4.5 Yr. Old - Constipation/Encopresis/Vomiting Since Sept ! (m)..
we go see a Peds Gastro on Monday. We've been dealing w/this since September. 2 trips to the ER in and 3 trips to his peds. I rcvd med records yesterday and 2nd time to ER they took blood/urine (this was within 3 days apart) and urine showed crystals inhis urine, a moderate amount. His blood showed trace ketones. YES, they told me everything was normal. IS that normal? I am so peed right now, cause if it isn't.....GRRRR! Anyway, his x-rays showed severe constipation and he was vomiting. Over and over he got better. But during this whole time at least 2-3x a day he still complains that his tummy hurts and he vomits I would say every 1-2 weeks for a whole day when it gets real bad. They did a barium x-ray and everything unremarkable. They ruled out appendicits, cause they felt no lumps or anything in abdomen. They also ruled out "supposedly" with the barium any kinks or folds in the bowels (Intussusseception) or malroitation of the bowels. I'm just wondering if anyone has any ideas what this might be? ALso, he had a lot of times he soiled in his underwear because he had such bad feecal impaction, the loose stuff was going around the hard stuff and leaking out.
His HGB is a bit out of whack and they did find a few WBC's in urine - but again, they told me these tests all came out normal at that time. Oh and when he says his tummy hurts, he's always grabbing the middle, by belly button but sometimes he points to the right side (he has a language disorder - verbal apraxia). THen, yesterday AM, he said "owie" when he peed. Oh and his glucose on the test was 95, which seems to be normal. (I was worried about diabetes too).
Any ideas? THANKS
Answers:
I don't have any answers for you but I feel your pain. My 4.5 year old daughter has constipation issues also and I know how frustrating it can be. She went through a period of 3 or 4 weeks that she did not eat solid foods. Only pediasure and yogurt. During this time she said she hurt in the middle also, pointing to her belly button. When her doctor felt her abdomen he could feel all the stool in her abdomen and said it was all the way over by her appendix (I guess the intestines can stretch quite a lot). He should not have felt it that far over but she was soooo constipated. Maybe that is why your son points to his right side? She did vomit a couple of times too and she was always feeling nauseous. Probably from being so backed up. She is now on the maximum dosage of Miralax every day . If she misses a dose she will get constipated again. Good luck on Monday. Let me know how it goes.
Answers:
hi, I was reading your post and i can understand how upset you are. My 6 yr old has severe constipation. He has been taking miralax since he was about 1 and a half. I still tells me his tummy hurts, and he will tell me he needs his medicine. I have been able to cut down on it though. He use to drink it everyday, he now takes it for 3-4 days and will stop for about 1week, then we start all over. I have been fighting with his dr about sending him to another ped gastro. Have they done a biopsy on your son? I know they said it can show something, i cant remember Matt had one done when he was 11months. Matt has had hemmeroids and bleeds when going to the bathroom. He has also passed out while sitting on the toilet trying to go. You should be careful. Sorry i can't give you any better advice, and i hope your son feels better. God bless you
Answers:
Greenacres-
Oh sweetie, I am so so sorry you are having to deal with this. I know when our children are suffering we just want to be able to make it all ok. That's what we've been trained to thing after all- that mommie can always make it better.
You are doing the right thing by continuing to look for answers. Dont' stop!
I only glanced at all of the posts, and didn't see mention of this, but have any of these doctors tested for chrons? What you desribed about being so clogged and constipated and then soiling his paints from the loose excriment is called "overflow diarrhea". Chrons can either be diarrhea dominant or constipation dominant. So can IBS. I have constipation dominant IBS and have never in my life been regular with bowel movements. I'm either so constipated that I have to force a bowel movement, or am having extremely explosive and excuciating bowel movements.
Deffinately seek the opinion of a pediatric GI specialist. You might also consider having your son tested for certain food allergies such as wheat, gluten, milk, peanuts, etc. There are so many things that can cause the symptoms your son is exhibiting. There are some absorption disorders that can cause this as well. I know my cousin went for years before being diagnosed with Chrons. Most of the doctors out right told her mom that children just do not get chrons! She had suffered from childhood, yet none of the doctors would even consider chrons. They kept telling her it was stress.
I finally told her mom to please, PLEASE find a pediatric GI specialist and have her tested for chrons. She did, and they finally got their answer.
I wish you the very best of luck in finding a doctor that can diagnose your son and thus, begin treating him so he can be more comfortable. Please do keep us posted. I'm sending positive thoughts your way!
Answers:
I read this post and just had to respond. I am not very medically literate but my advice is to demand appoints with specialists. Keep seeing different ones until someone has an idea of what to do. My experience is that doctors will listen to your problem and either have a good idea of what is going on, or just be at a loss as to what could possibly be wrong. They are all very smart and good at what they do. It just takes a doctor who has seen this before or has a creative idea to solve it. Your description does not sound normal and I feel there must be a cause to the problem.
His HGB is a bit out of whack and they did find a few WBC's in urine - but again, they told me these tests all came out normal at that time. Oh and when he says his tummy hurts, he's always grabbing the middle, by belly button but sometimes he points to the right side (he has a language disorder - verbal apraxia). THen, yesterday AM, he said "owie" when he peed. Oh and his glucose on the test was 95, which seems to be normal. (I was worried about diabetes too).
Any ideas? THANKS
Answers:
I don't have any answers for you but I feel your pain. My 4.5 year old daughter has constipation issues also and I know how frustrating it can be. She went through a period of 3 or 4 weeks that she did not eat solid foods. Only pediasure and yogurt. During this time she said she hurt in the middle also, pointing to her belly button. When her doctor felt her abdomen he could feel all the stool in her abdomen and said it was all the way over by her appendix (I guess the intestines can stretch quite a lot). He should not have felt it that far over but she was soooo constipated. Maybe that is why your son points to his right side? She did vomit a couple of times too and she was always feeling nauseous. Probably from being so backed up. She is now on the maximum dosage of Miralax every day . If she misses a dose she will get constipated again. Good luck on Monday. Let me know how it goes.
Answers:
hi, I was reading your post and i can understand how upset you are. My 6 yr old has severe constipation. He has been taking miralax since he was about 1 and a half. I still tells me his tummy hurts, and he will tell me he needs his medicine. I have been able to cut down on it though. He use to drink it everyday, he now takes it for 3-4 days and will stop for about 1week, then we start all over. I have been fighting with his dr about sending him to another ped gastro. Have they done a biopsy on your son? I know they said it can show something, i cant remember Matt had one done when he was 11months. Matt has had hemmeroids and bleeds when going to the bathroom. He has also passed out while sitting on the toilet trying to go. You should be careful. Sorry i can't give you any better advice, and i hope your son feels better. God bless you
Answers:
Greenacres-
Oh sweetie, I am so so sorry you are having to deal with this. I know when our children are suffering we just want to be able to make it all ok. That's what we've been trained to thing after all- that mommie can always make it better.
You are doing the right thing by continuing to look for answers. Dont' stop!
I only glanced at all of the posts, and didn't see mention of this, but have any of these doctors tested for chrons? What you desribed about being so clogged and constipated and then soiling his paints from the loose excriment is called "overflow diarrhea". Chrons can either be diarrhea dominant or constipation dominant. So can IBS. I have constipation dominant IBS and have never in my life been regular with bowel movements. I'm either so constipated that I have to force a bowel movement, or am having extremely explosive and excuciating bowel movements.
Deffinately seek the opinion of a pediatric GI specialist. You might also consider having your son tested for certain food allergies such as wheat, gluten, milk, peanuts, etc. There are so many things that can cause the symptoms your son is exhibiting. There are some absorption disorders that can cause this as well. I know my cousin went for years before being diagnosed with Chrons. Most of the doctors out right told her mom that children just do not get chrons! She had suffered from childhood, yet none of the doctors would even consider chrons. They kept telling her it was stress.
I finally told her mom to please, PLEASE find a pediatric GI specialist and have her tested for chrons. She did, and they finally got their answer.
I wish you the very best of luck in finding a doctor that can diagnose your son and thus, begin treating him so he can be more comfortable. Please do keep us posted. I'm sending positive thoughts your way!
Answers:
I read this post and just had to respond. I am not very medically literate but my advice is to demand appoints with specialists. Keep seeing different ones until someone has an idea of what to do. My experience is that doctors will listen to your problem and either have a good idea of what is going on, or just be at a loss as to what could possibly be wrong. They are all very smart and good at what they do. It just takes a doctor who has seen this before or has a creative idea to solve it. Your description does not sound normal and I feel there must be a cause to the problem.