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Experience with lactulose?

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#1 gemmyloves

Posted 22 August 2019 - 10:44 PM

I posted a little while ago about my 3 year old DD who has been having poo accidents since starting toilet training 2 months ago.

Since then we have had a few successes but the last couple of weeks I don't think we have had any decent poos in the toilet at all, just lots of tiny ones in her underwear.

While she is still having issues with soiling, overall she has become quite good at holding and so really now it is only the soiling we are seeing, if that makes sense. She won't ever let go and do a big poo in her underwear, or even in a pull up which we put on before bed. The other day she was wriggling around and obviously trying to hold one in, I asked her if she needed to use the toilet to which she announced "no I sucked it back it in!" :doh:

Today she was complaining of a sore tummy and barely had any appetite. I took her to the doctor who emphasised all the usual things, but she also prescribed lactulose and the info she has provided to me says that it is a stool softener as well as a stimulant. So sounds good.

But I have been googling and noticed a lot of people suggesting it is only a stool softener and won't really help with the stimulation? We certainly need both but more so I do think we need something that will force her to go, do a big one and clean her out. And then we can get back to basics on the training.

Has anyone here had any experience with it? Is there anything else you would recommend? The doctor also suggested coloxyl with senna? We have used coloxyl in the past when DD was a baby, but only maybe once or twice, and not with the senna.

#2 Ellie bean

Posted 22 August 2019 - 11:03 PM

My dd was similar and we had a lot of success with osmolax.
We also had to basically teach her how to poo too- she was withholding (I googled it on an eb members advice), she thought she was pushing when she was actually holding it in, and it was constantly leaking out while she tried to hold it in- we did lots of miming of how to push etc- I only mention it just in case you have the same issue
Good luck I hope you can sort it out soon

#3 Lallalla

Posted 23 August 2019 - 07:56 AM

My oldest was like this. Stool softeners did not help. What did work (eventually, it felt like it went on forever) was over the top praise and bribery, all the bribery, and also a book called “I use the potty” for some reason (came across it while out and about and she made me read it 6 times in a row, never regressed again???).

One of my current 3 year olds never held it in, just held on until she eventually went in her pants, ever single day, it went on for ages. We got “Liam goes poo on the potty” which is all about poo, funnily enough, and it helped. But ultimately it was me putting her back in cloth nappies as I was over all the poo that made her stop avoiding it.

It is such a frustrating time

#4 Kiwi Bicycle

Posted 23 August 2019 - 09:33 AM

Oh lactulose. Oh how I hate you. Trust me that stuff can be lethal. Was given it after 5 days in hospital and blocked up from morphine. The car ride home from hospital was agonizing and yes, it decided to work. I think I went 8 times after I got home.
So, yes once you get to working dose, it will make you go.

#5 sqawk

Posted 23 August 2019 - 11:49 AM

I think osmolax is more commonly recommended in this setting that lactulose. Neither is strictly speaking a stimulant. Both are osmotic laxatives that increase the bulk/size of the poo and ensure it is very soft.

Your daughter, like mine, has encoparesis. Doctor review to make sure no other issues. If she has some awareness that is good.

General recommendations would be (and discuss all this with ur doctor)
Osmolax, increase dose til passing large soft poos
Good water intake
Try to increase fibre in diet
Regular toileting eg after meals. Rewards and bribery usually needed.

My daughter still in osmolax aged just turned 10

Encoparesis clinic at local hosp might be helpful if the above don’t show improvement. Some physios/OTs can be helpful if they are experienced in this area.

Edited by sqawk, 23 August 2019 - 11:50 AM.

#6 Ozquoll

Posted 23 August 2019 - 12:00 PM

Lactulose and coloxyl never really worked on my DS. Movicol/Osmolax does though. Be careful when using laxatives on constipated children - my DS sustained a very painful anal fissure when we followed the unwise advice of a GP to give him laxatives. If we had given him stool softeners for a few days to a week before giving the laxatives then he would have been able to pass the poo without hurting himself.

#7 FuzzyChocolateToes

Posted 23 August 2019 - 01:39 PM

We tried them all. I greatly prefer Osmolax. Lactulose makes them very farty!

Did the GP palpate her abdomen? What did she say? My 8yo developed an impaction recently ( couldn't poo, severe pain, couldn't eat  and ended up in hospital for a wash out when home treatment failed. Iff was horrible.  If she doesn't start doing proper bowel actions after a couple of days of treatment, go back to the GP.

Edited by FuzzyChocolateToes, 23 August 2019 - 01:44 PM.

#8 400

Posted 24 August 2019 - 08:57 AM

View PostKiwi Bicycle, on 23 August 2019 - 09:33 AM, said:

Oh lactulose. Oh how I hate you. Trust me that stuff can be lethal. Was given it after 5 days in hospital and blocked up from morphine. The car ride home from hospital was agonizing and yes, it decided to work. I think I went 8 times after I got home.
So, yes once you get to working dose, it will make you go.

I am also super sensitive to it (once DH had an operation and was backed up from the drugs, I poured some for him and got a bit on my finger and stupidly licked it off- that was enough to have me bolting for the loo!)
I, however, love it. After my CS I felt like I would never go, two doses was like a grenade in my guts and cleared all the opioids out. Like, it’s a traumatising event but soooooo worth it! Lactulose is like my nuclear ammo sitting in the cupboard, patiently waiting in case I need it

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