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poo help in teenager


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#1 ytt

Posted 24 January 2020 - 06:47 PM

Okay a long one....

DD has had vomiting, changed bowel motions, nausea and pain for some time. Her treating team put it down to anxiety (complex mental health issues). Plus menstrual cycle issued due to an eating disorder.

First time in four years we have seen a long phase of stability and whilst there is anxiety and depression compared to what D is normally like depression and anxiety is nothing...

Anyhow, all the above symptoms have continued so I took her to the GP. DD had a lot of ultrasounds and an xray of her bowels. All ultrasounds came back normal, her xray showed a huge amount of fecal matter in her system, all through her intestines...

Sorry I have to admit it I tried not to laugh, the GP noticed and said yep full of sh*t... sorry immature me, with everything we've been through it's good to laugh and tell DD she is full of sh*t.... BTW I rarely swear so makes it even funnier.

Anyway GP said 2 coloxyl with senna tablets twice a day and I thought he said if it didn't work add movicol twice a day. DD had 3 times 2 tablets and nothing (GP said she would be in pain, all DD got was a bit of cramping). I went to the chemist today and asked about Movicol if I could use it with the coloxyl and she said yes I should use both and gave me a brief run down on the use of both...

DD is 17 this is the first poop issue I've had with my kids. Help meeeeee. What should I do now? DD had her first movicol a few hours ago and nothing.

One thing I didn't ask is why did this occur? she has never had an issue before. DD is on a huge amount of medication and I googled, this is a side effect of all. I can't take her off medication, she is alive because of it. At least we can now manage this... with more medication :(

#2 little lion

Posted 24 January 2020 - 06:51 PM

Movicol has dosing for faecal impaction on the box. Keep in contact with doctor, pharmacist etc. in the days ahead.

Many meds used in the mental health space have a constipating effect.

#3 Ozquoll

Posted 24 January 2020 - 06:57 PM

Depends on the individual, but I would expect Movicol to take at least 12 hours, and possibly much longer in someone who is really backed up.

Many medications unfortunately cause constipation. As you say, luckily you know about it now and can do something about it. *TMI alert* - both myself and my DS have had anal fissures due to constipation - thank god products like Movicol exist so neither of us (I hope) ever have to go through that pain again.

#4 Hands Up

Posted 24 January 2020 - 07:10 PM

When we had a (medically supervised) clean out for DS on movicol it was one satchet day one, two satchets day two and so on. Day two was the first BM and then day three things got moving. We didn’t go further than four satchets as by then he was thoroughly cleaned out and had diorrhea.

He’s been on half a satchet ever since and we are hoping to wean him off soon.

#5 SummerStar

Posted 24 January 2020 - 07:34 PM

..

Edited by SummerStar, 24 January 2020 - 08:16 PM.


#6 IamtheMumma

Posted 24 January 2020 - 07:40 PM

Once she starts going with the Movicol ( I’d be thinking 2 sachets a day to start with - what did the pharmacist say?) I’d switch to Normafibe. It’s a lot cheaper and tastes an awful lot better. Looks like gravel but tastes sweet.

You need to be careful with psyllium husk type products because they require a high fluid dose as well. It can cause constipation.

Edited by IamtheMumma, 24 January 2020 - 07:43 PM.


#7 kyrrie

Posted 24 January 2020 - 07:47 PM

All of it could be caused by just one of medications, eating disorders or the physical symptoms of anxiety. Put them all together and fun times ahead. Good luck with it and I hope she feels relief soon.

i know she’s really good at sharing with you so probably not, but just one thought is, has she over used laxatives in the past?  It’s not something I’ve done, so I’m not sure if it’s indicated here and what the longer term effects are. Maybe not, just restricting and purging are hell on the digestive system.

#8 Not Escapin Xmas

Posted 24 January 2020 - 07:54 PM

Poor kid. No advice on the constipation, but if she's interested in 'how things work' she might like to read or listen to the book 'Gut'. I've just started listening to it and it's really informative and completely non-judgemental.

#9 MarciaB

Posted 24 January 2020 - 08:11 PM

Dd1 ( 18) had issues this year after a tonsillectomy and associated drugs. Osmolax was recommended by GP - increased dose by a scoop each day until she was “going” 3-4 times a day and then reduce dose slowly until daily.

I think we got to 4 scoops a day.

I think Osmolax is similar to Movical - it might take a couple of days.

#10 Acidulous Osprey

Posted 24 January 2020 - 08:13 PM

Gut's a great book!

No no NO NO to adding fibre when she is this impacted.  Fibre in an impacted bowel does nothing, it just adds to the impaction.

Follow the instructions on the movicol packet and talk to the pharmacist about using bisacodyl after the movicol.  Sometimes the movicol will soften the stool but the bowel is too sluggish to actually clear out.  The bisacodyl stimulates the bowel to evacuate.

Osmolax and movicol are both macrogols and work the same.  Some people prefer osmolax because it tastes better.

Edited by Acidulous Osprey, 24 January 2020 - 08:14 PM.


#11 blimkybill

Posted 24 January 2020 - 08:30 PM

On top of other good advice, prepare yourself and your daughter that this problem could be chronic/recurring and it could take a long time to get to a reasonable equilibrium.
Not only will there be a LOT of backed up poo to clear, but her bowel will probably be stretched and sluggish for a long time, and of course you have ongoing meds in the picture. She may need to continue with Movicol or Osmolax long term.
Also Movicol and Osmolax don't work immediately. they can take some time (days) if there is a lot of backup.

To me it also shows that putting all kinds of symptoms down to anxiety is not helpful. Thankfully a proper investigation was done.

#12 PocketIcikleflakes

Posted 24 January 2020 - 08:42 PM

From when I had to take movicol, I think it bulks out the contents of the bowel by drawing water into the bowel and therefore the poo. You need to ensure you are drinking plenty of water.

You can expect it to take a few days to work depending on dosage. And  when she starts to get bowel movements there are likely to be small hard bits in the larger poos.

Good luck. It's not the nicest thing to deal with however I'm sure your dd will feel so much better after, I certainly did.

#13 The new me

Posted 24 January 2020 - 08:48 PM

Firstly we are under the care of a paediatric gastroenterologist for long term functional constipation

A wash out for us is 8 sachets of movicol per day for up to 7 days.

Is that a lot - hell yes
Is it horrible for her - omg yes

Your doctor needs to give you a wash out Plan.  Our paed (not gastro specialist) had us on 2 sachets per day for over a year and the back up never went away (hence referral to gastro specialist)

Btw she has always gone to the toilet often multiple times per day but there are other issues too

Good luck

#14 ytt

Posted 24 January 2020 - 08:54 PM

View PostIamtheMumma, on 24 January 2020 - 07:40 PM, said:

Once she starts going with the Movicol ( I’d be thinking 2 sachets a day to start with - what did the pharmacist say?) I’d switch to Normafibe. It’s a lot cheaper and tastes an awful lot better. Looks like gravel but tastes sweet.

You need to be careful with psyllium husk type products because they require a high fluid dose as well. It can cause constipation.

Yes she is on two sachets a day that her GP said. The box says more for fecal impaction. I'll make an appointment for a few days and see how we go. According the the GP we should have seen more pain and movement with just the coloxyl.


View Postkyrrie, on 24 January 2020 - 07:47 PM, said:

All of it could be caused by just one of medications, eating disorders or the physical symptoms of anxiety. Put them all together and fun times ahead. Good luck with it and I hope she feels relief soon.

i know she’s really good at sharing with you so probably not, but just one thought is, has she over used laxatives in the past?  It’s not something I’ve done, so I’m not sure if it’s indicated here and what the longer term effects are. Maybe not, just restricting and purging are hell on the digestive system.

No never used laxatives, she was actually happy when the GP said to use laxatives. DD asked if she would lose weight at AN people use laxatives to lose weight but she has never done it. DD is more excited about losing weight than getting better :(

#15 Tinky Winky Woo

Posted 24 January 2020 - 09:53 PM

For us Osmolox works quicker and is much gentler on the stomach.  2 full scoops works wonders and in a very short time frame.  Drink it in apple juice or coffee and it works even quicker

#16 FuzzyChocolateToes

Posted 24 January 2020 - 10:00 PM

Here are the RCH Guidelines for disimpaction:
https://www.rch.org....x/Constipation/

#17 Acidulous Osprey

Posted 24 January 2020 - 10:12 PM

View Postytt, on 24 January 2020 - 08:54 PM, said:

Yes she is on two sachets a day that her GP said. The box says more for fecal impaction. I'll make an appointment for a few days and see how we go. According the the GP we should have seen more pain and movement with just the coloxyl.


I suspect your GP is not particularly expert in bowel management.  It would be very rare for coloxyl to be enough to clear an impaction.

We always started with 8 to 12 sachets a day.

#18 Blossom11

Posted 24 January 2020 - 10:27 PM

You may need an enema as the bottom bit might be too hard.

I agree with.the movical - you may need to increase the dosage as others have suggested.

Also, I have given 2 ducolax morning and 2 at night with a hot drink like tea or coffee.

We have been through this with the end result of my daughter having a mace inserted.  All the drs told us that you can use more laxatives than on the box for a short period but i would be careful if your daughter does want them to lose weight.

#19 literally nobody

Posted 25 January 2020 - 03:36 AM

We had massive issues with dd and constipation, osmolax worked best for her. Otherwise a suppository helps too.

#20 born.a.girl

Posted 25 January 2020 - 05:37 AM

Totally agree with not adding fibre to severe constipation caused by medication.

I was on one which caused it, ate as much fibre as I could, was told 'eat more fibre' and figured o.k., you must have to eat a huge amount to be o.k.  All that did was end up with me being so bloated and uncomfortable, that I experimented with low fibre, which actually helped.

The day I changed medications I 'went', overnight THREE times and by morning felt like I could fly, I felt so light.

#21 liveworkplay

Posted 25 January 2020 - 07:55 AM

My youngest has had poo issues for s few years now. When she was 7, under the specialist medical guidance, she was on over an adult dose of both ducolax and parachoc. She was on varying doses of both of these for over a year....it is not necessarily a quick process.

Edited to add right names of medication!

Edited by liveworkplay, 26 January 2020 - 09:28 AM.


#22 Bethlehem Babe

Posted 25 January 2020 - 08:43 AM

We have poo problems in my nearly 11 year old. One thing we were told is that osmolax needs water - he barely drinks anything so getting liquid into him has been the real challenge. Does she drink enough water?

#23 ytt

Posted 25 January 2020 - 09:59 AM

She usually is good with water, always has a big beaker of it but just lately I noticed she hasn't. She needs water with her lithium, dehydration is bad for her.

#24 ytt

Posted 25 January 2020 - 10:03 AM

She won't have any more than 2 movicol a day... because her doctor said only to have 2 :no2:  She always listens to him, not me!!!  I can't sneak any in even the flavourless one makes her heave. She can vomit on the spot in mid sentence... :rolleyes:

Oh well, I see a trip back to the GP soon. Right when she goes back to school and I go back to work. At least DH is home if she needs time off.

There is no movement yet.

Thank you all for your help

#25 Froyohoho

Posted 25 January 2020 - 10:28 AM

Microlax might be a better option to get the impaction moving in that case. You can buy it without prescription at the chemist.

Edited by Froyohoho, 25 January 2020 - 10:29 AM.





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