is to have these issues - and I can promise you that things will get better as long as you stay on top of the situation. My son, despite my best efforts, had some serious issues starting when he was 4 years old and coming to a head when he was 7. For three years he was having random poop accidents, even after he started school, and we were getting very frustrated. One night he developed a HORRIBLE stomach ache and we rushed him to the doctor. We found out that he was partially compacted which for me was a SHOCK because I am a health food junkie and always make sure my kids eat very well. After discussing his diet with the doctor he told me that despite his healthy diet, some people need much more fiber/water than "the norm", and my son was one of those people. We pulled up our bootstraps and got to work. I did some research and discovered an amazing product for cleansing a little one's body. It's at: www.drnatura.com. Click on "kidetox" and you will see my family's picture with my testimonial of how this product changed my son's life. I highly recommend trying this for your little girl. Your poop problems will be a part of the past before you know it! I would also highly recommend taking a good look at her diet and changing things that might be contributing to her issues. Cut way back if not omit ALL junk food and soda. Make sure your daughter is getting plenty of water to drink during the day and LOTS of fresh fruit, veggies, and whole grains. Try not to give her too much dairy, except yogurt - the bacteria is vital for good, healthy intestines! One thing that all my kids LOVE is a yogurt smoothie made with yogurt (we use plain with a squeeze of honey) soy milk, frozen berries, a banana AND flaxseed meal. I truly feel your pain with this situation, so my heart goes out to you and your daughter. Good luck and best wishes Sylvia!

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K.N.

answers from Las Cruces on

Perhaps you should have her checked to make sure she doesn't nave an empaction. Sometimes that will cause "leakage" of soft stool around the empaction while still having that blockage higher up.

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C.B.

answers from Boston on

My kids (now 9 and 12 and just fine) would withhold when we switched from diapers to potty ate age 2.5 and then would have these HUGE bowel movements that hurt (one even had a tear and bled a little). The memory of that pain stays even though we added warm pear juice and lots of fiber to their diets. We used Miralax when it was still on prescription. The first day we used the full cap, after that for about 4-6 months only a rounded teaspoon in the morning sippie cup each day. The doctor explained that they would need many weeks or even months of successful painless bm's to forget the hurt and get over the voluntary withholding (which eventually leaks when the colon is full. The super full feeling can also be painful). We needed to re-train their feelings of WHEN they needed to go. We still have Miralx in the house for occasional constipation. If your kids are OK with the flavor, Milk Of Magnesia comes in cherry and is OK for occasional use too and works in about half an hour to an hour, but not for the re-training that painful bm's require. We also used a chart where she would get a sticker for each bm in the potty and after successfull 10 bm's in potty she would get a small toy. Since your daughter has had constipation for a long time, I would try to add pears or prunes or even FiberSure to her diet. FiberSure is available at CVS and is another oderless tasteless powder you add to drinks. But try the Miralax first to get rid of the symptoms, then cure the cause with more fiber. Hot as she could take it pear juice (Gerber) would help my kids when they were sitting on the potty to relax the muscles and the fiber also helped. Good luck, this phase will pass, but like my kids, you may need to remind them to drink lots of fluids. My kids will come home from school and only have drank one 8 oz bottle of water all day from 8 AM to 3 PM. Bad habit.

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D.P.

answers from Pittsburgh on

Google "encopresis" and see if you think it applies to your daughter. Good luck to you!

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D.H.

answers from Santa Fe on

I am a big fan of benefiber for helping regulate a little body. A teaspoon a day mixed in yogurt, water, juice...REALLY helps! I know how difficult this can be for a little girl, my daughter has the same issue, especially in the winter when fresh fruit and veggies aren't as tasty. When she is feeling constipated we give her a tsp everyday for a week, then once every 2 days. If the problem seems to continue, just give her a tsp everyday in the morning. Also, really focus on diet. Lots of fresh fruit and veggies, good whole grains (brown rice, quinoa, beans, oatmeal), avoid cheese, dairy and processed foods, LOTS of water (pack lunches if she goes to school). Good luck! Diet can make a huge difference. I don't know what your daughter's eating habits are like, but hopefully she is game for some of the suggestions.

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K.H.

answers from Washington DC on

My son was the same way , and was scared to go because they hurt so we had lot's of accidents , we now use Miralax (stool softner), started off as a daily thing and now we give it every other day. It's not a laxative so they can control BM's , it just makes them normal consistency so they don't hurt. You add it to drinks and it has no taste or color , I would advise to add less than the instructions says on the tub and add more each day until she has a BM that does not hurt and is not too runny.

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A.L.

answers from Phoenix on

Hi! We actually went thru this not too long ago with my oldest, who is 4. What wound up happening in his situation is that he didn't like to go poop in public at all so if he was @ preschool etc he would hold it, so it wasn't his diet or anything, becuase he held it in, he became constipated and then he began to associate the potty with pain so it was no wonder he wouldn't go! We actually started all over again with potty training in the sense that we put him back in pullups. I know, it was a little scary doing it but we explained to him that he still had to pee on the potty but he could use his pullup to poop, then we made gradual requests like he had to stand in the bathroom during the deed, then eventually sit on the toilet etc (all while still wearing the pullup). I've read you can go as far as cutting a hole in the pullup once they are sitting on the potty again & gradually make it bigger until there is basically nothing left of the pullup. Luckily this process went rather quickly for us & within about a week or two he was back on the potty (we never even needed to cut a hole in the pullup) & he's never had an accident since. In fact it helped get him completely potty trained in the sense that we never have to ask him to go anymore...he does on his own!!! Hope this helps!! If you continue to have problems with constipation our pediatrician suggested Miralax. I'd ask your Dr about it but we would dissolve it in his juice/water 1x a day to keep things moving, altho you'll have to play with increasing the dosage gradually as too much will make things move way more than you want!!! :) Good luck!!! I know how frustrating that can be!!!

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