| Subject: Re: teen with impacted colon |
Author:
Shelly
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Date Posted: Thursday, December 12, 2024, 05:52: pm
In reply to:
Joyce
's message, "Re: teen with impacted colon" on Thursday, December 12, 2024, 03:15: pm
Joyce,
Because of my awful experience of withholding my poop when I started school I've done so much research on stool withholding which if not stopped the instant a parent realizes, if they ever do, often leads to encopresis where there is a hard dried out stool not too far up the sigmoid that is large enough that the colon is unable to move it. Weeks and weeks of Miralax is unable to move it but simply causes the child to mess them selves with enema by mouth Miralax. Magnesium citrate did that exact thing to me. Let's be clear out there parents, if you have been ordered to give your child large daily doses of Miralax, you are just giving them enema by mouth. Let that sink in. And then you are told to put them in pull ups because they can not tell you for certain when that enema by mouth will come out.
Soapsuds enemas and the rinse enemas often are much more successful. And in some hospital settings they will use milk and molasses enemas because it creates a lot of gas which expands the colon so the lump can come down. Milk and molasses enemas are very unpleasant because there is a lot of intense cramping with the gas. I don't think she still has a large stool in her. The nurses said they palpated her colon and abdomen after her last enema and they didn't feel anything and her last enema returns were nearly clear. But I think she is or was a holder. But unlike most holders that start around the ages typically of 4 to 7 or 8, I think she started holding later like when mom said she was deep into puberty but probably several months before she started wetting the bed. I think she has stretched her rectum more than the rest of her colon and resisting her rectum trying to empty when she was at school or out in public. She wanted to wait until she got home to poop. So now her rectum from years of holding it in until she gets to her comfortable own bathroom has to be really full of a large stool before it spasms to try to make her get it out. I'm very much in thinking with you and Kitten Paw in that we have to get a bowel movement from her regularly. Mom warned me if I ever mention oral laxative, fiber I will have lost her cooperation. She asked the nurses since she will not take oral what did they suggest in the way of rectal to keep from getting backed up like this again. They said they are just nurses, they can not give medical advice but the RN did tell her that if she is allowed to go four or five days without a bowel movement she doesn't see a clear path to her colon being able to start to recover it's strength. Mom told me last Fri. that as long as I had daughter's cooperation she trusted me to keep her from getting backed up again. If I want her to go for another x-ray or Dr. consult just let her know. So I'm not going to let her go five days without a bowel movement. I'm leaning towards a major clean out on Sundays where I have all afternoon to get a cleanse on her like the nurses did. If she still enjoys helping with Junior's enema then that will be a small reward for her. Then an enema every Wed. after school. That way the longest she can possibly go with pooping is three and a half days. Wed. evening until noon on Sun. and then from Sun. afternoon until late Wed. afternoon. I'm going to ask her if she will babysit Sun. while hubby and I go out for lunch. Tell her I want her to come earlier than normal because we need to talk about her enema maintenance going forward until she gets in to see the GI Dr. That maintenance enemas are for sure in her future and we will talk about how often.
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