20 month old with constant constipation, help please | ExpatWoman.com
 

20 month old with constant constipation, help please

332
Posts
EW EXPLORER
Latest post on 13 March 2013 - 08:27

Our 20 month old DD started suffering from consipation about six weeks ago. Nothing changed in her diet or to her environment which may have caused any stress.

The first doctor we saw suggested Duphalac, 5ml twice per day and suppositories in the event she didn't pass anything for a couple of days. We cut down her pasta, bread and rice intake by 50% to only four serves per week and have substituted with fruit and veg. We give her three prunes a day mixed with other fruits such as papaya or pear but have eliminated apples, bananas, cheese, yoghurt and have also cut down on milk.

Although she was able to pass poops by the end of the first week of taking Duphalac, the problem has not gone away and we think it is even more pronounced now than before.

She strains, arches her back, cries, and sweats. Unless we give her a suppository every few days to unblock things, she won't pass poops.

We are now onto the third doctor who this time has suggested taking toddler Movical which of course doesn't appear to be something you can get in Dubai. I am also very anxious about giving her medications like Duphalac and Movical as they will not help resolve the source of the problem.

To top it all off, she has lost a kilo in the past three weeks, probably due to the lack of carbs she is getting in her diet.

It seems odd to me that a child with a pretty healthy appettite and with no dietary problems would all of a sudden develop constant constipation like this.

Would be grateful to hear your views.

PS - Kiwi, I saw your earlier post on this and we are going to try to kiwis today.

29
Posts
EW NEWBIE
Latest post on 13 March 2013 - 11:31
Hi M, It sounds like your daughter eats a healthy range of food. You could try introducing watered down fresh orange juice or apple juice. This website has some really useful information: http://www.childhoodconstipation.com/ Regarding potty training, there are certain indicators that will let you know when your child is ready.
332
Posts
EW EXPLORER
Latest post on 13 March 2013 - 10:34
Add more fiber like whole meal breads and pastas. Try to increase her water intake. More exercise and time running around. Thanks for your suggestions; she is extremely active, drinks a lot of water (no juices) and had previously taken whole meal breads and pastas which is why it is all so strange.
849
Posts
EW GURU
Latest post on 13 March 2013 - 10:17
Add more fiber like whole meal breads and pastas. Try to increase her water intake. More exercise and time running around.
165
Posts
EW NEWBIE
Latest post on 13 March 2013 - 09:40
very similar story, have to say..If she needed to do number 2, she would go hide behind the door, in a corner,.. We struggled a lot, went to doctors, paedetricians and not all of them took it very serious..'give it time', eat more veggies etc.. I only tried the suppo once as that was causing a lot of stress on her..she was screaming and crawling..she wanted to keep it in .. As it was mentally and not medical, we just worked on her.. I remember, we gave up potty training, back to nappies..as her biggest fear was going to toilet, doing a poo in the nappy was much easier for her..but even then she could keep it in her body for days....also put the focus away , I used to rush to her if I saw her behind the door: do you need to go to toilet, rushing to toilet etc...I stopped doing that, just nappy back on and no pressure from my side anymore then when it was getting better, step by step trying to make 'toilet time' fun//bought a plastic duck toilet seat, a nice potty etc...praising her, big five if she went (even it was almost nothing), stickerchart, etc...Also seeing other kids, sister or at school going to the toilet without problems helped! once she realised, it is not so scary , the fear went away step by step...but it was a stressful time and it took loooooong... So, my advice, throw away the potty for now, not mention it, let her first go back to normal toilet routine in the nappy..
332
Posts
EW EXPLORER
Latest post on 13 March 2013 - 09:02
Hi M, Our youngest daughter (now 4y), had more or less same problem when she was 2.5y old. We also tried the duphalac and movicol, but nothing seemed to work. When we gave her the suppo, it was heartbreaking to see her ..crying, moving, crawling, screaming her lungs out etc.. I am not saying your DD has same problem, but in the end it turned out, she was not constipated as such, but is was a 'fear' of doing number2.. We really struggled to have her potty-trained..she was always afraid..apparantly it is very common with kids of that age..they hold it and hold it..because they are too afraid... Not saying it is the same in your case, just saying what we been through..so it was not medical problem, but we had to focus on her mind.. Maybe you are in the process of potty training and that frightens her?? Hi Nathalie2 - yes, we have also considered that this might be all in her mind and that she is holding it in. When she strains, she doesn't want anyone coming near her and gets really upset if you try to help her bend or squat. We are not yet potty training but I have being bringing the potty out just to encourage her to have a seat when she is straining but this has been only once or twice per week and she usually just walks away from the potty. Thanks for your suggestion, it is really helpful. How did you overcome the issue with your DD? I hate the suppository too - as a result DD flips out any time she is getting her nappy changed because she thinks she is getting one popped in : (
165
Posts
EW NEWBIE
Latest post on 13 March 2013 - 08:40
Hi M, Our youngest daughter (now 4y), had more or less same problem when she was 2.5y old. We also tried the duphalac and movicol, but nothing seemed to work. When we gave her the suppo, it was heartbreaking to see her ..crying, moving, crawling, screaming her lungs out etc.. I am not saying your DD has same problem, but in the end it turned out, she was not constipated as such, but is was a 'fear' of doing number2.. We really struggled to have her potty-trained..she was always afraid..apparantly it is very common with kids of that age..they hold it and hold it..because they are too afraid... Not saying it is the same in your case, just saying what we been through..so it was not medical problem, but we had to focus on her mind.. Maybe you are in the process of potty training and that frightens her??
 
 

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